Comparison of Combined Virtual Reality Combined With Standing Balance Training Versus Standard Practice in Patients With Hemiplegia

作者：Yan Xu, Jiajia Yao, Jiadong Ni, Yajing Yang, Lianhui Fu, Cong Xu · 发表于：American Journal of Physical Medicine & Rehabilitation · 年份：2024 · DOI：10.1097/phm.0000000000002590 · 被引用次数：5 · 研究领域：Balance, Gait, and Falls Prevention、Stroke Rehabilitation and Recovery、Cerebral Palsy and Movement Disorders

OBJECTIVE: The aim of the study is to determine whether virtual reality-based dynamic standing balance training improves three elements of sensory integration and investigate whether virtual reality-based dynamic standing balance training results in improved outcomes, especially regarding balance and gait, compared with the standard training method. DESIGN: This single-blinded, randomized, controlled trial involved 30 patients with hemiplegia. The experimental ( n = 15) and control ( n = 15) groups received virtual reality augmented-standing balance training or standard standing balance training, respectively, for 20 mins, 5 days a week, for 3 wks. The patients were assessed for primary (Sensory Organization Test and the Berg Balance Scale) and secondary (the functional reaching test and timed up-and-go test) outcomes before and after training. RESULTS: From preintervention to postintervention, the Berg Balance Scale score (F = 26.295, P < 0.05), timed up-and-go test score (F = 18.12, P < 0.05), mean score of conditions 2 (F = 4.36, P < 0.05) and 6 (F = 5.61, P < 0.05), and composite score of the Sensory Organization Test (F = 5.385, P < 0.05) in both groups were significantly improved. However, there was no significant difference between experimental group and control group (time*group P > 0.05). CONCLUSIONS: Virtual reality combined with standing balance training improved sensory integration, postural control, balance, and gait ability in patients with hemiplegia, reducing ...