虚拟现实技术对帕金森病患者平衡功能的康复效果

关键词：虚拟现实技术  帕金森病  平衡功能  日常生活能力

Keywords:virtual reality  Parkinson’s disease  balance ability  activities of daily living

摘要：

      摘要 目的：探讨虚拟现实技术对帕金森病患者平衡功能的康复效果。 方法：共42例原发性帕金森病患者随机接受常规平衡训练（常规组，21例）和卡伦平衡训练（卡伦组，21例），康复训练前、训练4周后采用Berg平衡量表（BBS）和稳定极限（LS）、多姿势下稳定测试（PS）、稳定时间（TS）等卡伦平衡功能评估项目评价平衡功能，采用改良Barthel指数（MBI）评价日常生活能力。 结果：训练后两组患者BBS、MBI、LS、PS、TS评分均有改善（P<0.05），卡伦组表现更优（P<0.05），其中后向稳定极限、单腿站立结果两组对比无显著差异（P>0.05）。 结论：常规平衡训练和卡伦平衡训练均可以改善帕金森病患者平衡功能，卡伦平衡训练效果优于常规平衡训练。

Abstract:

      Abstract Objective:To explore the effect of virtual reality training on balance function in patients with Parkinson’s disease(PD). Method: Forty-two patients with primary PD were randomly divided into conventional balance training group(conventional group，N=21) and CAREN balance training group(CAREN group，N=21).They were assessed with Berg balance scale(BBS)， limits of stability（LS），postural stability（PS）and time to stability（TS） to evaluate balance function and with modified Barthel index to evaluate the activities of daily living before and after four weeks’ training. Result: The scores of BBS、MBI、LS、PS、TS were improved significantly in both groups after training（P<0.05）.CAREN group showed better performance（P<0.05），but there was no significant difference in LS(backward) and PS(one leg stance) between two groups. Conclusion: Both conventional balance training and CAREN balance training can improve balance function for PD，CAREN training showed better performance.Patients prefer CAREN training for it’s interesting and can give real-time feedback.