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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Asymmetric training using virtual reality reflection equipment and the enhancement of upper limb function in stroke patients: A randomized controlled trial
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Asymmetric training using virtual reality reflection equipment and the enhancement of upper limb function in stroke patients: A randomized controlled trial

机译：使用虚拟现实反射设备进行非对称训练并增强中风患者的上肢功能：一项随机对照试验

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Background Asymmetric movements with both hands contributed to the improvement of spatially coupled motion. Thus, the aim of this study was to investigate the effects of an asymmetric training program using virtual reality reflection equipment on upper limb function in stroke patients. Methods Twenty-four stroke patients were randomly allocated to an experimental group (n = 12) or a control group (n = 12). Both groups participated in conventional physical therapy for 2×30 min/d, 5 d/wk, for 4 weeks. The experimental group also participated in an asymmetric training program using virtual reality reflection equipment, and the control group participated in a symmetric training program. Both asymmetric and symmetric programs were conducted for 30 min/d, 5 d/wk, for 4 weeks. To compare upper limb function before and after intervention, the Fugl-Meyer Assessment (FMA), the Box and Block Test (BBT), grip strength, range of motion (ROM), and spasticity were assessed. Results Both groups showed significant increases in upper limb function, excepting spasticity, after intervention (P <.05, 1-way repeated-measures analysis of variance [ANOVA]). A significant group-time interaction was demonstrated only for shoulder/elbow/wrist items of FMA, BBT, grip strength, and ROM of wrist flexion, extension, and ulnar deviation (P <.05, 2-way repeated-measures ANOVA). Conclusions This study confirms that the asymmetric training program using virtual reality reflection equipment is an effective intervention method for improving upper limb function in stroke patients. We consider that an additional study based on a program using virtual reflection, which is more functional than performing simple tasks, and consisting of tasks relevant to the activities of daily living be conducted.
机译：背景技术双手的不对称运动有助于改善空间耦合运动。因此，本研究的目的是研究使用虚拟现实反射设备进行的不对称训练计划对中风患者上肢功能的影响。方法将二十四名中风患者随机分为实验组（n = 12）或对照组（n = 12）。两组均参加常规物理治疗，持续2×30 min / d，5 d / wk，持续4周。实验组还参加了使用虚拟现实反射设备进行的非对称训练计划，而对照组则参加了对称训练计划。不对称程序和对称程序都以30分钟/天，5天/周的速度进行了4周。为了比较干预前后的上肢功能，评估了Fugl-Meyer评估（FMA），方格和体格测试（BBT），握力，运动范围（ROM）和痉挛状态。结果干预后，除痉挛外，两组均显示上肢功能显着增强（P <.05，方差的1次重复测量分析[ANOVA]）。仅在FMA，BBT，握力和腕部屈曲，伸展和尺骨偏斜ROM的肩/肘/腕项目上显示出显着的组间交互作用（P <.05，2次重复测量ANOVA）。结论本研究证实，使用虚拟现实反射设备进行的不对称训练程序是改善中风患者上肢功能的有效干预方法。我们认为，应该基于使用虚拟反射的程序进行附加研究，该程序比执行简单任务更具有功能性，并且由与日常生活活动相关的任务组成。

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