虚拟体感运动训练对脑卒中患者运动、平衡功能及日常生活能力的影响

目的:探讨虚拟体感运动训练对脑卒中患者运动功能、平衡和日常生活能力的影响。方法:96例脑卒中患者随机均分为观察组和对照组各48例,对照组给予常规康复治疗,观察组则在此基础上给予虚拟体感运动训练,比较2组患者开始训练前及开始训练后4周、8周和12周的运动功能、平衡功能和日常生活能力变化。结果:训练后8周和12周,观察组的上、下肢Fugl-Meyer运动功能量(FMA)评分及BBS评分均明显高于对照组(均P0.05);训练后4周、8周和12周,观察组患者BI评分高于对照组,但是并未呈现出统计学差异。结论:虚拟体感运动训练在脑卒中患者康复治疗中的应用效果显著,能够有效地提高患者的运动功能和平衡能力,并在一定程度上提升患者的日常生活能力,同时,设备成本低廉,软件内容丰富,值得临床推广应用。

Effects of virtual somatosensory exercise training on motor function, balance function and activity of daily living of stroke patients

Objective: To explore the effects of virtual somatosensory exercise training on motor function, balance function and activity of daily living of stroke patients. Methods: Ninety-six stroke patients who received rehabilitation from June 2015 to May 2016 were selected as the subjects. According to the random number table method, the patients were randomly divided into observation group (n=48) and control group (n=48). The control group was given routine rehabilitation therapy. The observation group was given virtual somatosensory exercise training on the basis of the control group. The exercise function, balance function and activity of daily living were compared between the two groups before and 4, 8 and 12 weeks after training. Results: After training for 8 and 12 weeks, the FMA scores and BBS scores of the upper and lower limbs in the observation group were significantly higher than those in the control group (P<0.05). After training for 4, 8 and 12 weeks, the BI scores in the observation group were higher than those in the control group, but there was no significant difference (P>0.05). Conclusion: Virtual somatosensory exercise training has achieved good results in the rehabilitation treatment of patients with stroke, can effectively improve the patients'' motor function and balance ability, and to a certain extent, can enhance activity of daily living of patients, while cost of equipment is very low and the software content is rich, so it is worthy of clinical application.