虚拟现实技术结合作业治疗对脑卒中患者肢体功能及步行能力的影响

Effects of virtual reality(VR) technique combined with occupational therapy on limb function and walking ability of stroke patients

目的探讨虚拟现实(VR)技术结合作业治疗对脑卒中患者肢体功能及步行能力的影响。方法选择接受康复治疗的68例脑卒中偏瘫患者为研究对象,采用随机数字表法分为治疗组和对照组各34例,治疗组接受虚拟现实训练联合作业治疗,对照组接受常规作业训练和治疗。治疗8周后,比较两组肢体功能、步行功能、日常生活能力。结果治疗8周后,治疗组上肢Fugl-meyer评定量表(FMA)评分、下肢FMA评分、改良Barthel指数(MBI)评分均明显高于对照组(t=8.911~9.782,P<0.05);左右步长差明显小于对照组,步速、功能性步行分级(FAC)明显大于对照组(t=4.483~15.205,P<0.05)。结论虚拟现实技术结合作业治疗对脑卒中患者肢体功能、步行能力的恢复、日常生活能力的改善具有显著的促进作用。

Objective To explore the effect of virtual reality（VR） combined with occupational therapy on limb function and walking ability of stroke patients. Methord Sixty-eight patients with stroke hemiplegia who underwent rehabilitation were enrolled in this study. 68 patients were divided into treatment group and control group by random number table. The treatment group received virtual reality training Operation therapy, the control group received routine training and treatment. After 8 weeks of treatment, limb function, walking function, daily life ability were compared between two groups. Result After 8 weeks of treatment, the Fugl-meyer rating scale（FMA） score, the lower limb FMA score, and the improved Barthel index（MBI） were significantly higher in the treatment group than those in the control group（f= 8. 911 -9. 782,P〈0.05）（FAC） was significantly higher than that in the control group（t=4. 483-15. 205,P〈0.05）. Conclusion Virtual reality technology combined with occupational therapy has significant effect on the improvement of limb function, walking ability and daily living ability in stroke patients.