Dabrowská Marcela, Honzíková Lucie, Pastucha Dalibor, Janura Miroslav, Tomášková Hana, Fiedorová Iva, Čechová Šárka A, Trdá Jana, Elfmark Milan
Department of Rehabilitation and Sports Medicine, Faculty of Medicine, University of Ostrava, Ostrava, Czechia.
Department of Rehabilitation and Sports Medicine, University Hospital Ostrava, Ostrava, Czechia.
Front Rehabil Sci. 2025 Jun 2;6:1539175. doi: 10.3389/fresc.2025.1539175. eCollection 2025.
The aim of this study was to determine whether adding virtual reality therapy to conventional rehabilitation improves the quality of life, cognitive functions, and social participation of patients after an ischemic stroke.
Randomized controlled study conducted in a rehabilitation center.
The experimental group with therapy in virtual reality included 25 patients (age 59.4 ± 8.9 years), and the control group with conventional therapy consisted of 25 patients (age 63.0 ± 8.8 years). Inclusion criteria for the study were: age 40-79 years, stable condition, Mini-Mental State Examination >25 points, intact vision, preserved grip function of the thumb and index finger of the affected limb, functional mobility according to the functional ambulatory category (FAC) 3-5, and no other neurological disease.
The Mini Mental State Examination, the Barthel Index, the Extended Barthel Index, and the WHO Disability Assessment Schedule 2.0 were used to assess cognitive function, quality of life, and self-sufficiency. Based on the results of normality test were used: -test for two samples (age, time since stroke), the chi-square test (gender), nonparametric paired Wilcoxon test and Mann-Whitney test. Friedman analysis was used to analyze repeated measures and a test Scheffe test was used to compare differences. Statistical tests were evaluated at the 5% significance level.
No significant differences were found between the experimental and control groups in any of the tests applied after treatment. Significant differences emerged after treatment in all WHODAS domains studied for each group compared to the measurement before therapy. In the experimental group, the positive effects of therapy persisted 1 year after the end of therapy compared to the measurement before therapy.
Virtual reality has proven to be a suitable adjunct to conventional therapy for post stroke patients and offers an advantage over traditional rehabilitation methods in that it allows training in activities of daily living that are not commonly available in a hospital setting.
本研究旨在确定在传统康复治疗基础上增加虚拟现实疗法是否能改善缺血性中风患者的生活质量、认知功能和社会参与度。
在一家康复中心进行的随机对照研究。
接受虚拟现实治疗的实验组包括25名患者（年龄59.4±8.9岁），接受传统治疗的对照组由25名患者组成（年龄63.0±8.8岁）。该研究的纳入标准为：年龄40 - 79岁，病情稳定，简易精神状态检查表得分>25分，视力正常，患侧肢体拇指和食指抓握功能完好，根据功能性步行分类（FAC）为3 - 5级的功能性活动能力，且无其他神经系统疾病。
使用简易精神状态检查表、巴氏指数、扩展巴氏指数和世界卫生组织残疾评定量表2.0来评估认知功能、生活质量和自理能力。基于正态性检验结果使用：两样本t检验（年龄、中风后时间）、卡方检验（性别）、非参数配对威尔科克森检验和曼 - 惠特尼检验。采用弗里德曼分析来分析重复测量数据，并使用谢费检验来比较差异。统计检验在5%显著性水平下进行评估。
治疗后应用的任何测试中，实验组和对照组之间均未发现显著差异。与治疗前测量相比，每组研究的所有世界卫生组织残疾评定量表领域在治疗后均出现显著差异。在实验组中，与治疗前测量相比，治疗结束后1年治疗的积极效果仍然存在。
虚拟现实已被证明是中风后患者传统治疗的合适辅助手段，并且相对于传统康复方法具有优势，因为它允许在医院环境中通常无法进行的日常生活活动训练。
