| 张丽华,米立新,马全胜,马玉宝,刘洪锐,宋德军,田海源.虚拟现实平衡训练对脑卒中患者的临床疗效[J].中国康复,2019,34(12):635-638 |
| 虚拟现实平衡训练对脑卒中患者的临床疗效 |
| Clinical effect of virtual reality balance training for stroke patients |
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| DOI： |
| 中文关键词: 脑卒中 虚拟现实 平衡 姿势控制 |
| 英文关键词: stroke virtual reality balance function postural control |
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| 中文摘要: |
| 目的：研究虚拟现实平衡训练对脑卒中患者平衡及姿势控制能力的影响。方法：49例脑卒中患者随机分为观察组25例和对照组24例，对照组仅接受常规康复训练，观察组在常规训练的基础上增加虚拟现实平衡训练，治疗前和治疗4周后分别用Berg平衡量表（BBS）、计时起立行走测试（TUG）评估患者平衡能力，三维平衡测试仪静动态平衡评估来评价患者的姿势控制能力。结果：治疗4周后，2组患者BBS评分较治疗前均显著提高（均P＜0.01），且观察组评分较对照组更高（P＜0.05）；2组患者TUG评估时间较治疗前均显著减少（均P＜0.01）；观察组患者睁、闭眼站立，睁眼前后站立，稳定反应时间较治疗前及对照组均明显降低（P＜0.01，0.05）；对照组患者睁、闭眼站立较治疗前均降低（均P＜0.05），睁眼前后站立及稳定反应时间治疗前后比较差异无统计学意义。结论：虚拟现实平衡训练和常规训练均可以提高脑卒中患者的平衡和姿势控制能力，但虚拟现实平衡训练联合常规训练更有效。 |
| 英文摘要: |
| Objective: To observe the effects of virtual reality balance training on balance and postural control ability of stroke patients. Methods: Forty-nine subjects were assigned randomly into observation group (n=25) and control group (n=24). The treatment group received virtual reality balance training and conventional training, and the control group only received conventional training. Berg Balance Scale (BBS) and Timed Up and Go (TUG) test were used to assess the balance ability, and static and dynamic balance assessment in three-dimensional balance test instrument was used to evaluate the postural control ability before and 4 weeks after treatment. Results: After four weeks of treatment,the both groups showed significant increase in BBS scores post-intervention as compared with those before treatment(all P<0.05), and the scores in treatment group were more higher than those in the control group(P<0.05). The both groups showed significant decrease in TUG test compared with that before treatment (all P<0.01). The scores of eyes opened standing and eyes closed standing, the scores of standing of one foot in front, and time to stability post-intervention in treatment group were significantly shorter than that before treatment and control group (P＜0.01,P＜0.05), and that of eyes opened and closed standing of post-intervention in control group were shorter than that before treatment(P＜0.05),there was no significant difference in standing before and after the treatment and the time of stable reaction.Conclusion: Both virtual reality balance training and conventional training can improve balance function in stroke patients, but the virtual reality balance training combined with conventional training are more effective. |
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