虚拟现实训练对老年特发性正常压力脑积水患者平衡与步行功能的影响

doi:10.3969/j.issn.1006-9771.2024.04.007

Abstract

Abstract:

Objective To observe the effect of virtual reality (VR) training on balance and walking in old patients with idiopathic normal pressure hydrocephalus.

Methods Thirty-eight patients with idiopathic normal pressure hydrocephalus were selected from Huadong Hospital Affiliated to Fudan University from September, 2022 to July, 2023; and randomly divided into control group (n = 19) and observation group (n = 19). Both groups received conventional rehabilitation training, and the observation group received VR training in addition, for four weeks. They were assessed with Functional Reaching Test (FRT), Berg Balance Scale (BBS), static balance function test (reaction time, movement speed, directional control, maximal offset distance and endpoint travel), Timed Up and Go Test (TUGT) and Dual-task Timed Up and Go Test (DTUGT) before and after intervention.

Results All the parameters improved in both groups after intervention (|t| > 6.563, P< 0.001), and they were better in the observation group than in the control group (|t| > 2.038, P< 0.05), except TUGT.

Conclusion The combination of VR training can further improve balance and walking in patients with idiopathic normal pressure hydrocephalus.

Key words: idiopathic normal pressure hydrocephalus, balance, walking, virtual reality

CLC Number:

R742.7

LIANG Xiaoxiao, ZHENG Jiejiao, WU Xuejiao, CHEN Xi, ZHANG Tingyu, GU Qiuyi. Effect of virtual reality training on balance and walking in old patients with idiopathic normal pressure hydrocephalus[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 424-430.

Figures/Tables 10

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References 40

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组别	n	性别(男/女)/n	年龄/岁	病程/月	分流术类型(腰大池腹腔/脑室腹腔)/n	MMSE评分
对照组	19	10/9	69.42±5.86	13.53±9.12	16/3	20.89±2.66
观察组	19	11/8	68.89±5.61	13.37±8.45	17/2	20.68±2.31
χ²/t值		0.106	0.283	0.055	0.230	0.260
P值		0.744	0.779	0.956	0.631	0.796

组别	n	干预前	干预后	t值	P值
对照组	19	21.69±3.81	24.82±3.82	-9.064	< 0.001
观察组	19	20.87±3.03	27.46±3.58	-18.285	< 0.001
干预前均值差		0.82±1.12		0.740	0.465
干预后均值差			-2.64±1.19	-2.199	0.034

组别	n	干预前	干预后	t值	P值
对照组	19	38.42±4.51	42.89±3.76	-13.293	< 0.001
观察组	19	39.11±3.59	45.11±2.64	-10.987	< 0.001
干预前均值差		-0.69±1.32		-0.517	0.608
干预后均值差			-2.22±1.05	-2.098	0.044

组别	n	干预前	干预后	t值	P值
对照组	19	1.13±0.11	1.05±0.09	6.563	< 0.001
观察组	19	1.12±0.12	0.98±0.11	9.851	< 0.001
干预前均值差		0.01±0.04		0.219	0.828
干预后均值差			0.07±0.03	2.110	0.042

组别	n	干预前	干预后	t值	P值
对照组	19	3.59±0.58	4.81±0.81	-15.133	< 0.001
观察组	19	3.66±0.54	5.67±0.66	-20.323	< 0.001
干预前均值差		-0.07±0.18		-0.347	0.730
干预后均值差			-0.86±0.24	-3.622	0.001

Effect of virtual reality training on balance and walking in old patients with idiopathic normal pressure hydrocephalus

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组别	n	干预前	干预后	t值	P值
对照组	19	69.32±9.31	81.37±7.75	-8.267	< 0.001
观察组	19	68.53±9.27	86.47±7.22	-17.233	< 0.001
干预前均值差		0.79±3.01		0.262	0.795
干预后均值差			-5.10±2.43	-2.101	0.043

组别	n	干预前	干预后	t值	P值
对照组	19	68.68±6.53	79.63±6.99	-21.466	< 0.001
观察组	19	68.16±7.08	84.21±6.28	-26.994	< 0.001
干预前均值差		0.52±2.28		0.231	0.818
干预后均值差			-4.58±2.16	-2.124	0.041

组别	n	干预前	干预后	t值	P值
对照组	19	64.32±8.64	73.21±7.71	-8.745	< 0.001
观察组	19	64.42±8.29	78.37±7.89	-17.432	< 0.001
干预前均值差		-0.10±2.75		-0.038	0.970
干预后均值差			-5.16±2.53	-2.038	0.049

组别	n	干预前	干预后	t值	P值
对照组	19	27.41±3.27	23.55±3.15	25.402	< 0.001
观察组	19	26.84±3.43	22.13±3.05	22.535	< 0.001
干预前均值差		0.57±1.09		0.520	0.606
干预后均值差			1.42±1.01	1.406	0.168

组别	n	干预前	干预后	t值	P值
对照组	19	33.15±2.51	28.36±2.39	27.117	< 0.001
观察组	19	32.87±2.84	26.27±2.59	37.806	< 0.001
干预前均值差		0.28±0.87		0.324	0.748
干预后均值差			2.09±0.81	2.587	0.014

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