用于中风康复的沉浸式虚拟现实:将运动恢复的临床和数字措施联系起来-试点研究
Livia-Alexandra Ion1,2, Miruna Ioana Săndulescu1,3, Claudia-Gabriela Potcovaru1,3
1National Institute of Rehabilitation, Physical Medicine and Balneoclimatology, 030079 Bucharest, Romania.
这项试点研究表明,沉浸式虚拟现实 (VR) 康复对中风幸存者来说是可行的,并且耐受性很好,导致上肢功能得到改善,并为个性化康复提供数据. 在Travee-VR系统增强神经可塑性和运动技能.
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
- 人与计算机的交互
背景情况:
- 沉浸式虚拟现实 (VR) 显示出增强神经可塑性和参与中风后运动康复的潜力.
- 关于VR在康复中的可行性和临床整合的证据有限.
研究的目的:
- 评估沉浸式VR辅助康复计划 (Travee-VR系统) 的可行性,可用性和短期运动结果.
- 探索临床改进和数字恢复评估的游戏内性能指标之间的相关性.
主要方法:
- 14名患有中风后上肢麻的成年人接受了为期10天的混合康复计划 (传统治疗+VR).
- 可行性和耐受性通过坚持,不良事件,系统可用性量表 (SUS) 和模拟器疾病问卷 (SSQ) 来衡量.
- 运动结果包括主动/被动运动范围 (AROM/PROM) 和GAP指数;与游戏内指标的相关性被分析.
主要成果:
- 报告了高可用性 (SUS=79) 和轻度网络疾病 (SSQ<40),没有任何不良事件.
- 在肩移 (+7.3°) 和肘曲 (+5.8°) 中观察到显著改善.
- 游戏表现与肩膀AROM改善相关 (ρ=0.45),并确定了不同的响应者配置文件.
结论:
- Travee-VR系统是可行的,耐受性很好,并且可以改善中风幸存者的短期上肢功能.
- 将临床结果与动力学数据联系起来,支持VR作为数据告知的神经可塑性恢复的工具.
- 结果支持适应性,诊所到家庭的模型,整合了康复的临床和数字绩效指标.
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