| 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. |
