Kinect体感交互技术的虚拟现实训练对脑梗死患者中枢系统运动诱发电位的影响  

Effect of virtual reality training based on Kinect somatosensory interaction technology on motor evoked potentials in central system of patients with cerebral infarction

作　　者：崔润红 姜雪[2] 范驰 陈新意 吴丹丹 CUI Runhong;JIANG Xue;FAN Chi;CHEN Xinyi;WU Dandan(Jinqiu Hospital of Liaoning Province/Geriatrics Hospital of Liaoning Province/Geriatrics Hospital of China Medical University Shengjing Hospital Group/Liaoning Institute of Geriatrics,Shenyang 110013,China;Shengjing Hospital of China Medical University,Shenyang 110022,China)

机构地区：[1]辽宁省金秋医院辽宁省老年病医院中国医科大学盛京医院集团老年病医院辽宁省老年病研究院,辽宁沈阳110013 [2]中国医科大学附属盛京医院,辽宁沈阳110022

出　　处：《中国实用神经疾病杂志》2023年第1期51-55,共5页Chinese Journal of Practical Nervous Diseases

基　　金：辽宁省科学技术计划项目(编号:2021-MS-10)。

摘　　要：目的探究基于Kinect体感交互技术的虚拟现实训练对脑梗死患者运动中枢系统运动诱发电位与神经功能恢复的作用。方法选取2020-02—2021-12辽宁省金秋医院收治的脑梗死患者120例为研究对象,对照组及实验组各60例。对照组患者采取常规康复训练,实验组患者在对照组基础上采取基于Kinect体感交互技术的虚拟现实训练,持续干预30 d。对比2组患者临床疗效,对比2组患者治疗前及治疗10 d、30 d后神经功能缺损评分(NIHSS)、日常生活能力(Barthel指数)、Fugl-Meyer评分(FMA)、改良Ashworth量表(MAS)评分、肩关节活动度、电生理指标[运动诱发电位(MEP)的潜伏期、波幅、中枢运动传导时间(CMCT)]。结果治疗10 d、30 d后实验组患者NIHSS评分、MAS评分低于对照组,Barthel指数评分、FMA评分高于对照组(P<0.05)。实验组治疗10 d、治疗30 d后外展、后伸、屈曲活动度均大于对照组(P<0.05)。实验组治疗10 d、治疗30 d后波幅大于对照组,皮质潜伏期、CMCT低于对照组(P<0.05)。结论基于Kinect体感交互技术的虚拟现实训练有助于改善脑梗死患者肌张力,改善神经缺损功能,提高日常生活能力,可能作用机制在于改善电生理强度。Objective To explore the effect of virtual reality training based on Kinect somatosensory inter⁃action technology on motor evoked potential and neurological function recovery of motor central system in patients with cerebral infarction.Methods A total of 120 patients with cerebral infarction in Jinqiu Hospital of Liaoning Province from February 2020 to December 2021 were selected as the research objects.They were divided into con⁃trol group and experimental group,both including 60 cases.The control group received routine rehabilitation training,and the experimental group received virtual reality training based on Kinect somatosensory interaction technology on the basis of the control group.The intervention lasted for 30 days.Comparing the efficacy of the two groups,neurologic deficit score(NIHSS),daily living ability(Barthel index),Fugl-Meyer score(FMA)and modi⁃fied Ashworth scale(MAS)scores,range of motion of shoulder,electrophysiological indicators(latency,amplitude and CMCT of MEP)were compared between the two groups before treatment,at the 10th and 30th day of treat⁃ment.Results After 10 days and 30 days of treatment,NIHSS score and Barthel index score of the experimental group were lower than those of the control group,while MAS score and FMA score of the experimental group were higher than those of the control group(P<0.05).The activity of abduction,extension and flexion in the experimen⁃tal group was higher than that in the control group after 10 days and 30 days of treatment(P<0.05).The ampli⁃tude of wave in experimental group was larger than that in control group after 10 and 30 days of treatment,and the cortical latency and CMCT were lower than those in control group(P<0.05).Conclusion Virtual reality training based on Kinect somatosensory interaction technology can improve muscle tension,nerve defect function and daily living ability of the patients with cerebral infarction,and the possible mechanism is to improve electro⁃physiological intensity.

关 键 词：脑梗死 KINECT 体感交互技术 虚拟现实训练 中枢系统运动诱发电位 神经功能恢复 

分 类 号：R743.33[医药卫生—神经病学与精神病学]