虚拟情景互动训练对注意障碍脑卒中患者上肢运动功能的影响  

Effect of virtual scenario interactive training on upper extremity motor function in stroke patients with attention disorder

作　　者：丁玎[1] 谢瑛[1] 刘元旻 桂沛君 徐大卫 于海洋 Ding Ding;Xie Yin;Liu Yuanmin(Department of Rehabilitation Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100068, China)

机构地区：[1]首都医科大学附属北京友谊医院康复科,北京100050 [2]中国康复研究中心北京博爱医院PT3科,北京100068

出　　处：《中国康复》2022年第4期204-208,共5页Chinese Journal of Rehabilitation

基　　金：首都临床特色应用研究与成果推广(Z161100000516146)。

摘　　要：目的:探讨虚拟情景互动训练对注意障碍脑卒中患者上肢运动功能的影响。方法:选取有注意障碍的60例脑卒中患者,随机分为对照组和观察组各30例。对照组予常规上肢康复训练;观察组在常规康复训练的基础上,增加虚拟情景互动训练训练。以上训练每天1次,每周5次,持续4周。训练前后分别采用蒙特利尔认知评估量表(MoCA)、Fugl-Meyer评定量表上肢部分(FMA-UE)、运动评定量表(MAS)、试听整合持续作业注意测试(IVA-CPT)、改良Barthel指数(MBI)对2组进行评定。结果:经过4周治疗,2组患者MoCA、FMA-UE、MAS、MBI、综合反应控制商及综合注意力商评分均较治疗前明显提高(P<0.05),且观察组各项评分均较对照组提高(P<0.01),结论:结合虚拟情景互动训练的康复训练较常规康复训练更有助于改善有注意障碍脑卒中患者的上肢运动功能,以及促进日常生活能力的恢复,对注意功能的改善也有明显促进作用,值得临床应用。Objective:To investigate the effect of virtual scenario interactive training on upper extremity motor function in stroke patients with cognitive impairment.Methods:Totally,60 stroke patients with attention disorder were recruited in this study.They were randomly divided into routine group and treatment group.The routine group and treatment group were given routine rehabilitation training for upper limb rehabilitation.The treatment group were given virtual scenario interactive training additionally.The above training was done once per day,5 times per week for 4 weeks.FMA-UE,MAS,MBI,MoCA,and IVA-CPT were used to evaluate the difference between two groups before and after the treatment.Results:The FMA-UE and MAS scores were significantly increased in both routine group and treatment group after 4 weeks of rehabilitation training(P<0.05).There was significant improvement in MoCA,MBI and IVA-CPT scores after treatment as compared with those before the treatment in treatment group(P<0.01).In routine group,MoCA,MBI and IVA-CPT scores had significant improvement after training as compared with those before treatment(P<0.05).All observed measures increased significantly in the treatment group as compared with those in the control group(P<0.01).Conclusion:Compared with conventional rehabilitation training,virtual scenario interactive training is more helpful to improve the upper extremity motor function in stroke patients with attention disorder,as well as the recovery of the ability of daily life,and also has a promoting effect on the improvement of attention function.It is worthy to be clinically recommended.

关 键 词：虚拟情景互动训练 虚拟现实技术 脑卒中 注意障碍 上肢功能 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]