PDF(Pubmed)
Abstract：
A stroke is a neurological condition with a high impact in terms of physical disability in the adult population, requiring specific and effective rehabilitative approaches. Virtual reality (VR), a technological approach in constant evolution, has great applicability in many fields of rehabilitation, including strokes. The aim of this study was to analyze the effects of a traditional neurological physiotherapy-based approach combined with the implementation of a specific VR-based program in the treatment of patients following rehabilitation after a stroke. Participants (n = 24) diagnosed with a stroke in the last six months were randomly allocated into a control group (n = 12) and an experimental group (n = 12). Both groups received one-hour sessions of neurological physiotherapy over 6 weeks, whilst the experimental group was, in addition, supplemented with VR. Patients were assessed through the Daniels and Worthingham Scale, Modified Ashworth Scale, Motor Index, Trunk Control Test, Tinetti Balance Scale, Berg Balance Scale and the Functional Ambulation Classification of the Hospital of Sagunto. Statistically significant improvements were obtained in the experimental group with respect to the control group on the Motricity Index (p = 0.005), Trunk Control Test (p = 0.008), Tinetti Balance Scale (p = 0.004), Berg Balance Scale (p = 0.007) and the Functional Ambulation Classification of the Hospital of Sagunto (p = 0.038). The use of VR in addition to the traditional physiotherapy approach is a useful strategy in the treatment of strokes.
摘要：
中风是一种神经系统疾病，对成年人的身体残疾有很大影响，需要具体有效的康复方法。虚拟现实(VR)不断发展的技术方法，在许多康复领域都有很大的适用性，包括中风。这项研究的目的是分析传统的基于神经物理治疗的方法结合特定的基于VR的计划在中风后康复患者治疗中的效果。在过去六个月中被诊断为中风的参与者（n=24）被随机分为对照组（n=12）和实验组（n=12）。两组均接受一小时的神经理疗，为期6周，而实验组是，此外,补充VR。通过丹尼尔斯和沃辛汉量表对患者进行评估，改良Ashworth量表,运动指数,行李箱控制测试,Tinetti平衡量表，Berg平衡量表与Sagunto医院功能行走分类。与对照组相比，实验组在运动指数上获得了统计学上的显着改善（p=0.005），干线控制试验(p=0.008),Tinetti平衡量表（p=0.004），Berg平衡量表（p=0.007）和Sagunto医院功能行走分类（p=0.038）。除传统的物理医治办法外，运用VR是医治中风的有用战略。
