关键词: Kinesiophobia Neck Pain Postural Balance Virtual Reality

Mesh : Humans Neck Pain / therapy Male Female Chronic Pain / therapy Single-Blind Method Adult Postural Balance / physiology Middle Aged Virtual Reality Virtual Reality Exposure Therapy / methods Exercise Therapy / methods Posture / physiology Treatment Outcome

来  源:   DOI:10.1016/j.jmpt.2024.02.006

Abstract:
OBJECTIVE: The purpose of this study was to investigate the effects of virtual reality (VR) on postural control, posture, and kinesiophobia in patients with chronic neck pain (CNP).
METHODS: Forty-one participants with CNP were randomly allocated to the VR and control groups. The VR group experienced VR with glasses for 20 minutes and then performed motor control (MC) exercises for 20 minutes. The control group received only MC exercises for 40 minutes. Both groups received 18 sessions over 6 weeks. Computerized dynamic posturography outcomes, including sensory organization test (SOT), limits of stability, and unilateral stance tests, gait speed, forward head posture (FHP), shoulder protraction (SP), cervical lordosis angle, kinesiophobia, and exercise compliance were recorded.
RESULTS: The VR group had more effects regarding composite equilibrium (Cohen\'s d = 1.20) of SOT and kinesiophobia (Cohen\'s d = -0.96), P < .05). Also, the VR group was more effective in exercise compliance (P < .05). Contrary to these results, the control group was more effective in correcting FHP and SP (Cohen\'s d > 0.7, P < .05).
CONCLUSIONS: Virtual reality seemed to have an effect on postural control, posture, and kinesiophobia in patients with chronic neck pain.
摘要:
目的:本研究的目的是研究虚拟现实(VR)对姿势控制的影响,姿势,慢性颈痛(CNP)患者的运动恐惧症。
方法:将41名CNP患者随机分配到VR组和对照组。VR组戴眼镜体验VR20分钟,然后进行运动控制(MC)练习20分钟。对照组仅接受MC锻炼40分钟。两组在6周内接受了18次会议。计算机动态姿势结果,包括感觉组织测试(SOT),稳定的极限,和单方面的立场测试,步态速度,前头部姿势(FHP),肩部前伸(SP),颈椎前凸角,运动恐惧症,并记录运动依从性。
结果:VR组对SOT和运动恐惧症的复合平衡(Cohen'sd=1.20)有更多影响(Cohen'sd=-0.96),P<0.05)。此外,VR组的运动依从性更有效(P<0.05)。与这些结果相反,对照组在纠正FHP和SP方面更有效(Cohen'sd>0.7,P<0.05)。
结论:虚拟现实似乎对姿势控制有影响,姿势,慢性颈痛患者的运动恐惧症。
公众号