PDF(Pubmed)
Abstract：
UNASSIGNED: Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are neuromuscular diseases. DMD is the most prevalent in children. It affects dystrophin production, reducing the patient\'s mobility and quality of life. New technologies have become a part of physical therapy in DMD and BMD. During the COVID-19 pandemic, conducting telerehabilitation through virtual reality-based games could help these children maintain their physical abilities.
UNASSIGNED: This study examined if the use of a virtual platform in a multimodal intervention program changes the results of the 6-minute walk test (6MWT) in children with DMD and BMD. The main objective was to test whether children with DMD and BMD obtain different results on the 6MWT after completing 10 telerehabilitation treatment sessions. The secondary objective was to measure whether other specific motor scales also produce different results after the 10 defined sessions.
UNASSIGNED: This was a descriptive, open, and quasi-experimental study with a prospective A-B (control-intervention) design. A sample of 12 participants who fulfilled the inclusion criteria followed the program for 5 weeks with 10 telerehabilitation sessions. During the sessions, the participants used virtual reality glasses to train for the treatment goals. All participants were assessed in person before and after the intervention. Analysis was performed using R software according to the different functional assessments performed for each test.
UNASSIGNED: The participants showed a 19.55-meter increase in the 6MWT. Motor function also remained stable according to other scales used to assess it. The North Start Ambulatory Assessment scores were stable in both treatment conditions (P=.20). Furthermore, the timed up and go test results were 0.1 seconds faster in the telerehabilitation condition, and the Motor Function Measure in all of the 3 dimensions showed no significant differences (P=.08). Finally, the Effort Perception Infant scale showed that during the training, fatigue increased in the middle and decreased by the end of the sessions, but the perception throughout the sessions was lower even as the exercise intensity increased.
UNASSIGNED: There were no differences between conventional and telerehabilitation treatments, so the telerehabilitation tool could be used without harming children with DMD and BMD, facilitating their access to therapies and stimulating learning to maintain their functional capacity. Therefore, telerehabilitation in general may be helpful in maintaining motor function in children with DMD and BMD. The learning effect helped reduce the feeling of fatigue in the children during the program.
UNASSIGNED: This study examined if the use of a virtual platform in a multimodal intervention program changes the results of the 6-minute walk test (6MWT) in children with DMD and BMD. The main objective was to test whether children with DMD and BMD obtain different results on the 6MWT after completing 10 telerehabilitation treatment sessions. The secondary objective was to measure whether other specific motor scales also produce different results after the 10 defined sessions.
UNASSIGNED: This was a descriptive, open, and quasi-experimental study with a prospective A-B (control-intervention) design. A sample of 12 participants who fulfilled the inclusion criteria followed the program for 5 weeks with 10 telerehabilitation sessions. During the sessions, the participants used virtual reality glasses to train for the treatment goals. All participants were assessed in person before and after the intervention. Analysis was performed using R software according to the different functional assessments performed for each test.
UNASSIGNED: The participants showed a 19.55-meter increase in the 6MWT. Motor function also remained stable according to other scales used to assess it. The North Start Ambulatory Assessment scores were stable in both treatment conditions (P=.20). Furthermore, the timed up and go test results were 0.1 seconds faster in the telerehabilitation condition, and the Motor Function Measure in all of the 3 dimensions showed no significant differences (P=.08). Finally, the Effort Perception Infant scale showed that during the training, fatigue increased in the middle and decreased by the end of the sessions, but the perception throughout the sessions was lower even as the exercise intensity increased.
UNASSIGNED: There were no differences between conventional and telerehabilitation treatments, so the telerehabilitation tool could be used without harming children with DMD and BMD, facilitating their access to therapies and stimulating learning to maintain their functional capacity. Therefore, telerehabilitation in general may be helpful in maintaining motor function in children with DMD and BMD. The learning effect helped reduce the feeling of fatigue in the children during the program.
摘要：
■杜氏肌营养不良(DMD)和贝克尔肌营养不良(BMD)是神经肌肉疾病。DMD在儿童中最为普遍。它会影响肌营养不良蛋白的产生，降低患者的流动性和生活质量。新技术已成为DMD和BMD物理治疗的一部分。在COVID-19大流行期间，通过基于虚拟现实的游戏进行远程康复可以帮助这些孩子保持身体能力。
■这项研究检查了在多模式干预计划中使用虚拟平台是否会改变患有DMD和BMD的儿童的6分钟步行测试（6MWT）的结果。主要目的是测试患有DMD和BMD的儿童在完成10次远程康复治疗后是否在6MWT上获得不同的结果。次要目标是测量其他特定的运动量表在10个定义的会话后是否也产生不同的结果。
■这是一个描述性的，打开,准实验研究与前瞻性A-B（控制干预）设计。符合纳入标准的12名参与者的样本遵循该计划5周，进行10次远程康复治疗。在会议期间,参与者使用虚拟现实眼镜来训练治疗目标。在干预前后对所有参与者进行了亲自评估。根据对每个测试进行的不同功能评估,使用R软件进行分析。
■参与者显示6MWT增加19.55米。根据用于评估运动功能的其他量表，运动功能也保持稳定。在两种治疗条件下，北开始门诊评估评分均稳定（P=.20）。此外，在远程康复条件下，计时和测试结果快0.1秒，运动功能测量在所有3个维度均无显著差异(P=.08)。最后,努力感知婴儿量表显示，在训练期间，疲劳在中间增加，在会议结束时减少，但是，即使运动强度增加，整个过程中的感知也会降低。
■常规和远程康复治疗之间没有差异，所以远程康复工具可以在不伤害DMD和BMD儿童的情况下使用，促进他们获得治疗和刺激学习，以保持他们的功能能力。因此,远程康复通常可能有助于维持DMD和BMD儿童的运动功能。学习效果有助于减轻儿童在计划期间的疲劳感。
■这项研究检查了在多模式干预计划中使用虚拟平台是否会改变患有DMD和BMD的儿童的6分钟步行测试（6MWT）的结果。主要目的是测试患有DMD和BMD的儿童在完成10次远程康复治疗后是否在6MWT上获得不同的结果。次要目标是测量其他特定的运动量表在10个定义的会话后是否也产生不同的结果。
■这是一个描述性的，打开,准实验研究与前瞻性A-B（控制干预）设计。符合纳入标准的12名参与者的样本遵循该计划5周，进行10次远程康复治疗。在会议期间,参与者使用虚拟现实眼镜来训练治疗目标。在干预前后对所有参与者进行了亲自评估。根据对每个测试进行的不同功能评估,使用R软件进行分析。
■参与者显示6MWT增加19.55米。根据用于评估运动功能的其他量表，运动功能也保持稳定。在两种治疗条件下，北开始门诊评估评分均稳定（P=.20）。此外，在远程康复条件下，计时和测试结果快0.1秒，运动功能测量在所有3个维度均无显著差异(P=.08)。最后,努力感知婴儿量表显示，在训练期间，疲劳在中间增加，在会议结束时减少，但是，即使运动强度增加，整个过程中的感知也会降低。
■常规和远程康复治疗之间没有差异，所以远程康复工具可以在不伤害DMD和BMD儿童的情况下使用，促进他们获得治疗和刺激学习，以保持他们的功能能力。因此,远程康复通常可能有助于维持DMD和BMD儿童的运动功能。学习效果有助于减轻儿童在计划期间的疲劳感。
