使用虚拟现实对持久姿势感知头患者平衡的影响:一项随机对照试验
Madlien M Al-Omari1, Sawsan M Abuzaid2, Hamzeh J Khair2
1Department of Physiotherapy, The Royal Medical Services, Amman, Jordan.
Journal of vestibular research : equilibrium & orientation
|March 14, 2025
概括
虚拟现实 (VR) 与前庭康复疗法 (VRT) 结合,在持续的姿势感知性头 (PPPD) 方面,与单独的VRT相比,没有显著的优势. 两组都得到了改善,但对于更有效的PPPD管理策略需要进一步的研究.
科学领域:
- 神经学 神经学
- 静脉管疾病 静脉管疾病
- 康复医学 康复医学 康复医学
背景情况:
- 持续的姿势感知性头 (PPPD) 是一种已知的前体障碍,需要有效的治疗.
- 越来越需要基于证据的PPPD管理策略.
研究的目的:
- 为了比较虚拟现实 (VR) 结合前体康复疗法 (VRT) 与单独VRT在改善PPPD症状方面的有效性.
- 评估VR对PPPD患者关键结果指标的影响.
主要方法:
- 42名PPPD患者被随机分为两组:一组接受VRT加VR和光运动刺激,另一组仅接受VRT加光运动刺激.
- 干预措施每周两次进行六周,在基线,干预后和随访时进行评估.
- 分析了主要结局措施,以确定治疗疗效.
主要成果:
- 两组都在PPPD症状方面表现出显著改善,包括主要结局指标.
- 在VRT加VR组和VRT单独组之间没有观察到有统计学意义的改善差异.
- 长期随访表明,这两组的持续改善,尽管没有非治疗对照组.
结论:
- 将虚拟现实添加到前庭康复疗法并没有为PPPD带来显著更好的临床结果.
- 需要进一步的研究来探索PPPD的新和更有效的治疗方法.
- 建议在未来的研究中包括一个非干预对照组,以最终确定治疗效果.
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