虚拟现实(VR)应用于儿童病毒性脑炎后上肢精细运动功能康复的临床研究  

Clinical study of virtual reality(VR)applied to upper limb fine motor function rehabilitation after viral encephalitis in children

作　　者：孟鹂 黄萍萍 陆明旭[1] 陈悦 黄琳 Meng Li;Huang Pingping;Lu Mingxu;Chen Yue;Huang Lin(Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530000,China)

机构地区：[1]广西壮族自治区江滨医院,广西南宁530000

出　　处：《首都食品与医药》2024年第23期56-58,共3页Capital Food Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研计划课题(编号:Z20211553)。

摘　　要：目的 探讨虚拟现实(virtual reality,VR)应用于儿童病毒性脑炎后上肢精细运动功能康复的临床效果.方法 研究对象为2021年7月-2022年12月在广西壮族自治区江滨医院儿童康复科住院治疗的60例6-14岁病毒性脑炎患儿,随机分为试验组30例和对照组30例,对照组接受常规康复治疗,试验组在常规康复治疗的基础上应用VR技术,两组患儿在治疗前及治疗12周后均采用表面肌电图、中文版墨尔本单侧上肢功能评估量表2以及Jamar握力计对患者的上肢精细运动功能进行评估.结果 治疗前,两组患儿的sEMG、MA2、Jamar握力计评分无显著性差异(P>0.05).治疗12周后,两组患儿的sEMG、MA2、Jamar握力计评分均较治疗前明显提高(P<0.05),且试验组较对照组评分更高(P<0.05).结论 虚拟现实(VR)能有效改善儿童病毒性脑炎后的精细运动功能.Objective To investigate the application of virtual reality(VR)in the rehabilitation of upper limb fine motor function after viral encephalitis in children.Methods The study subjects were 60 patients with viral encephalitis aged 6-14 years old who were hospitalized in the Children's Rehabilitation Department of Jiangbin Hospital in Guangxi Zhuang Autonomous Region from July 2021 to December 2022,and were randomly divided into experimental group(30 cases)and control group(30 cases).The control group received conventional rehabilitation treatment,and the experimental group was applied VR technology on the basis of conventional rehabilitation treatment.Surface electromyography,the Chinese version of Melbourne Unilateral Upper Limb Function Assessment Scale 2 and the Jamar gripometer were used to evaluate the fine motor function of the upper limbs of the patients in both groups before and 12 weeks after treatment.Results Before treatment,there were no significant differences in sEMG,MA2 and Jamar grip dynamometer scores between the two groups(P>0.05).After 12 weeks of treatment,sEMG,MA2 and Jamar gripometer scores in both groups were significantly improved compared with before treatment(P<0.05),and scores in experimental group were significantly improved compared with control group(P<0.05).Conclusion Virtual reality(VR)can effectively improve fine motor function after viral encephalitis in children.

关 键 词：虚拟现实技术 病毒性脑炎 精细运动功能康复 

分 类 号：R493[医药卫生—康复医学]