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首页> 外文学位 >Balance training using virtual reality as compared to an activity-based exercise program for adults with traumatic brain injury.
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Balance training using virtual reality as compared to an activity-based exercise program for adults with traumatic brain injury.

机译：与针对患有脑外伤的成年人的基于活动的锻炼计划相比，使用虚拟现实进行的平衡训练。

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摘要

Exercise has been considered important in the management of functional balance problems although there are limited data supporting effectiveness after traumatic brain injury (TBI). This thesis compared two functional balance retraining programs: a virtual reality (VR) generated program and an activity-based (AB) program. Participants (n = 33, age 18--66) had sustained a moderate or severe TBI (initial Glasgow Coma Scale [GCS] <12) 6 months or more before the start of the study. Participants were quasi-randomly assigned to either an intervention group or a control group that received no intervention. Groups were matched on initial Berg Balance Scale scores (BBS), years since TBI, and age. Static standing balance (using a force plate), functional balance (using the Community Balance and Mobility Scale [CB&M]) and perceptions of balance and function (using the Activity-specific Balance Confidence Scale [ABC] and the Lower Extremity Functional Scale [LEFS]) were measured at baseline, after six weeks of intervention, and 3 months later. BBS and CB&M scores improved for the exercise groups after six weeks. Some of the improvements were still present at three months. Functional balance improvements were supported by increased scores on the ABC, the LEFS, and by participant focus group comments. The focus groups also indicated the multidimensional benefits of both types of exercise. While not statistically significant, the VR group reported higher scores of functional balance and mobility, balance confidence, and more positive comments from participants than the AB group. This supports the use of VR as a potentially effective method of delivering exercise.
机译：尽管在创伤性脑损伤（TBI）后支持有效性的数据有限，但运动已被认为对管理功能平衡问题很重要。本文比较了两个功能平衡训练程序：一个虚拟现实（VR）生成程序和一个基于活动（AB）程序。研究开始前6个月或更长时间，参与者（n = 33，年龄18--66岁）患有中度或重度TBI（初始格拉斯哥昏迷量表[GCS] <12）。参与者被随机分配到干预组或未接受干预的对照组。根据初始伯格平衡量表分数（BBS），自TBI以来的年龄和年龄对各组进行匹配。静态站立平衡（使用测力板），功能平衡（使用社区平衡和活动量表[CB＆M]）以及对平衡和功能的感知（使用特定于活动的平衡信心量表[ABC]和下肢功能量表[LEFS] ]）在干预后六周和3个月后进行基线测量。六周后，运动组的BBS和CB＆M得分有所提高。三个月后仍存在一些改进。通过提高ABC，LEFS的评分以及参与者焦点小组的评论来支持功能平衡的改善。焦点小组还指出了两种锻炼的多维益处。与AB组相比，VR组的功能平衡和活动能力，平衡信心和参与者的积极评价更高，尽管在统计学上不显着。这支持将VR用作进行锻炼的潜在有效方法。

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  • 作者

    Thornton, Marianne.;

  • 作者单位

    University of Ottawa (Canada).;

  • 授予单位 University of Ottawa (Canada).;
  • 学科 Health Sciences Rehabilitation and Therapy.
  • 学位 M.A.
  • 年度 2004
  • 页码 90 p.
  • 总页数 90
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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