文章摘要
王辉,吴吉生.虚拟现实训练对认知障碍的脑卒中偏瘫患者的影响[J].中国康复,2017,32(4):299-301
虚拟现实训练对认知障碍的脑卒中偏瘫患者的影响
Effect of virtual reality training on lower extremity function and ADL in hemiplegics with cognitive impairment after stroke
  
DOI:
中文关键词: 虚拟现实  脑卒中  认知功能  步行能力  ADL
英文关键词: virtual reality  stroke  cognitive function  walking ability  ADL
基金项目:
作者单位
王辉 南阳南石医院康复科河南 南阳 473000 
吴吉生 南阳南石医院康复科河南 南阳 473000 
摘要点击次数: 2005
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中文摘要:
      目的:探讨虚拟现实训练对存在认知障碍的脑卒中偏瘫患者认知功能、下肢功能和ADL的影响。方法:将40例存在认知障碍的脑卒中偏瘫患者随机分成观察组和对照组,每组20例,2组患者均进行常规的肢体功能康复治疗,观察组在常规治疗的基础上增加虚拟现实训练。治疗前后分别对2组患者采用简易精神状况检查量表(MMSE)、“起立-行走”计时测试和Barthel指数进行评定。结果:治疗4周后,2组MMSE评分及Barthel指数均较治疗前明显提高(P<0.05),观察组上述评分高于对照组(P<0.05)。2组起立-步行时间均较治疗前明显降低(P<0.05),观察组低于对照组(P<0.05)。结论:虚拟现实技术的应用对存在认知障碍的脑卒中偏瘫患者步行能力的提高、认知功能的恢复和ADL的改善有很大的帮助,是一种很有效的康复手段。
英文摘要:
      Objective: To investigate the effect of virtual reality training on lower extremity function and ADL in hemiplegics with cognitive impairment after stroke. Methods: Forty hemiplegic patients with cognitive impairment were randomly divided into observation group and control group, 20 cases in each group. The two groups of patients were given routine rehabilitation therapy. The observation group received the virtual reality training additionally. The cognitive function (MMSE), walking ability ("standing up-walking" time test) and ADL (Barthel index) were evaluated before and after treatment to determine the therapeutic effect. Results: After 4 weeks of treatment, the cognitive function, walking ability and ADL of both two groups were improved (P<0.05), but the observation group was obviously better than the control group in MMSE (P<0.05), standing up-walking time test (P<0.05) and Barthel index (P<0.05). Conclusion: The application of virtual reality technology is very helpful to hemiplegic patients with cognitive impairment in the process of improving walking ability, cognitive function and ADL. Virtual reality training is a very effective means of rehabilitation.
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