悬吊下虚拟现实技术训练对脑卒中偏瘫患者上肢功能恢复的影响  

Effect of virtual reality technology training using the sling device on the upper limb function of hemiplegic stroke patients

作　　者：苗莉莉[1] 田利华[2] 杨振国[3] 顾莹[1] 刘敏[1] 

机构地区：[1]山东省交通医院康复医学科,济南250031 [2]济南市历城区中医医院,济南250100 [3]山东中医药大学第二附属医院,济南250001

出　　处：《中国康复》2016年第3期180-182,共3页Chinese Journal of Rehabilitation

摘　　要：目的:观察悬吊下进行虚拟现实技术训练对脑卒中偏瘫患者上肢运动功能恢复的影响。方法:将脑卒中偏瘫患者60例随机分为2组各30例,对照组给予常规上肢康复训练,观察组在常规上肢康复训练基础上给予悬吊下虚拟现实技术训练,治疗4周。治疗前后采用简式Fugl-Meyer量表上肢部分(FMA评分)、改良Barthel指数(MBI评分)及Brunnstrom分期(包括上肢和手)进行评价。结果:治疗后2组患者FMA评分、MBI评分及Brunnstorm分期(包括上肢和手)均较治疗前有明显改善(P<0.05)。治疗后观察组患者的FMA评分、MBI评分及上肢Brunnstorm分期均明显优于对照组(P<0.05),而治疗后观察组患者的手Brunnstorm分期较对照组无显著性差异(P>0.05)。结论:悬吊下进行虚拟现实技术训练能明显改善脑卒中偏瘫患者的上肢运动功能及日常生活能力。Objective：To investigate the effects of virtual reality technology training using the sling device on the upper limb function of hemiplegic stroke patients.Methods：Sixty hemiplegic stroke patients were divided randomly into treatment group and control group（n=30each）.Both groups were given routine rehabilitation therapy,but the treatment group also received virtual reality technology training using the sling device.Both groups were treated for4 weeks.All the patients were assessed with the Fugl Meyer upper limb assessment（FMA）,the modified Barthel index（MBI）and the Brunnstrom staging（including the upper limb and hand）before and after the treatment.Results：After 4weeks of treatment,all the assessments showed significant improvements compared to those before the treatment.After the treatment,the FMA,MBI scores and the Brunnstrom staging of the upper limb in the treatment group were significantly better than those in the control group（P〈0.05）.But there was no significant difference in the Brunnstrom staging of hand between the two groups after training（P〉0.05）.Conclusion：The virtual reality technology training using the sling device can improve the upper extremity function and abilities of daily living of hemiplegic stroke patients.

关 键 词：悬吊 虚拟现实技术训练 脑卒中 上肢 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]