[1]李娅娜,曹 岚,徐 影,等.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,31(14):107-109.[doi:10.3969/j.issn.1006-1959.2018.14.031]
　LI Ya-na,CAO Lan,XU Ying,et al.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Journal of Medical Information,2018,31(14):107-109.[doi:10.3969/j.issn.1006-1959.2018.14.031]
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四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
107-109
栏目:
临床研究
出版日期:
2018-07-15

文章信息/Info

Title:
Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence
文章编号:
1006-1959（2018）14-0107-03
作者:
李娅娜; 曹 岚; 徐 影; 刘晓丽; 李朔蕾
解放军总医院第一附属医院康复医学科，北京 100048
Author(s):
LI Ya-na; CAO Lan; XU Ying; LIU Xiao-li; LI Shuo-lei
Department of Rehabilitation Medicine,First Affiliated Hospital of PLA General Hospital,Beijing 100048,China
关键词:
脑卒中; 下肢; 四肢联动; 虚拟现实; 平衡功能
Keywords:
Key words：Stroke; Lower limbs; Limb linkage; Virtual reality; Balance function
分类号:
R493
DOI:
10.3969/j.issn.1006-1959.2018.14.031
文献标志码:
A
摘要:
目的 观察四肢联动联合联合虚拟现实技术对脑卒中恢复期患者下肢功能及平衡功能的影响，为脑卒中恢复期患者康复提供有效的方法。方法 将2015年6月~2016年11月30例本院脑卒中患者随机分为实验组和对照组，每组15例。两组均进行常规康复训练，实验组增加四肢联动联合虚拟现实技术，对照组增加下肢重复性运动训练。治疗前后采用改良Ashworth量表评定患者下肢股四头肌、小腿三头肌肌张力，采用Fugl-Meyer评定量表下肢部分评定下肢功能，Berg平衡量表评定平衡功能。结果 治疗后，两组患者下肢股四头肌MAS评分高于治疗前，小腿三头肌MAS评分低于治疗前，差异具有统计学意义（P＜0.05）；实验组患者小腿三头肌MAS评分差值高于对照组，差异具有统计学意义（P＜0.05）。治疗后，两组患者Fugl-Meyer下肢评分及Berg平衡功能评定均较治疗前提高，且实验组Fugl-Meyer下肢评分及Berg平衡功能评定均优于对照组，差异具有统计学意义（P＜0.05）。结论 四肢联动联合虚拟现实技术可提高脑卒中恢复期患者下肢功能及平衡功能，且优于传统康复治疗。
Abstract:
Abstract：Objective To observe the effects of limb joint operation combined with virtual reality technology on lower limb function and balance function in patients with stroke recovery,and provide an effective method for rehabilitation of patients with stroke recovery.Methods 30 patients with stroke in our hospital from June 2015 to November 2016 were randomly divided into experimental group and control group,with 15 cases in each group.Both groups underwent routine rehabilitation training.The experimental group increased the joints of the four limbs combined with virtual reality technology,and the control group increased the repetitive exercise training of the lower limbs.Before and after treatment,the modified Ashworth scale was used to evaluate the muscle tension of the quadriceps and triceps of the lower extremities.The lower limbs were evaluated by the lower limbs of the Fugl-Meyer rating scale,and the balance function was evaluated by the Berg balance scale.Results After treatment,the MAS scores of the quadriceps in the lower extremities of the two groups were higher than those before the treatment.The MAS score of the triceps was lower than that before the treatment,the difference was statistically significant(P<0.05).The difference of MAS scores in the triceps of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the Fugl-Meyer lower limb score and Berg balance function were evaluated in both groups,and the Fugl-Meyer lower limb score and Berg balance function were better than the control group,the difference was statistically significant(P<0.05).Conclusion Limb linkage combined with virtual reality technology can improve the function and balance function of lower limbs in patients with stroke recovery,and it is superior to traditional rehabilitation therapy.

参考文献/References:

[1]sulivan KJ,Tilson JK,Cen SY,et al.Fugl-Meyer assessment of sensorimotor function after stroke:standardized training procedure for clinical practice and clinical trials[J].Stroke,2011,42(2):427-432. [2]Lippert-Grüner M,Maegele M,Pokorny J,et al.Early rehabilitation model shows positive effects on neural degeneration and recovery from neuromotor deficits following traumatic brain injury[J].Physiol Res,2007,56(3):359-368. [3]Studenski S,Carlson MC,Fillit H,et al.From bedside to bench:does mental and physical activity promote cognitive vitality in late life[J].Sci Aging Knowledge Environ,2006(10):pe21. [4]Bao X,Mao YR,Lin Q,et al.Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke[J].Neural Regen Res,2013,8(31):2904-2913. [5]Johnson EO,Babis GC,Soultanis KC,et al.Functional neuroanatomy of proprioception[J].J Surg Orthop Advan,2008,17(3):159-161. [6]Byun SD,Jung TD,Kim CH,et al.Effects of the sliding rehabilitation machine on balance and gait in chronic stroke patients-a controlled clinical trial[J].Clin Rehabil,2011,25(5):408-415. [7]段好阳,刘福迁,闫兆红,等.四肢联动功能训练对脑卒中患者躯干控制能力及平衡功能的影响[J].中华物理医学与康复杂志,2015,37(10):747-749. [8]俞红,张传中,黄先森.四肢联动对脑卒中偏瘫患者亚急性期下肢运动功能的影响[J].全科医学临床与教育,2017,15(1):96-98. [9]Gachet Páez D,Aparicio F,de Buenaga M,et al.Personalized health care system with virtual reality rehabilitation and appropriate information for seniors[J].Sensors,2012,12(5):5502-5516. [10]Merians AS,Fluet GG,Qiu Q,et al.Learning in a virtual environment using haptic systems for movement re-education:can this medium be used for remodeling other behaviors and actions[J].J Diabetes Sci Technol,2011,5(2):301-308. [11]Cho KH,Lee KJ,Song CH.Virtual- reality balance training with a video-game system improves dynamic balance in chronic stroke patients[J].Tohoku J Exp Med,2012,228(1):69-74. [12]朱佳伟,潘周娴,陈适,等.虚拟现实技术在医学领域的应用及展望[J].基础医学与临床,2018,38(3):422-425. [13]刘思怡,谭金海,陶圣祥.基于虚拟现实技术的显微外科血管吻合虚拟手术系统的研究[J].中华实验外科杂志,2018,35(1):53-57. [14]周雨秋,李超,税春燕,等.虚拟现实技术在头颈部复杂肿瘤外科治疗价值中的初步探索[J].中华耳鼻咽喉头颈外科杂志,2018,53(1):49-52. [15]Holden MK,Todorov E.Use of virtual environments in motor learning and rehabilitation[M].Handbook of Virtual Environments:Design,Implementation,and Applications,2002:999-1026. [16]Kim NG,Yoo CK,Im JJ.A new rehabilitation training system for postural balance control using virtual reality technology[J].IEEE Trans Rehabil Eng,1999,7(4):482-485. [17]Kizony R,Raz L,Katz N,et al.Video-capture virtual reality system for patients with paraplegic spinal cord injury[J].JRRD,2005,42(5):595-608.

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更新日期/Last Update: 2018-07-15