增强现实镜像疗法对脑卒中患者注意力的效果

doi:10.3969/j.issn.1006-9771.2023.06.014

摘要/Abstract

摘要：

目的探讨增强现实镜像疗法对脑卒中患者注意力的效果。
方法 2020年1月至2022年12月，常州市第一人民医院脑卒中患者60例随机分为对照组(n = 30)和观察组(n = 30)。对照组进行常规作业治疗，观察组在此基础上进行增强现实镜像治疗，共4周。治疗前后分别进行数字广度测验(DST)、划销测试1、划销测试2、符号数字模式测验(SDMT)和同步听觉连续加法测验(PASAT)评定。
结果治疗前，两组DST、SDMT、PASAT评分以及划销测试1、划销测试2失误率无显著性差异(P > 0.05)。治疗后，观察组各项指标均明显改善(|t| > 3.663, P < 0.01)，观察组优于对照组(|t| > 2.037, P < 0.05)。
结论增强现实镜像疗法可在短期内改善脑卒中患者的注意力。

关键词: 脑卒中, 注意力, 镜像疗法, 增强现实, 动作观察疗法

Abstract:

Objective To investigate the effect of mirror therapy with augmented reality on attention of stroke patients.
Methods From January, 2020 to December, 2022, 60 stroke patients in the First People's Hospital of Changzhou were randomly divided into control group (n = 30) and observation group (n = 30). Both groups received routine occupational therapy, and the observation group received mirror therapy with augmented reality additionally, for four weeks. They were assessed with Digit Span Test (DST), Digit Cancellation Test (D-CAT3 and D-CAT3P), Symbol Digit Modalities Test (SDMT) and Paced Auditory Serial Addition Test (PASAT) before and after treatment.
Results Before treatment, there was no significant difference in the scores of the DST, D-CAT3, D-CAT3P, SDMT and PASAT between two groups (P > 0.05). After treatment, all the indexes improved in the observation group (|t| > 3.663, P < 0.01), and improved more in the observation group than in the control group (|t| > 2.037, P < 0.05).
Conclusion The mirror therapy with augmented reality could effectively improve attention of stroke patients in the short term.

Key words: stroke, attention, mirror therapy, augmented reality, action observation therapy

中图分类号:

R743.3

张翔, 张一, 谢凡, 陈程. 增强现实镜像疗法对脑卒中患者注意力的效果[J]. 《中国康复理论与实践》, 2023, 29(6): 720-724.

ZHANG Xiang, ZHANG Yi, XIE Fan, CHEN Cheng. Effect of mirror therapy with augmented reality on attention of stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 720-724.

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组别	n	性别 (男/女)/n	年龄/岁	病程/d	偏瘫侧 (左/右)/n
对照组	30	19/11	61.03±11.93	28.10±7.71	17/13
观察组	30	17/13	57.53±10.54	31.83±9.73	15/15
χ²/t值		0.278	1.204	-1.647	0.268
P值		0.598	0.233	0.105	0.605

项目	对照组			观察组			t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
项目	n	治疗前	治疗后	n	治疗前	治疗后	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
DST评分	30	4.97±1.45	5.17±1.49	30	5.10±1.58	6.97±1.47	-1.533	0.136	-10.506	< 0.001	-0.340	0.735	-4.709	< 0.001
划销测试1失误率/%	30	1.10±0.65	1.04±0.60	30	1.00±0.69	0.74±0.52	1.863	0.073	5.005	< 0.001	0.599	0.552	2.037	0.046
划销测试2失误率/%	30	1.17±0.71	1.13±0.76	30	1.19±1.24	0.75±0.67	1.274	0.213	3.663	0.001	-0.068	0.946	2.079	0.042
SDMT评分	30	13.77±5.00	14.12±4.93	30	15.40±6.62	18.20±6.57	-1.459	0.155	-9.424	< 0.001	-1.078	0.285	-2.722	0.009
PASAT评分	7	15.29±3.30	16.40±3.50	10	16.40±3.50	21.40±6.20	-0.281	0.788	-5.000	0.001	-0.660	0.519	-2.296	0.036