The Effect of Virtual Reality Training on Anticipatory Postural Adjustments in Patients with Chronic Nonspecific Low Back Pain: A Preliminary Study.
The Effect of Virtual Reality Training on Anticipatory Postural Adjustments in Patients with Chronic Nonspecific Low Back Pain: A Preliminary Study.
复制标题
DOI：
10.1155/2021/9975862
复制
发表时间：
2021
影响因子：
3.1
通讯作者：
Wang C
中科院分区：
文献类型：
--
作者：
Li Z;Yu Q;Luo H;Liang W;Li X;Ge L;Zhang S;Li L;Wang C
本研究旨在探讨虚拟现实（VR）训练对慢性非特异性下腰痛（CNLBP）患者姿势控制的影响，通过预期和补偿性姿势调整（分别为APA和CPA）进行测量，以及VR训练的潜在神经肌肉机制。 34例患者被随机分为VR组（n = 11）、运动控制锻炼组（MCE，n = 12）和对照组（CG，n = 11）。VR组使用Kinect Xbox 360系统和磁力疗法接受VR培训。除了磁疗外，MCE组的参与者还进行了实时超声引导下的腹部牵引动作（ADIM）和四点跪锻炼。CG只接受磁疗。采用表面肌电（sEMG）记录击球过程中腹横肌（TrA）、多裂肌（MF）、腓肠肌外侧（LG）和胫骨前肌（TA）的肌电活动。在阿帕和CPA阶段的肌肉激活时间和积分的肌电图活动（IEMG）的计算和数据分析中使用。同时记录视觉模拟评分（VAS）和奥斯韦斯特里功能障碍指数（ODI）评分。 观察到时间×组对TrA（p = 0.018）和MF（p = 0.037）激活时间的显著交互作用。VR组中TrA的干预后激活时间较早（p = 0.029）。相比之下，VR组中MF的干预后激活时间显著延迟（p = 0.001）。干预后，仅VR组在CPA1期间TrA（p = 0.002）和TA（p = 0.007）的IEMG显著降低。三组参与者的VAS评分在干预后均显示出显著降低（p < 0.001）。 CNLBP患者在VR训练后表现出TrA和MF肌肉的相互肌肉激活模式。VR训练可能是提高CNLBP患者APA的潜在干预措施。
This study is aimed at exploring the effects of virtual reality (VR) training on postural control, measured by anticipatory and compensatory postural adjustments (APAs and CPAs, respectively), in patients with chronic nonspecific low back pain (CNLBP) and the potential neuromuscular mechanism of VR training. Thirty-four patients were recruited and randomly assigned to the VR group (n = 11), the motor control exercise group (MCE, n = 12) and the control group (CG, n = 11). The VR group received VR training using Kinect Xbox 360 systems and magnetic therapy. Besides magnetic therapy, the participants in the MCE group performed real-time ultrasound-guided abdominal drawing-in maneuver (ADIM) and four-point kneeling exercise. The CG only received magnetic therapy. Surface muscle electromyography (sEMG) was used to record the muscle activities of transverse abdominis (TrA), multifidus (MF), lateral gastrocnemius (LG), and tibialis anterior (TA) during ball-hitting tasks. The muscle activation time and integrals of the electromyography activities (IEMGs) during the APA and CPA stages were calculated and used in the data analysis. The visual analogue scale (VAS) and Oswestry dysfunction index (ODI) scores were also recorded. A significant interaction effect of time × group was observed on the activation time of TrA (p = 0.018) and MF (p = 0.037). The post-intervention activation time of the TrA was earlier in the VR group (p = 0.029). In contrast, the post-intervention activation time of the MF was significantly delayed in the VR group (p = 0.001). The IEMGs of TrA (p = 0.002) and TA (p = 0.007) during CPA1 significantly decreased only in the VR group after the intervention. The VAS scores of three group participants showed significant decreases after intervention (p < 0.001). Patients with CNLBP showed reciprocal muscle activation patterns of the TrA and MF muscles after VR training. VR training may be a potential intervention for enhancing the APAs of the patients with CNLBP.
登录
查看更多内容
影响因子：
2.8
作者：
Adamovich SV;August K;Merians A;Tunik E
通讯作者：
Tunik E
影响因子：
--
作者：
Kanekar, Neeta;Aruin, Alexander S.
通讯作者：
Aruin, Alexander S.
影响因子：
7.4
作者：
Ferreira, Manuela L.;Ferreira, Paulo H.;Refshauge, Kathryn M.
通讯作者：
Refshauge, Kathryn M.
影响因子：
2.5
作者：
Lee, Yun-Ju;Liang, Jing-Nong;Aruin, Alexander S.
通讯作者：
Aruin, Alexander S.
DOI：
10.1016/j.spinee.2014.10.020
发表时间：
2015-04-01
期刊：
The spine journal : official journal of the North American Spine Society
影响因子：
--
作者：
Lomond KV;Jacobs JV;Hitt JR;DeSarno MJ;Bunn JY;Henry SM
通讯作者：
Henry SM