虚拟现实技术对帕金森病患者平衡功能的影响

doi:10.3969/j.issn.1006-9771.2017.09.021

摘要/Abstract

摘要： 目的研究虚拟现实技术对帕金森病患者姿势控制、步行能力等平衡功能的效果。方法2014年6月至2016年6月,46例帕金森病患者随机分成对照组(n=23)和实验组(n=23),对照组接受传统平衡功能训练6周,实验组接受基于虚拟现实技术的康复训练6周。治疗前后采用帕金森病综合评分量表第3部分(UPDRS3)、Berg平衡量表(BBS)、计时“起立-行走”测试(TUGT)和汉密尔顿抑郁量表(HAMD)进行评分,采用平衡仪测量压力中心移动轨迹的包络面积、前后移动距离的标准差、左右移动距离的标准差。结果治疗后,两组BBS评分、TUGT及HAMD评分均较治疗前改善(t>2.657, P<0.05),实验组显著优于对照组(t>4.881, P<0.001)。实验组UPDRS3评分、平衡仪测量参数较治疗前改善(t>2.626, P<0.05),实验组优于对照组(t>2.112, P<0.05)。结论虚拟现实技术训练较传统平衡训练更能有效改善帕金森病患者静态和动态平衡功能,并能有效改善帕金森病患者的抑郁状态。

关键词: 帕金森病, 虚拟现实, 平衡, 抑郁, 康复

Abstract: ObjectiveTo investigate the effects of a training program based on virtual reality on static and dynamic balance performance in patients with Parkinson's disease (PD). MethodsFrom June, 2014 to June, 2016, 46 patients with PD were randomly divided into control group (n=23) and experimental group (n=23). The control group received routine balance training, while the experimental group received balance training of virtual reality, for six weeks. They were assessed with Unified Parkinson's Disease Rating Scale part 3 (UPDRS3), Berg Balance Scale (BBS), Timed "Up and Go" Test (TUGT) and Hamilton Depression Scale (HAMD) before and after training. The envelope area, anteroposterior standard deviation (AP-SD), mediolateral standard deviation (ML-SD) of centre of pressure (COP) were also measured with posturography. ResultsThe scores of BBS, TUGT and HAMD improved in both groups after training (t>2.657, P<0.05), and improved more in the experimental group than in the control group (t>2.426, P<0.05). The score of UPDRS3 and the parameters of posturography improved in the experimental group (t>2.626, P<0.05), and improved more than that in the control group (t>2.112, P<0.05). ConclusionVirtual reality rehabilitation is more effective than routine balance training on the static and dynamic balance function in patients with PD, and may release their depression.

Key words: Parkinson's disease, virtual reality, balance function, depression, rehabilitation

中图分类号:

R742.5

陈思, 刘杰, 李顺, 王凯, 何予工. 虚拟现实技术对帕金森病患者平衡功能的影响[J]. 《中国康复理论与实践》, 2017, 23(9): 1091-1095.

CHEN Si, LIU Jie, LI Shun, WANG Kai, HE Yu-gong. Effects of Virtual Reality Rehabilitation on Balance for Patients with Parkinson's Disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1091-1095.

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