虚拟现实训练对老年特发性正常压力脑积水患者平衡与步行功能的影响  

Effect of virtual reality training on balance and walking in old patients with idiopathic normal pressure hydro‐cephalus

作　　者：梁晓笑 郑洁皎 吴雪娇[3] 陈茜 张廷宇 顾秋怡 LIANG Xiaoxiao;ZHENG Jiejiao;WU Xuejiao;CHEN Xi;ZHANG Tingyu;GU Qiuyi(School of Rehabilitation Science,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;The First Rehabilitation Hospital in Shanghai,Shanghai 200082,China)

机构地区：[1]上海中医药大学康复医学院,上海市201203 [2]复旦大学附属华东医院,上海市200040 [3]上海市第一康复医院,上海市200082

出　　处：《中国康复理论与实践》2024年第4期424-430,共7页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市科委"科技创新行动计划"医学创新研究专项重大疑难疾病诊疗方案(策略)临床研究(No.22Y31900200);上海市康复医学会"康复科技创新行动计划"项目(No.2023KJCX022)。

摘　　要：目的观察虚拟现实(VR)训练对老年特发性正常压力脑积水患者平衡与步行功能的影响。方法2022年9月至2023年7月,复旦大学附属华东医院收治的特发性正常压力脑积水患者38例,随机分为对照组(n=19)和观察组(n=19)。两组均接受常规康复训练,观察组增加VR训练,共4周。干预前后,采用功能性伸展测试(FRT)、Berg平衡量表(BBS)、静态平衡功能测试(反应时间、移动速度、方向控制、最大偏移距离、端点行程)、计时起立-行走测试(TUGT)和双任务计时起立-行走测试(DTUGT)进行评估。结果干预后,两组各项指标均显著改善(|t|>6.563,P<0.001);除TUGT外,其余指标观察组均优于对照组(|t|>2.038,P<0.05)。结论增加VR训练可以进一步改善特发性正常压力脑积水患者的平衡与步行功能。Objective To observe the effect of virtual reality(VR)training on balance and walking in old patients with idiopathic normal pressure hydrocephalus.Methods Thirty-eight patients with idiopathic normal pressure hydrocephalus were selected from Huadong Hospital Affiliated to Fudan University from September,2022 to July,2023;and randomly divided into control group(n=19)and observation group(n=19).Both groups received conventional rehabilitation training,and the observation group received VR training in addition,for four weeks.They were assessed with Functional Reaching Test(FRT),Berg Balance Scale(BBS),static balance function test(reaction time,movement speed,directional control,maximal offset distance and endpoint travel),Timed Up and Go Test(TUGT)and Dual-task Timed Up and Go Test(DTUGT)before and after intervention.Results All the parameters improved in both groups after intervention(|t|>6.563,P<0.001),and they were better in the observation group than in the control group(|t|>2.038,P<0.05),except TUGT.Conclusion The combination of VR training can further improve balance and walking in patients with idiopathic normal pressure hydrocephalus.

关 键 词：特发性正常压力脑积水 平衡 步行 虚拟现实 

分 类 号：R742.7[医药卫生—神经病学与精神病学]