Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke
Mobile game-based virtual reality rehabilitation program for upper limb dysfunction after ischemic stroke
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DOI：
10.3233/rnn-150626
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发表时间：
2016-01-01
影响因子：
2.8
通讯作者：
Paik, Nam-Jong
中科院分区：
文献类型：
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作者：
Choi, Yoon-Hee;Ku, Jeonghun;Paik, Nam-Jong
背景：虚拟现实(VR)具有提供高强度、重复性和任务导向的训练的潜力，而基于游戏的治疗可以提高患者的积极性和幸福感。目的：为卒中患者开发基于手机游戏的上肢VR方案，并评价其可行性和有效性。方法：采用随机、双盲、对照的方法，对24例缺血性卒中患者进行研究。干预组(n=12)接受常规作业疗法(OT)30min和智能手机平板电脑移动式上肢康复程序(MoU-Rehab)30min。对照组(n=12)单用常规催产法治疗1h/d。康复治疗包括10次治疗，每周5天，持续2周。分别在治疗开始、治疗结束和治疗1个月时进行上肢Fugl Meyer评分[FMA-UE]、手臂和手部Brunnstrom分级[B-阶段]、手动肌肉测试[MMT]、改良Barthel指数[MBI]、EuroQ1-5维度[EQ-5D]和Beck抑郁量表[BDI]。结果：MU-Rehab治疗后患者的FMA-UE、B-阶段和MMT均较常规治疗有较大改善。两组在MBI、EQ-5D和BDI方面的改善程度没有显著差异。试验组患者完成为期2周的治疗，无不良反应，对MOU康复总体满意。结论：这种基于手游的VR康复方案对促进缺血性卒中后上肢康复是可行和有效的。
Background: Virtual reality (VR) has the potential to provide intensive, repetitive, and task-oriented training, and game-based therapy can enhance patients' motivation and enjoyment. Objective: The objective of the present study was to develop a mobile game-based upper extremity VR program for patients who have experienced stroke, and to evaluate the feasibility and effectiveness of the program.Methods: This randomized, double-blind, controlled trial included 24 patients with ischemic stroke. The intervention group (n =12) received 30 min of conventional occupational therapy (OT) and 30 min of the mobile upper extremity rehabilitation program using a smartphone and a tablet PC (MoU-Rehab). The controls (n =12) received conventional OT alone for 1 h per day. Rehabilitation consisted of 10 sessions of therapy, 5 days per week, for 2 weeks. The outcome measures (Fugl Meyer Assessment of the upper extremity [FMA-UE], Brunnstrom stage [B -stage] for the arm and the hand, manual muscle testing [MMT], modified Barthel index [MBI], EuroQo1-5 Dimension [EQ-5D], and Beck Depression Inventory [BDI]) were assessed at the beginning and end of treatment, and at 1 month. User satisfaction was evaluated by a questionnaire.Results: A greater improvement in the FMA-UE, B -stage, and MMT was found after treatment with the MoU-Rehab than with conventional therapy. The extent of improvements in the MBI, EQ-5D, and BDI was not significantly different between the two groups. Patients in the experimental group completed the 2 -weeks treatment without adverse effects, and they were generally satisfied with MoU-Rehab.Conclusion: This mobile game-based VR rehabilitation program appears to be feasible and effective for promoting upper limb recovery after ischemic stroke.