虚拟现实技术结合传统作业疗法对脑卒中患者上肢功能的影响

张 雨霞
海盐县康复护理院

摘要


本文旨在研究虚拟实境技术与常规职业治疗相结合对中风病人手臂动作能力和日常生活技能的作用影响。结合了传统
疗法的虚拟现实技术对中风患者上肢恢复效果的研究方法：抽取 60 位脑中风后遗症患有偏瘫的病人，随机将他们分为实验组（20
人）、第一对照组（20 人）和第二对照组（20 人）。实验组别一接受 40 分钟每次、周六练一次、连续四周的虚拟现实（VR）技
术训练 ；实验组别二进行与之相同频次和时长的传统职业治疗（OT）训练 ；而试验主组结合了 VR 技术与传统 OT 方法，在为期
四周的治疗期中，OT 训练与 VR 治疗各占 20 分钟，合计每次 40 分钟，同样实行每周六次的训练计划。在治疗开始前以及治疗
进行四周时，对比三组病患，分别利用简化版 Fugl—Meyer 上肢运动功能评估量表（FMA-UE）来测量患者的上肢运动能力，并
运用改进型 Barthel 指数（BI）来评估患者的基本生活自理程度，以此来评估患者上肢功能的恢复状况。结果显示 ：在治疗开
始前，三个病人组别在基本信息、肌肉功能评估（FMA-UE）得分和巴氏指数（BI）评定上的差异没有达到统计上的显著性（P
值大于 0.05）。经过四周的治疗，上述各项指标在所有三组患者中都有了明显的提升（P 值小于 0.05），并且实验组的效果优于
两个对照组（P 值小于 0.05），而对照组 1 的效果也明显好于对照组 2（P 值小于 0.05）。

关键词


虚拟现实技术 ；脑卒中 ；上肢功能康复

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参考


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