An Intensive Virtual Reality Program Improves Functional Balance and Mobility of Adolescents With Cerebral Palsy
An Intensive Virtual Reality Program Improves Functional Balance and Mobility of Adolescents With Cerebral Palsy
复制标题
DOI：
10.1097/pep.0b013e318227ca0f
复制
发表时间：
2011-09-01
影响因子：
1.6
通讯作者：
Sveistrup, Heidi
中科院分区：
文献类型：
--
作者：
Brien, Marie;Sveistrup, Heidi
目的：观察青少年大运动功能分类系统（GMFCS） I级脑瘫患者在短时间虚拟现实（VR）强化干预后的功能平衡和活动能力。方法：4名青少年进行单受试者、多基线设计。结果包括社区平衡和活动能力量表（CB&M）、6分钟步行测试（6MWT）、上下楼梯计时和大运动功能测量维度e。评估在基线时记录3至6次，干预期间记录5次，随访时记录4次。每天90分钟的VR干预连续5天完成。采用视觉、统计学和临床意义分析。结果：所有青少年CB&M和6MWT均有统计学显著改善。CB&M和6MWT的真实变化记录为3。结论：GMFCS等级为I级的青少年脑瘫患者的功能平衡和活动能力在高强度、短时间的VR干预下得到改善，并在训练后1个月保持改变。（儿科学，2011;23:258-266）
Purpose: To examine functional balance and mobility in adolescents with cerebral palsy classified at Gross Motor Function Classification System (GMFCS) level I following an intensive short-duration virtual reality (VR) intervention. Methods: Single-subject, multiple-baseline design with 4 adolescents. Outcomes included the Community Balance and Mobility Scale (CB&M), the 6-Minute Walk Test (6MWT), the Timed Up and Down Stairs, and the Gross Motor Function Measure Dimension E. Assessments were recorded 3 to 6 times at baseline, 5 times during intervention, and 4 times at follow-up. Daily 90-minute VR intervention was completed for 5 consecutive days. Visual, statistical, and clinical significance analyses were used. Results: Statistically significant improvements were shown in all adolescents on CB&M and 6MWT. True change was recorded in all for the CB&M and in 3 for the 6MWT. Conclusions: Functional balance and mobility in adolescents with cerebral palsy classified at GMFCS level I improve with intense, short duration VR intervention, and changes are maintained at 1-month posttraining. (Pediatr Phys Ther 2011;23:258-266)