| 孙志成,王 彤,王 青,张 娜,余怀婷,黄甜甜,王 芸,李善霞.虚拟现实训练对养老院老年人跌倒相关危险因素的影响[J].中国康复医学杂志,2018,(6):687~692 |
| 虚拟现实训练对养老院老年人跌倒相关危险因素的影响 点此下载全文 |
| 孙志成 王 彤 王 青 张 娜 余怀婷 黄甜甜 王 芸 李善霞 |
| 南京医科大学康复医学院，南京，210029 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 1896 |
| 全文下载次数: 1829 |
| 摘要： |
| 摘要
目的：探讨虚拟现实（virtual reality，VR）训练对养老院老年人跌倒相关危险因素的影响。
方法：选择南京江宁沐春园护理院的老年人60例，按随机数字表法将其分为VR组和对照组，每组各30例。对照组接受常规防跌倒运动训练，VR组接受VR训练。两组均每周训练3次，每次50min，共训练12周。分别采用平衡功能测试系统、计时起立行走测试（TUGT）、30s座椅站立试验（30sCST）、Tinetti步态评分及修订版跌倒效能量表（MFES）评价静态平衡功能、动态平衡功能、下肢肌力、步态功能及跌倒效能。随访老年人训练结束后1年内的跌倒次数。
结果：训练后两组养老院老年人的静态平衡功能参数指标、TUGT评定、30sCST评定、Tinetti步态评分和MFES评分均显著改善（P<0.05），且VR组优于对照组（P<0.05）；训练后1年随访期内，两组老年人的跌倒次数均较组内训练前有显著下降（P<0.05），且VR组下降幅度优于对照组（P<0.05）。
结论：虚拟现实训练能有效改善养老院老年人的平衡功能、下肢肌力、步态功能及跌倒效能等跌倒相关危险因素，降低跌倒次数且效果优于常规防跌倒训练。 |
| 关键词：虚拟现实 养老院老年人 跌倒 危险因素 |
| The effect of virtual reality training on the fall-related risk factors of the elderly people in the nursing home Download Fulltext |
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| School of Rehabilitation Medicine Nanjing Medical University，Nanjing，210029 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To investigate the effect of virtual reality（VR） training on the fall-related risk factors of the elderly people in the nursing home．
Method：Sixty elderly people in Nanjing Jiangning Muchunyuan Nursing Home were divided into VR group（30 cases）and control group（30 cases） using a random number table．The control group received routine fall prevention training，while the VR group received virtual reality training．Both groups were given 12 weeks of training，50 minutes per times and 3 times per week．The balance function assessment system，the timed up and go test（TUGT），the 30-second chair stand test（30sCST），the Tinetti gait score and the modified falls efficacy scale（MFES）were used to assess the static balance function，the dynamic balance function，the strength of lower limbs，the gait function and the modified falls efficacy．The frequency of falls in the next one year was recorded．
Result：All parameters and assessments after the training in both groups were significantly more improved than those before the training（P<0.05），and after the training，the static balance function parameters，TUGT，30sCST，Tinetti gait score and MFES results in the VR group were significantly better than those in the control group（P<0.05）．The frequency of falls after the training in both groups were significantly less than those before the training（P<0.05），and the frequency of falls was less in the VR group than in the control group（P<0.05）．
Conclusion：Virtual reality training can effectively improve the fall-related risk factors including the balance function，the strength of lower limbs，the gait function，and the modified falls efficacy of the elderly people in the nursing home，and reduce their frequency of falls with better effect than the routine fall prevention training． |
| Keywords:virtual reality elderly people in the nursing home fall risk factor |
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