虚拟现实技术用于脑卒中后上肢功能康复的研究进展

Virtual reality for the upper limb motor rehabilitation after stroke

脑卒中会导致运动、感觉、认知等功能障碍,最终影响患者生存质量。很多患者会遗留严重而持久的上肢功能障碍。上肢功能康复一直是康复临床和科研领域关注的重点。虚拟现实(virtual reality,VR)技术作为一项新兴科技,通过计算机模拟为用户提供仿真的环境以增强参与和体验,在卒中康复中的应用日渐广泛。该文综述了近年来VR技术在脑卒中上肢功能康复中的应用现状和研究进展,从VR单独应用以及VR联合其他康复技术应用等方面分析现有的研究证据,指出VR技术在促进卒中患者的上肢力量与协调性、提高患者的康复动机与参与性方面显示出积极的意义。未来还需要更多高质量研究进一步证实其疗效以及最佳参数设置。

Stroke can lead to dysfunction of movement,sensation,cognition and other functions,eventually affect the quality of life of patients.Many patients suffer from severe and persistent upper limb dysfunction.Upper limb rehabilitation has always been a focus in clinical practice and scientific research of rehabilitation field.As an emerging technology,virtual reality(VR)provides simulated environments for patients to enhance their participation and experience,and has been more and more widely used in stroke rehabilitation.This paper reviews the application and research progress of VR in upper limb rehabilitation after stroke,discusses the current evidences based on both the independent application of VR and the application of VR combined with other rehabilitation interventions,and indicates that VR can play a positive role in promoting the upper limb strength and coordination of stroke patients and enhancing their motivation to participant in rehabilitation.In the future,more high-quality studies are needed to further confirm the efficacy and optimal parameter settings.