远程康复加虚拟现实 (Tele-RV) 在认知和社会功能中的有效性:帕金森病随机临床研究
Maria Grazia Maggio1, Antonina Luca2, Calogero Edoardo Cicero2
1IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.
Parkinsonism & related disorders
|December 24, 2023
概括
使用虚拟现实 (VR) 应用程序的远程医疗比传统方法更多地改善了帕金森病 (PD) 患者的认知和社会技能. 结合认知和社会训练显示了长期认知维护的最佳结果.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 远程医疗为认知和行为康复提供了创新的支持.
- 它可以减少医疗机构的超负荷,并促进家庭治疗.
- 这项研究探讨了用于帕金森病 (PD) 认知和社会康复的Tele-VR应用程序.
研究的目的:
- 评估Tele-VR应用在提高PD患者认知表现方面的有效性.
- 评估电视虚拟现实对PD患者社会技能的影响.
- 将Tele-VR干预与传统的非VR培训进行比较.
主要方法:
- 34名PD患者被分为三个组:两个Tele-VR组 (EG1,EG2) 和一个主动对照组 (aCG).
- EG1使用了两个认知应用;EG2使用智能手机上的一个认知应用和一个社会认知应用.
- 该aCG进行了传统的笔和纸练习 (非VR).
主要成果:
- 与aCG相比,Tele-VR两组 (EG1,EG2) 在认知领域 (执行,注意力,视觉空间) 均显著改善.
- 在所有认知领域,包括社会认知 (心智理论) 中,EG2 显示出显著的改善.
- EG1还显示情绪和主观记忆的改善;EG1和EG2在MoCA和FAB分数中都超过了aCG.
结论:
- 基于智能手机的康复,特别是Tele-VR,可能比PD认知和社会技能的传统方法更有效.
- 通过应用程序结合认知和社会认知训练可以提高认知和情感结果.
- 电视虚拟现实干预在帕金森病患者的长期认知维护方面表现有前途.
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