以Wii(上標 TM)建構虛擬實境輔助慢性中風患者復健訓練之療效評估

Efficacy of Wii(superscript TM)-based Virtual Reality Assisted Rehabilitation for Chronic Stroke Patients

何正宇(Zheng-Yu Hoe) ； 王志龍(Jue-Long Wang) ； 盧玉強(Yuk-Keung Lo) ； 孫淑芬(Shu-Fen Sun) ； 張兆宏(Chao-Hung Chang) ； 蔡欣宜(Hsin-I Tsai)

《台灣復健醫學雜誌》 38卷1期 (2010/03) Pp. 11-18

https://doi.org/10.6315/2010.38(1)02

摘要

虛擬實境輔助復健提供安全的訓練環境、可一再不斷地重複練習、可提供即時聲音及影像的回饋，且可加強患者的訓練動機。以市售遊樂器Wii(上標 TM)建構出之虛擬實境，除具備上述優點外，更具價格相對低廉及臨床實用性。
本研究收集慢性中風超過一年以上、併有肢體功能障礙的患者。所有患者均接受Wii(上標 TM)建構出之虛擬實境輔助復健訓練每週三次、每次三十分鐘，共訓練三個月。並在開始訓練前兩週、開始訓練時及訓練三個月後評估患者上下肢動作功能、認知功能、精細動作、平衡能力、日常生活功能及憂鬱指數。
共計31位慢性中風患者完成本研究及評估，結果發現在訓練三個月後，患者在上下肢動作功能、認知功能、精細動作及平衡能力方面均有顯著的進步；而日常生活功能及憂鬱指數方面則無顯著的改善。未來仍需大規模及長期的研究，以確認其療效並確定此項治療是否可大量推廣應用於中風或其他神經肌肉疾病的患者。

關鍵字

中風復健 ； 慢性中風 ； 虛擬實境 ； Wii(上標 TM)

並列摘要

Virtual reality assisted rehabilitation provides the opportunity for a safe training environment, allows intensive practice using repetitive tasks, provides real-time auditory and visual performance feedback and also may augment patients’ motivation. Wii(superscript TM) has all of these advantages. In addition, it is relatively cheap and thus it is affordable and practical to be used in clinical settings. We recruited patients with chronic stroke (＞1 yr) and limb function impairment. All patients participated in the Wii(superscript TM)-based virtual reality assisted rehabilitation program with a minimum of 30 minutes/session, three times/week for 3 months. The patients' cognitive function, motor function of both upper and lower limbs, manual dexterity, balance, activity of daily living (ADL) function and depression scale were assessed at 2 weeks prior to, at the beginning of the training program and at 3 months after beginning the training program. A total of 31 patients completed this study. Significant improvements in cognitive function, motor function of the upper and lower limbs, manual dexterity and balance ability were noted after 3 months of participation in the training program. However, ADL function and depression scale showed no significant changes. Further studies with larger sample sizes and longer follow-up periods are warranted to help confirm our results and to determine whether this training program can be applied to patients with other types of neuromuscular diseases.

並列關鍵字

stroke rehabilitation ； chronic stroke ； virtual reality ； Wii(superscript TM)