关键词: Pain Pediatric burn Range of motion Virtual reality

Mesh : Adolescent Burns / therapy Child Female Humans Male Pain Pain Measurement Range of Motion, Articular Virtual Reality

来  源:   DOI:10.1016/j.burns.2021.04.031   PDF(Sci-hub)

Abstract:
The purpose of this study was to determine the immediate effect of adding Virtual reality (VR) to conventional burn rehabilitation program on pain and range of motion (ROM) in children with burn injuries during rehabilitation sessions after burn.
Twenty-two pediatric children (13 boys & 9 girls) with burn injuries and inpatient hospitalization participated in this study. Their age ranged from 9 to 16 years old with 2nd degree deep partial thickness burn of TBSA (10%-25%). They were randomly classified into study and control groups of equal numbers; control group receive passive ROM and stretch exercises, and study group receive the same treatment of the control group in addition to VR training. children in the study group wear the Oculus Rift DK2 as a means for VR and they allowed to choose the favorite video they would like to view before starting the study. The children feel like they are actually in a game. The pain was measured using VAS and the maximum range-of-motion of the joints using electronic digital goniometer before and immediately after the rehabilitation session.
There was a significant decrease in pain intensity and increase of ROM after application of VR in the study group and a significant difference between groups after treatment for pain and ROM p < 0.05.
Based on the current findings adding VR to the rehabilitation program of pediatric burn victims had an immediate effect on decreasing pain and increase ROM.
摘要:
这项研究的目的是确定在传统的烧伤康复计划中添加虚拟现实(VR)对烧伤后康复治疗期间烧伤儿童的疼痛和运动范围(ROM)的直接影响。
22名烧伤和住院的儿科儿童(13名男孩和9名女孩)参与了这项研究。他们的年龄范围为9至16岁,TBSA的2度深度部分厚度烧伤(10%-25%)。他们被随机分为数量相等的研究组和对照组;对照组接受被动ROM和伸展运动,研究组除接受VR训练外,接受与对照组相同的治疗方法。研究小组中的孩子穿着OculusRiftDK2作为VR的一种手段,他们允许在开始研究之前选择他们想要观看的最喜欢的视频。孩子们觉得他们真的在游戏中。在康复治疗之前和之后立即使用VAS测量疼痛,并使用电子数字测角仪测量关节的最大运动范围。
研究组应用VR后疼痛强度明显下降,ROM增加,治疗后疼痛和ROM组间差异有统计学意义p<0.05。
根据目前的发现,将VR添加到小儿烧伤患者的康复计划中,对减轻疼痛和增加ROM具有立竿见影的效果。
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