虚拟现实技术对帕金森病患者平衡功能的影响

发布时间：2018-07-20 19:29

【摘要】：目的研究虚拟现实技术对帕金森病患者姿势控制、步行能力等平衡功能的效果。方法 2014年6月至2016年6月,46例帕金森病患者随机分成对照组(n=23)和实验组(n=23),对照组接受传统平衡功能训练6周,实验组接受基于虚拟现实技术的康复训练6周。治疗前后采用帕金森病综合评分量表第3部分(UPDRS3)、Berg平衡量表(BBS)、计时"起立-行走"测试(TUGT)和汉密尔顿抑郁量表(HAMD)进行评分,采用平衡仪测量压力中心移动轨迹的包络面积、前后移动距离的标准差、左右移动距离的标准差。结果治疗后,两组BBS评分、TUGT及HAMD评分均较治疗前改善(t2.657,P0.05),实验组显著优于对照组(t4.881,P0.001)。实验组UPDRS3评分、平衡仪测量参数较治疗前改善(t2.626,P0.05),实验组优于对照组(t2.112,P0.05)。结论虚拟现实技术训练较传统平衡训练更能有效改善帕金森病患者静态和动态平衡功能,并能有效改善帕金森病患者的抑郁状态。
[Abstract]:Objective to study the effect of virtual reality (VR) on the balance function of postural control and walking ability in patients with Parkinson's disease. Methods from June 2014 to June 2016, 46 patients with Parkinson's disease were randomly divided into two groups: control group (n = 23) and experimental group (n = 23). The control group received traditional balance function training for 6 weeks, and the experimental group received rehabilitation training based on virtual reality technology for 6 weeks. Before and after treatment, Parkinson's disease comprehensive score scale (UPDRS3) Berg balance scale (BBS), standing up walking test (TUGT) and Hamilton depression scale (Hamd) were used to measure the envelope area of the movement of pressure center. The standard deviation of the forward and backward moving distance and the standard deviation of the left and right moving distance. Results after treatment, the BBS scores, TUGT and Hamd scores in both groups were improved compared with those before treatment (t 2.657, P 0.05), and the experimental group was significantly better than the control group (t 4.881, P 0.001). The UPDRS3 score of the experimental group and the measurement parameters of the balance instrument were improved compared with those before treatment (t 2.626 P 0.05), and the experimental group was superior to the control group (t 2.112 P 0.05). Conclusion Virtual reality training is more effective than traditional balance training in improving the static and dynamic balance function of patients with Parkinson's disease, and can effectively improve the depression of patients with Parkinson's disease.
【作者单位】：郑州大学第一附属医院;
【分类号】：R493;R742.5

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