Name: mobile game-based virtual reality program for upper extremity stroke rehabilitation
Uploaded: 2018-03-08T14:00:00
Description: Watch this Scientific Journal Video about Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation at JoVE.com

这项研究得到了 SK 电信研究基金06-2013-105 号赠款的支持。这项工作得到了 Soonchunhyang 大学研究基金的支持。

这项研究获得了首尔国立大学 Bundang 医院机构审查委员会的批准, 所有参与者在筛选前都给予书面知情同意。
1. 游戏内容开发
注: 基于移动游戏的上肢虚拟现实计划 (备忘录-康复) 包括移动游戏应用。
<ol><li>使用编程语言安装工作室和环境以进行开发。</li>
	<li>通过智能手机的内置传感器收集患者移动的 x、y 和 z 轴位置的数据。</li>
	<li>
使用以下?...

<ol>
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中风患者通常有残疾相关的运动损伤由于不完全的运动恢复。这样的残疾, 漫长的旅行时间到诊所, 或社会经济的困难, 可能会阻碍患者获得适当的康复治疗。无处不在的医疗保健 (u 健康) 计划可以是一个很好的选择, 以消除这些障碍。作为这种 u 型健康计划的一部分, 本研究开发了一种基于移动游戏的 VR 康复方案, 用于脑卒中后上肢的康复。我们的发现表明, 该方案是可行的, 更有效地促进上肢功?...

中风是成人神经功能障碍的最常见原因之一。中风后从损伤中恢复通常是不完整的, 大约50% 的患者留有残疾, 使他们依赖其他1。特别是上肢功能障碍使中风幸存者依赖其他人来帮助日常生活活动 (ADL)2。恢复上肢的丢失功能可能比将移动到下肢的正常功能更难实现。虽然双下肢运动是必不可少的运动, 病人可以执行 ADL 与单边上肢运动。这导致了受影响的肢体的一个博学的非使用的现象3。这种现象是中风幸存者上肢康复的障碍。因此, 大量的研究集中在上肢功能恢复。研究突出了广泛的实践和重复任务特定训练的重要性4,5,6。
虚拟现实 (VR) 技术最近被引入到康复领域7。VR 允许用户与模拟环境进行交互, 并接收与性能相关的连续、即时的反馈。VR 有可能在中风患者中应用神经康复的基本概念, 如强化、重复和任务导向训练 8.具体地说, 非沉浸式 VR 不需要高级图形性能或特殊硬件。因此, 非沉浸式 VR 是提供低成本、无处不在和有趣的治疗方案的好人选。以前的研究使用了计算机、显示器和特殊设备, 如控制台、传感器手套、欢乐棍和商业游戏系统, 用于非沉浸式 VR9。使用此类系统必须有更高的启动成本和足够的空间。最近, 一些低成本的工具, 如商用游戏设备, 已经被用来开发新的康复系统10,11。然而, 控制台与传感器在那些 devicesare 不足够小和轻量级为运载。然而, 为了改善非沉浸式 VR 的流行, 作为中风后上肢治疗方法, 并为中风幸存者创造无处不在的康复环境, 需要便携和廉价的工具。
此外, 基于游戏的治疗可以是中风康复的好选择。许多患者抱怨, 常规职业治疗 (OT) 为上肢功能恢复是枯燥和单调的12,13。因此, 一个更有趣和更有激励作用的治疗工具是促进患者参与康复训练的必要手段。许多涉及使用商业游戏的研究已经进行了14,15,16。然而, 使用的游戏并没有针对脑卒中患者上肢的期望运动, 也没有特别考虑中风后可能出现的痉挛。
本文介绍了一种基于移动游戏的虚拟现实程序的开发及其在经历中风和上肢功能障碍的患者中的应用 (图 1)。

<table>
	<tbody>
		<tr>
			<td>Galaxy Note 10.0</td>
			<td>Samsung</td>
			<td>Galaxy Note 10.0</td>
			<td>Tablet PC</td>
		</tr>
		<tr>
			<td>Galaxy S2</td>
			<td>Samsung</td>
			<td>Galaxy S2</td>
			<td>Smartphone</td>
		</tr>
		<tr>
			<td>Bluetooth</td>
			<td>Bluetooth SIG</td>
			<td>Bluetooth</td>
			<td>short-distance wireless connection&#160;</td>
		</tr>
		<tr>
			<td>Java</td>
			<td>Oracle</td>
			<td>Java</td>
			<td>programming language</td>
		</tr>
	</tbody>
</table>

mobile game-based virtual reality program for upper extremity stroke rehabilitation

中风康复需要重复的, 密集的, 目标导向的治疗。虚拟现实 (VR) 具有满足这些要求的潜力。以游戏为基础的治疗可以促进患者参与康复治疗, 作为一个更有趣和激励的工具。智能手机和平板电脑等移动设备可以提供个性化的基于家庭的治疗, 并与患者和临床医生进行互动交流。本研究开发了一种应用游戏应用的移动 VR 上肢康复方案。研究结果表明, 基于移动游戏的 VR 方案有效地促进了脑卒中患者上肢的康复。另外, 患者使用该方案完成了两周的治疗, 无不良影响, 对该方案普遍满意。这种基于移动游戏的 VR 上肢康复计划可以替代传统疗法的某些部分, 由职业治疗师一对一地提供。这一时间高效, 易于实施, 和临床有效的程序将是一个良好的候选工具, 远程康复的上肢恢复治疗中风患者。患者和治疗师可以通过这些电子健康康复计划远程协作, 同时降低经济和社会成本。

总共登记了24名患者, 并将其分配给该控件或实验组 (表 1)。在使用基于移动游戏的 VR 上肢康复计划 (图 3) 治疗后, 在 FMA、B 级和人工肌肉测试中发现了更大的改进。这种效果一直持续到一个月的随访。这意味着, 谅解备忘录的康复并不逊色于传统的治疗方法, 这是由职业治疗师一对一地提供的。
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Watch this Scientific Journal Video about Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation at JoVE.com

Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation

在这里, 我们提出了一个协议, 开发和应用基于移动游戏的虚拟现实程序, 以恢复上肢功能障碍的中风患者。本研究表明, 该移动方案是可行的, 有效促进中风患者上肢恢复。

基于移动游戏的上肢卒中康复虚拟现实程序

Stroke rehabilitation requires repetitive, intensive, goal-oriented therapy. Virtual reality (VR) has the potential to satisfy these requirements. ...

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