[Effectiveness of rehabilitation with virtual reality and biofeedback in recovery of hand function after stroke].

Q3 Medicine
E V Kostenko, L V Petrova, M Yu Martynov, I V Pogonchenkova
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引用次数: 1

Abstract

Objective: To evaluate the effectiveness and safety of the rehabilitation glove (RG) with virtual reality (VR) and biofeedback (BFB) on recovery of the hand function in patients during the late recovery period after first hemispheric ischemic stroke (IS).

Material and methods: The study was randomized and controlled. One hundred and six patients (age 58.8±4.3 years, time after stroke onset - 8.7±2.1 months) were included in the final analysis. The intervention group (n=56) received rehabilitation with RG and VR. The control group (n=50) received individualized physical therapy. The primary end points were a change in the Fugl-Meyer scale score (FMA-UE), in the Action Research Arm Test (ARAT), and in the nine holes peg test (NHPT). Secondary end points included changes in MRCS, MAS, MoCA, HADS, modified Barthel index (MBI) and quality of life (EQ-5D-5L).

Results: Improvement of the motor function in the intervention group on FMA-UE scale (an increase of ≥7 points in sections A-D) was observed in 46.4% of patients, on ARAT (an increase of ≥5 points) in 53.6% of patients. There was a significant decrease in time from 36.8±6.3 sec. to 22.0±3.9 sec. on NHPT. A negative correlation was observed between the average ARAT score and anxiety (r=-0.7; p<0.05) and depression (r=-0.67; p<0.05). There was also a significant increase in EQ-5D-5L (VAS) by the end of rehabilitation in both groups with better scores in the intervention group (p=0.03).

Conclusion: Rehabilitation based on VR, RG, and BFB is effective in the rehabilitation of dexterous hand function in patients with first hemispheric IS.

[虚拟现实与生物反馈康复在脑卒中后手功能恢复中的效果]。
目的:评价虚拟现实(VR)与生物反馈(BFB)结合的康复手套(RG)在第一半球缺血性脑卒中(IS)术后恢复期手部功能恢复中的有效性和安全性。材料与方法:采用随机对照法。106例患者(年龄58.8±4.3岁,卒中发生时间- 8.7±2.1个月)纳入最终分析。干预组56例采用RG和VR进行康复治疗。对照组50例接受个体化物理治疗。主要终点是Fugl-Meyer量表评分(FMA-UE)、行动研究臂测试(ARAT)和九孔钉测试(NHPT)的变化。次要终点包括MRCS、MAS、MoCA、HADS、改良Barthel指数(MBI)和生活质量(EQ-5D-5L)的变化。结果:干预组患者FMA-UE评分(A-D段评分提高≥7分)改善46.4%,ARAT评分提高≥5分(53.6%)。NHPT治疗时间由36.8±6.3秒缩短至22.0±3.9秒。平均ARAT评分与焦虑呈负相关(r=-0.7;公关= -0.67;页= 0.03)。结论:基于VR、RG和BFB的康复是第一半球is患者灵巧手功能康复的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Medicine-Psychiatry and Mental Health
CiteScore
0.80
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