在获得性脑损伤中,基于虚拟现实的二疗法:功能和症状结果
Carla Otero-Currás1, Francisco J Povedano-Montero1,2, Ricardo Bernárdez-Vilaboa1
1Optometry and Vision Department, Faculty of Optics and Optometry, Complutense University of Madrid, 28037 Madrid, Spain.
Journal of clinical medicine
|February 13, 2026
概括
获得性脑损伤 (ABI) 的虚拟现实视觉治疗没有改善视野测量,但确实减少了与视觉有关的症状. 创伤性脑损伤患者表现出比中风患者更好的功能增长.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 康复医学 康复医学 康复医学
背景情况:
- 获得性脑损伤 (ABI) 经常导致双眼视力缺陷,包括覆盖测试偏差和降低立体视力,影响功能视力.
- 研究ABI后视力障碍的新疗法对于改善患者生活质量至关重要.
研究的目的:
- 评估二光学虚拟现实 (VR) 视觉治疗方案在ABI的成年人中的疗效.
- 评估VR治疗对视野参数,眼运动反应时间和自我报告的视觉症状的影响.
主要方法:
- 一项受控并行组研究,涉及成人ABI患者 (平均年龄51岁).
- 参与者被分配到二光视觉虚拟现实治疗组或对照组,接受六次治疗.
- 主要结局包括周边视野指数和眼运动反应时间;脑损伤视觉症状调查 (BIVSS) 是次要结局.
主要成果:
- 没有观察到周边视野指数的显著改善,在实验组的右上象限中只有一个小的例外.
- 耳机反应时间在两组之间没有显著差异.
- 双光视觉虚拟现实疗法组报告了视觉症状 (BIVSS分数) 的更大减少,而创伤性脑损伤患者显示出更好的功能改善.
结论:
- 对ABI患者的二眼虚拟现实疗法没有恢复视野损失,但有效地减少了主观视觉症状.
- 治疗可能会促进残留视力的功能适应,而不是结构恢复.
- 治疗反应因病因而异,创伤性脑损伤患者受益更多;建议在更大的试验中进行进一步研究.
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