Effect of task-oriented training based on virtual reality technology on functional status of stroke patients with multiple diseases

doi:10.11817/j.issn.1673-9248.2023.02.007

Abstract

Abstract:

Objective

To explore the effect of virtual reality (VR) technology combined with task-oriented training on the functional status of stroke patients with comorbidities.

Methods

From October 2019 to March 2021, 92 stroke patients with common diseases in the Department of Neurology of the First Affiliated Hospital of Guangzhou Medical University were included and randomly divided into the control group and the experimental group (46 patients in each group). They were given traditional rehabilitation technology and task-oriented training (TOT)-based on VR technology, respectively. Before the intervention (within 24 hours of stable condition), one month and three months after the intervention, the patients' neurological function, Barthel index, and improvement of quality of life were evaluated at the time of outpatient return visit; the severity of comorbidities was stratified to analyze the impact of comorbidities of different degrees on the prognosis of patients.

Results

After 3 months of intervention, the mRS score of the experimental group was lower than that of the control group [1(1, 2) vs 2(2, 3)，P＜0.001], the score of Barthel index was higher than that in the control group [(72.69±22.58) scores vs (55.97±22.06) scores，P＜0.001], the SS-QOL score was higher than that of the control group [(180.52±33.70) scores vs (171.52±31.72) scores，P＜0.001], all with statistically significant differences (P＜0.001). There were significant differences in severity index, comorbidity index, and mRS score after intervention among patients with different cumulative disease score (CIRS) levels (P＜0.001).

Conclusion

Task-oriented training-based on VR technology can promote the recovery of functional status and improve the quality of life of patients with comorbid ischemic stroke in a short time, which is worthy of further clinical application.

Key words: Virtual reality, Task oriented training, Stroke, Multiple diseases, Functional status

Feifei Chang, Yingchun Cao, Xiaobing Wu, Xiaohan Wang. Effect of task-oriented training based on virtual reality technology on functional status of stroke patients with multiple diseases[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(02): 124-129.

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Figures/Tables 3

基线资料	对照组	试验组	统计值	P值
年龄（ $x ¯$ ±s，岁）	58.52±9.62	57.91±8.39	t=1.513	0.162
性别[例（%）]			χ²=0.742	0.382
男	28（60.86）	25（54.34）
女	18（39.14）	21（45.66）
文化程度[例（%）]			χ²=0.382	0.588
初中以下	12（26.08）	8（17.39）
初中	10（21.73）	11（23.91）
初中以上	24（52.17）	27（58.69）
婚姻[例（%）]			χ²=0.593	0.537
是	30（65.21）	32（69.56）
否	16（34.79）	14（30.44）
吸烟史[例（%）]			χ²=0.631	0.492
是	29（63.04）	32（69.56）
否	17（36.96）	14（30.44）
脑卒中家族史[例（%）]			χ²=0.294	0.693
是	26（56.52）	33（71.73）
否	20（43.48）	13（28.27）

基线资料	对照组	试验组	统计值	P值
年龄（ $x ¯$ ±s，岁）	58.52±9.62	57.91±8.39	t=1.513	0.162
性别[例（%）]			χ²=0.742	0.382
男	28（60.86）	25（54.34）
女	18（39.14）	21（45.66）
文化程度[例（%）]			χ²=0.382	0.588
初中以下	12（26.08）	8（17.39）
初中	10（21.73）	11（23.91）
初中以上	24（52.17）	27（58.69）
婚姻[例（%）]			χ²=0.593	0.537
是	30（65.21）	32（69.56）
否	16（34.79）	14（30.44）
吸烟史[例（%）]			χ²=0.631	0.492
是	29（63.04）	32（69.56）
否	17（36.96）	14（30.44）
脑卒中家族史[例（%）]			χ²=0.294	0.693
是	26（56.52）	33（71.73）
否	20（43.48）	13（28.27）

组别	mRS评分[M（Q_R）]	Barhtel评分（ $x ¯$ ±s）	SS-QOL评分（ $x ¯$ ±s）
对照组
干预前	2.5（2，4）	52.92±20.67	168.61±32.90
干预后1个月	2（2，3）	53.68±21.62	169.02±30.74
干预后3个月	2（2，3）	55.97±22.06	171.52±31.72
试验组
干预前	3（2，4）	47.91±19.04	167.57±30.18
干预后1个月	2（2，3）	68.92±24.91	173.34±32.01
干预后3个月	1（1，2）^a	72.69±22.58^a	180.52±33.70^a

组别	mRS评分[M（Q_R）]	Barhtel评分（ $x ¯$ ±s）	SS-QOL评分（ $x ¯$ ±s）
对照组
干预前	2.5（2，4）	52.92±20.67	168.61±32.90
干预后1个月	2（2，3）	53.68±21.62	169.02±30.74
干预后3个月	2（2，3）	55.97±22.06	171.52±31.72
试验组
干预前	3（2，4）	47.91±19.04	167.57±30.18
干预后1个月	2（2，3）	68.92±24.91	173.34±32.01
干预后3个月	1（1，2）^a	72.69±22.58^a	180.52±33.70^a

分层	例数	严重指数	共病指数	mRS评分（分）
分层	例数	严重指数	共病指数	干预前	干预1个月	干预3个月
轻度	78	0.52（0.33，0.70）	3（2，4）	3（0，3）	2（1，3）	1（0，2）
中度	12	1.13（1.03，1.21）	5（4，5）^a	4（2，5）	3（0，3）^a	2（1，3）^a
重度	2	1.55（1.36，1.72）^a	6（5，7）^ab	5（3，6）	4（2，5）^ab	3（0，3）^ab
H值		100.72	108.61	37.50	32.68	36.57
P值		＜0.001	＜0.001	＜0.001	＜0.001	＜0.001

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