虚拟情景互动技术联合肩胛骨运动控制强化训练对偏瘫患者上肢功能及日常生活活动能力的影响  

Effect of virtual scenario interactive technology combined with shoulder blade motor control intensive training on upper limb function and daily living activities in patients with hemiplegia

作　　者：许方军 曹晓光[1] 王修敏[1] 董学超 刘云卫 彭云飞 周康 Xu Fangjun;Cao Xiaoguang;Wang Xiumin;Dong Xuechao;Liu Yunwei;Peng Yunfei;Zhou Kang(Department of Rehabilitation Medicine,Hefei Second People's Hospital,Hefei 230011,China)

机构地区：[1]合肥市第二人民医院康复医学科,230011

出　　处：《中华脑科疾病与康复杂志（电子版）》2023年第4期222-228,共7页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

摘　　要：目的观察虚拟情景互动技术联合肩胛骨运动控制训练在偏瘫患者上肢运动功能、日常生活活动能力的临床疗效。方法选取自2019年5月至2021年10月在合肥市第二人民医院康复医学科收治的105例脑卒中偏瘫患者为研究对象,采用随机数字表法分为虚拟组、肩胛组及联合组,每组35例。3组患者均给予常规康复训练治疗,虚拟组辅以虚拟情景互动训练,肩胛组辅以肩胛骨运动控制强化训练,联合组给予虚拟情景互动技术联合肩胛骨运动控制强化训练。治疗前、治疗4周后采用Brunnstrom分期上肢部分、简式Fugl-Meyer量表上肢部分(FMA-UE)、Wolf运动功能评价量表(WMFT)、偏瘫上肢七级功能测试(香港版)(FTHUE-HK)对患者的上肢恢复进行功能评估,采用改良Barthel指数(MBI)对患者的日常生活能力进行疗效评定。结果经4周治疗后,3组患者的FMA-UE评分、WMFT评分、MBI评分、Brunnstrom分期上肢部分及FTHUE-HK分级较本组治疗前均一定程度改善,且联合组各项结局指标均优于虚拟组、肩胛组,差异均具有统计学意义(P<0.05)。结论虚拟情景互动技术联合肩胛骨运动控制强化训练可显著改善卒中后偏瘫患者的上肢运动功能、日常生活活动能力。Objective To observe the clinical efficacy of virtual scenario interaction technology combined with shoulder blade motor control training on upper limb motor function and daily living activities in hemiplegia.Methods From May 2019 to October 2021,105 patients with stroke hemiplegia admitted to the Department of Rehabilitation Medicine of Hefei Second People's Hospital were selected as the research subjects,and were divided into virtual group,scapula group and joint group by random number table method,with 35 cases in each group.All three groups of patients were given conventional rehabilitation training treatment,the virtual group was supplemented with virtual scenario interactive training,the scapula group was supplemented with scapula motion control intensive training,and the joint group was given virtual situational interaction technology combined with shoulder blade motion control intensive training.Before treatment and 4 weeks after treatment,Brunnstrom staged upper limb part,simplified Fugl-Meyer assessment upper extremity(FMA-UE),Wolf motor function test(WMFT),Hong Kong edition of functional test for the hemiplegic upper extremities(FTHUE-HK)were used to evaluate the patient's upper limb recovery,and the modified Barthel index(MBI)was used to evaluate the patient's daily living activities.Results After 4 weeks of treatment,the FMA-UE score,WMFT score,MBI score,Brunnstrom stage upper limb part and FTHUE-HK grade of the three groups were all improved to a certain extent compared with the pre-treatment treatment of this group,and the outcomes of the joint group were better than those in the virtual group and the scapular group,and the differences were statistically significant(P<0.05).Conclusion Virtual scenario interactive technology combined with scapular motor control intensive training can significantly improve upper limb motor function and daily living activities of patients with hemiplegia after stroke.

关 键 词：服脑卒中 偏瘫 虚拟情景互动 上肢康复 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]