虚拟现实技术结合作业疗法对痉挛型偏瘫脑瘫患儿上肢功能康复的影响  

Virtual reality technology can supplement occupational therapy in improving the upper extremity motor func-tion of children with cerebral palsy

作　　者：胡继红[1] 张惠佳[1] 罗卫红[1] 郭春光[1] 周平秋[1] 刘月余[1] 谭亚琼[1] Hu Jihong Zhang Huifia Luo Weihong Guo Chunguang Zhou Pingqiu Liu Yueyu Tan Yaqiong.(Rehabilitation Center of Hunan Children＇s Hospital, Changsha 410007, China)

机构地区：[1]湖南省儿童医院康复中心,长沙410007

出　　处：《中华物理医学与康复杂志》2016年第12期916-919,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察虚拟现实（VR）技术结合作业疗法对痉挛型偏瘫脑瘫患儿上肢功能康复的影响。方法将38例痉挛型偏瘫脑瘫患儿按随机数字表法分为治疗组和对照组，治疗组18人，对照组20人。2组患儿患侧上肢均接受常规作业治疗，治疗组在此基础上辅以VR技术治疗，每次30min，每周6次，共3月。治疗前、治疗3个月后（治疗后）对2组患儿进行评定，采用peabody运动发育量表-2（PDMS-2）中的精细运动发育商（FMQ）、Caroll手功能评定量表和日常生活活动（ADL）量表对2组患儿的上肢功能进行评定。结果治疗前，2组患儿间FMQ、患手Caroll手功能和ADL评分问比较，差异无统计学意义（P〉0．05）。治疗后，2组患儿TMQ、患手Caroll手功能和ADL评分均较组内治疗前改善，差异有统计学意义（P〈0．05）。与对照组治疗后比较，治疗组FMQ[（79．65±4．10）分]、患手Caroll手功能[（25．65±8．41）分]和ADL评分[（47．25±5．50）分]较为优异，差异有统计学意义（P〈0．05）。结论VR技术联合作业训练较单一作业训练治疗痉挛型偏瘫患儿的疗效好，可更好地改善患肢上肢功能和ADL能力。Objective To observe the effect of combining virtual reality technology with occupational thera- py in treating children with spastic hemiplegia resulting from cerebral palsy. Methods Thirty-eight spastic and hemiplegic children with cerebral palsy were randomly divided into a treatment group （n= 18） and a control group （n = 20）. Both groups received occupational therapy, while the treatment group was additionally provided with virtual reality-based treatment. The sessions lasted 30 min, 6 times a week for 3 months. Before and after the treatment the upper extremity motor function of both groups was assessed using the fine motor quotients of the Peabody developmen- tal motor scale, the Caroll hand function scale and a activities of daily life scale. Results Before the treatment there was no significant difference between the two groups in terms of any of the measurements. After the 3 months, significant improvement was observed in both groups, but the improvement of the treatment group was significantly greater than that of the control group. Conclusion Virtual reality technology can further improve the motor function of the upper ex- tremities and ability in the activities of daily life beyond that achievable through occupational therapy alone.

关 键 词：虚拟现实技术 作业疗法 脑瘫 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]