《中国康复理论与实践》 ›› 2016, Vol. 22 ›› Issue (12): 1371-1370.doi: 10.3969/j.issn.1006-9771.2016.12.002

• 专题 脑卒中患者上肢运动功能与活动的康复 • 上一篇    下一篇

虚拟现实技术对脑卒中患者上肢功能及日常生活活动能力的效果

田然,柏敏,马腾   

  1. 南京市第一医院分院南京市浦口区中心医院康复科,江苏南京市211800。
  • 收稿日期:2016-05-10 出版日期:2016-12-25 发布日期:2017-01-15
  • 通讯作者: 马腾(1970-),男,主任医师,主要研究方向:神经康复、骨科康复。E-mail:doctormt@163.com
  • 作者简介:田然(1980-),女,汉族,河南汝南县人,硕士,主治医师,主要研究方向:脑血管病的康复研究。
  • 基金资助:
    南京市医学科技发展项目(课题)(No.YKK15221)。

Effect of Virtual Reality Technology on Upper limbs Function and Activities of Daily Living in Stroke Patients 

TIAN Ran, BAI Min, MA Teng   

  1. Department of Rehabilitation, Nanjing Pukou Central Hospital, Nanjing, Jiangsu 211800, China
  • Received:2016-05-10 Published:2016-12-25 Online:2017-01-15
  • Contact: MA Teng. E-mail: doctormt@163.com

摘要: 目的 观察虚拟现实技术对脑卒中患者上肢功能及日常生活活动能力的影响。方法 2015年10月~2016年5月,60例脑卒中患者随机分为对照组(n=30)和观察组(n=30)。两组均接受针刺及常规康复治疗,观察组另外增加虚拟现实技术康复训练,每天20 min,每周5 d,共4周。治疗前后分别采用Fugl-Meyer评定量表上肢部分(FMA-UE)评定上肢及手的运动功能,改良Barthel指数(MBI)评定日常生活活动能力。结果 治疗前,两组患者FMA-UE、MBI评分无显著性差异(P>0.05);治疗后,两组均明显提高(t>3.120, P<0.01),观察组高于对照组(t>2.510, P<0.05)。结论 虚拟现实技术可促进脑卒中患者上肢功能改善,提高日常生活活动能力。

关键词: 脑卒中, 针刺, 虚拟现实, 康复, 上肢功能, 日常生活活动能力

Abstract: Objective To explore the effects of virtual reality technology on upper limbs function and activities of daily living (ADL) in stroke patients.Methods Form October, 2015 to May, 2016, 60 stroke patients were randomly divided into control group (n=30) and observation group (n=30). Both groups received conventional rehabilitation and acupuncture, while additional virtual reality technology was provided to the observation group, 20 minutes a day, 5 days a week for 4 weeks. Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and modified Barthel index (MBI) were used to assess the motor function of the upper limbs and hands, and ADL before and after treatment.Results There was no significant difference in the scores of FMA-UE and MBI between two groups before treatment (P>0.05). The scores improved in both groups after treatment (t>3.120, P<0.01), and were higher in the observation group than in the control group (t>2.510, P<0.05).Conclusion Virtual reality technology could facilitate to improve the upper limbs function and ADL in stroke patients.

Key words: stroke, acupuncture, virtual reality, rehabilitation, upper limbs function, abilities of daily living

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