虚拟现实技术对不完全脊髓损伤患者下肢功能的影响

Impact of Virtual Reality Therapy on the Lower Extremity Functionality in Individuals with Incomplete Spinal Cord Injuries

目的探讨虚拟现实技术(VR)对不完全脊髓损伤患者下肢运动功能、平衡能力、躯干控制能力及步行能力的影响。方法选自郑州大学第一附属医院康复医学科2022年1月至2023年12月治疗的46例不完全脊髓损伤患者,采用随机数字法分成治疗组、对照组,各23例。两组接受相同的康复治疗,治疗组在此基础上增加VR 30 min,对照组在常规康复治疗的基础上继续康复训练30 min,每周5 d,疗程8周。治疗前及治疗8周后,分别采用脊髓损伤下肢功能量表(ASIA)、Berg平衡量表(BBS)、躯干控制测试量表(TCT)、Holden功能性步行量表(FAC)对患者下肢运动能力、平衡能力、躯干控制能力及步行能力进行评定。结果两组治疗前ASIA、BBS、TCT、FAC评分比较,差异无统计学意义(P>0.05);两组治疗后ASIA、BBS、TCT、FAC评分比治疗前提高,且治疗组高于对照组(P<0.05)。结论基于VR的康复治疗能改善不完全脊髓损伤患者的下肢功能,提高其平衡能力、躯干控制能力和步行能力。

Objective To explore the impact of virtual reality(VR)therapy on the motor function of lower limbs,equilibrium,control of the torso and ambulatory capabilities in individuals with partial spinal cord injuries.Methods A total of 46 patients with incomplete spinal cord injuries,treated in the Rehabilitation Medicine Department of the First Affiliated Hospital of Zhengzhou University from January 2022 to December 2023 were collected and randomly divided into a treatment group and a control group,each with 23 patients.All patients were given basic treatment and routine rehabilitation treatment.The treatment group received an additional 30 minutes of VR on this basis,while the control group continued rehabilitation for 30 minutes on the basis of routine rehabilitation treatment,5 days per week,for a course of 8 weeks.Before treatment and 8 weeks after treatment,American Spinal Injury Association(ASIA)scale,Berg balance scale(BBS),trunk control test(TCT)scale,and Holden functional ambulatory category scale(FAC)were used to evaluate the patient’s lower limb motor ability,balance ability,trunk control ability,and walking ability.Results Before treatment,there was no statistically difference in ASIA,BBS,TCT and FAC scores between the two groups(P>0.05).After treatment,the ASIA,BBS,TCT and FAC scores of the two groups were higher than before treatment,and the ASIA,BBS,TCT and FAC scores of the treatment group were higher than those of the control group(P<0.05).Conclusion VR rehabilitation can improve the lower limb function of patients with incomplete spinal cord injuries,enhance their balance,trunk control ability,and walking ability.