首页|基于表面肌电评价的虚拟现实技术对脑卒中偏瘫患者的影响

基于表面肌电评价的虚拟现实技术对脑卒中偏瘫患者的影响

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目的 探讨基于表面肌电评价的虚拟现实(VR)技术对脑卒中偏瘫患者的影响.方法 选取2021年7月至2023年6月杭州市红十字会医院收治的42例脑卒中偏瘫患者,按照随机数字表法将其分为作业组(21例)和VR组(21例).作业组予以作业训练,VR组予以VR训练,治疗4周.比较两组治疗效果;比较两组治疗前后Fugl-Meyer评定量表上肢部分(FMA-UE)、改良Barthel指数(MBI)评分及最大自主等长收缩时双侧肱二头肌(BB)、肱三头肌(TB)、三角肌前束(AD)均方根振幅比值;记录两组不良反应发生情况.结果 VR组治疗效果优于作业组(P<0.05).治疗后,两组FMA-UE、MBI评分及BB、TB、AD的均方根振幅比值高于治疗前,且VR组高于作业组(P<0.05).所有患者在治疗过程中均未出现明显不良反应.结论 VR技术可以改善脑卒中偏瘫患者上肢的运动功能,提高日常生活活动能力,且治疗效果优于传统疗法,值得临床推广应用.
Effect of virtual reality technology based on surface electromyography evaluation on stroke patients with hemiplegia
Objective To explore the effect of virtual reality(VR)technology based on surface electromyography evaluation on stroke patients with hemiplegia.Methods A total of 42 stroke patients with hemiplegia admitted to Hangzhou Red Cross Hospital from July 2021 to June 2023 were se-lected,and they were divided into operation group(21 cases)and VR group(21 cases)according to the random number table method.The operation group was given operation training,and VR group was given VR training.The therapeutic effect between two groups were compared;Fugl-Meyer assessment scale-upper extremities(FMA-UE),modified Barthel index(MBI),and values of root mean square amplitude of biceps brachii(BB),tri-ceps brachii(TB),and anterior deltoid(AD)during maximum autonomous isometric contraction before and after treatment between two groups were compared;and the incidence of adverse reactions was recorded.Results The treatment effect of VR group was better than that of operation group(P<0.05).After treatment,the scores of FMA-UE,MBI and values of root mean square amplitude of BB,TB,and AD in two groups were higher than those before treatment,and those in VR group were higher than those in operation group(P<0.05).No obvious adverse reactions occurred in all patients during the treatment.Conclusion VR technology can improve the motor function of upper limbs of stroke patients with hemiplegia and im-prove the ability of daily living activities,and the treatment effect is better than traditional therapy,which is worthy of clinical promotion and appli-cation.

StrokeHemiplegiaVirtual reality technologySurface electromyography

谢丹丹、陈露、戎军

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杭州市红十字会医院康复科,浙江杭州 310005

脑卒中 偏瘫 虚拟现实技术 表面肌电图

浙江省中医药科技计划

2021ZB218

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(14)
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