Virtual reality to augment robot-assisted gait training in non-ambulatory patients with a subacute stroke: a pilot randomized controlled trial

Virtual reality to augment robot-assisted gait training in non-ambulatory patients with a subacute stroke: a pilot randomized controlled trial
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DOI:
10.23736/s1973-9087.17.04735-9
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发表时间:
2018-06-01
影响因子:
4.5
通讯作者:
Mueller, Friedemann
Mueller, Friedemann
中科院分区:
医学2区
文献类型:
--
作者:
Bergmann, Jeannine;Krewer, Carmen;Mueller, Friedemann

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背景:主动表现对运动学习至关重要,并且与动机一起,被认为与更好的康复结果相关。虚拟现实(VR)是一种在培训过程中吸引和激励患者的创新方法。它在上肢功能再训练中的有效性有很好的证据。然而,尚无足够的证据证明其在步态训练中的有效性。目的:评价有无VR的机器人辅助步态训练(RAGT)的可接受性和潜在结果测量的可行性,以指导更大规模的随机对照试验(RCT)的规划。设计:双平行目标的单盲随机对照先导试验。单位:康复医院。人群:20例亚急性脑卒中患者(64 +/- 9岁),功能行走分类(FAC)
BACKGROUND: Active performance is crucial for motor learning, and, together with motivation, is believed to be associated with a better rehabilitation outcome. Virtual reality (VR) is an innovative approach to engage and motivate patients during training. There is promising evidence for its efficiency in retraining upper limb function. However, there is insufficient proof for its effectiveness in gait training.AIM: To evaluate the acceptability of robot-assisted gait training (RAGT) with and without VR and the feasibility of potential outcome measures to guide the planning of a larger randomized controlled trial (RCT).DESIGN: Single-blind randomized controlled pilot trial with two parallel aims.SETTING: Rehabilitation hospital.POPULATION: Twenty subacute stroke patients (64 +/- 9 years) with a Functional Ambulation Classification (FAC)