虚拟现实技术结合常规康复治疗对痉挛型脑性瘫痪患儿下肢运动功能的影响

Effect of virtual reality technology combined with routine rehabilitation treatment on lower limb motor function of children with spastic cerebral palsy

摘要:

目的 探讨虚拟现实技术结合常规康复治疗对痉挛型脑性瘫痪（以下简称脑瘫）患儿的尖足、粗大运动功能及日常生活活动能力的影响。方法 回顾性分析2017年1月1日—2022年12月31日在扬州大学附属淮安市妇幼保健院儿童康复科门诊康复治疗的痉挛型脑瘫患儿80例，采用随机数字表法分为对照组和治疗组，各40例。对照组采用物理治疗、生物反馈等常规康复治疗；治疗组在常规康复治疗基础上加用虚拟现实技术。两组均康复治疗3个月，康复治疗前后采用改良Tardieu量表（MTS）、粗大运动功能量表88项（GMFM-88）及日常生活活动能力量表（ADL）进行评定。结果 经3个月康复治疗，治疗组康复治疗前后踝关节MTS角度R1、R2差值均高于对照组（P <0.05）；治疗组康复治疗前后GMFM量表D区、E区得分及ADL得分差值均高于对照组（P <0.05）。结论 在常规康复治疗基础上联合虚拟现实技术能够明显改善痉挛型脑瘫患儿的尖足症状，提高粗大运动功能及日常生活活动能力。

Abstract:

Objective To explore the impact of virtual reality (VR) technology combined with conventional rehabilitation treatment on equinus, gross motor function, and activities of daily living (ADL) in children with spastic cerebral palsy.Methods A retrospective analysis was conducted on 80 cases of spastic cerebral palsy treated at the Children's Rehabilitation Department of Huai'an Maternal and Child Health Care Hospital affiliated with Yangzhou University from January 1, 2017, to December 31, 2022. Patients were randomly divided into a control group (n = 40) and a treatment group (n = 40) using a random number table. The control group received conventional rehabilitation treatment, including physical therapy and biofeedback. The treatment group, in addition to conventional rehabilitation, received virtual reality technology. Both groups underwent rehabilitation for 3 months. The Modified Tardieu Scale (MTS), Gross Motor Function Measure 88 (GMFM-88), and Activities of Daily Living Scale (ADL) were used for assessment before and after rehabilitation.Results After 3 months of rehabilitation, the treatment group showed a significantly higher difference in the MTS angles (R1, R2) at the ankle joint before and after treatment compared to the control group (P < 0.05). The treatment group exhibited higher differences in GMFM scores for section D and section E, as well as ADL scores before and after rehabilitation compared to the control group (P < 0.05).Conclusion The combination of virtual reality technology with conventional rehabilitation treatment can significantly improve equinus symptoms, enhance gross motor function, and improve activities of daily living in children with spastic cerebral palsy.