基于虚拟现实技术的康复训练在脑瘫患儿中的应用效果

Application effects of rehabilitation training based on virtual reality technique in children with cerebral palsy

目的:探讨基于虚拟现实(VR)技术的康复训练在脑瘫患儿中的应用效果。方法:选取2020年5月至2022年7月该院收治的102例脑瘫患儿进行前瞻性研究,采用随机数字表法将其分为对照组与观察组各51例。对照组采用常规康复训练,观察组采用基于VR技术的康复训练。比较两组训练前后粗大运动功能分级系统(GMFCS)分级、上肢功能[上肢技能质量量表(QUEST)]评分、平衡能力[Berg平衡量表(BBS)]评分、康复依从性和生活自理能力[改良Barthel指数(MBI)]评分。结果:训练3个月后,观察组GMFCS分级优于对照组,QUEST评分、BBS评分、康复依从性评分和MBI评分高于对照组,差异均有统计学意义(P<0.05)。结论:基于VR技术的康复训练可提高脑瘫患儿的康复依从性,改善其上肢功能、粗大运动功能和平衡能力,从而提高其生活自理能力,效果优于常规康复训练。

Objective:To explore application effects of rehabilitation training based on virtual reality(VR)technique in children with cerebral palsy.Methods:A prospective study was conducted on 102 children with cerebral palsy admitted to the hospital from May 2020 to July 2022.They were divided into control group and observation group by using the random number table method,51 cases in each group.The control group was treated with routine rehabilitation training,while the observation group was given the rehabilitation training based on VR technique.The gross motor function classification system(GMFCS)grading,the upper limb function[quality of upper extremity skill(QUEST)]score,the balance ability[Berg balance scale(BBS)]score,the rehabilitation compliance,and the self-care ability[modified Barthel index(MBI)]score were compared between the two groups before and after the training.Results:After 3 months of training,the GMFCS grading of the observation group was better than that of the control group,the scores of QUEST,BBS,rehabilitation compliance and MBI were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:The rehabilitation training based on VR technique can improve the rehabilitation compliance of the children with cerebral palsy,improve their upper limb function,gross motor function and balance ability,thereby improving their self-care ability.Moreover,it is superior to the routine rehabilitation training.