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.PDF

中国康复理论与实践2016年12月第22卷第12期ChinJRehabilTheoryPract,Dec.,2016,Vol.22,No.12 - 1371 - DOI: 10.3969/j.issn. 1006-9771.2016.12.002 ·专题 · 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① 田然，柏敏，马腾 [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(P0.05) ；治疗后，两组均明显提 高(t3.120, P0.01) ，观察组高于对照组(t2.510, P0.05) 。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 Effect of Virtual Reality Technology on Upper limbs Function and Activities of Daily Living in Stroke Patients TIAN Ran, BAI Min, MA Teng Department of Rehabilitation, Nanjing Pukou Central Hospital, Nanjing, Jiangsu 211800, China Correspondence to MA Teng . E-mail: doctormt@163.com 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 obser- vation group (n=30). Both groups received conventional rehabilitation and acupuncture, while additional virtual reality technology was pro- vided 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. Re- sults There was no significant difference in the scores of FMA-UE and MBI between two groups before treatment (P0.05). The scores im- proved in both groups after treatment (t3.120, P0.