体感游戏改善脑卒中患者认知功能障碍的效果
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摘要
目的探讨Kinect体感游戏对脑卒中并发认知功能障碍患者康复治疗的效果。方法选择2017年1~6月在温州医科大学附属第一医院就诊的脑卒中并发认知功能障碍患者60例,按随机数字法分为实验组和对照组,每组各30例。对照组采用常规康复治疗,实验组在对照组基础上加用Kinect体感游戏模式训练。采用蒙特利尔认知评估量表(MoCA)和简易精神量表(MMSE)对干预前、干预后4周MoCA和MMSE评分进行评价。结果干预后,两组MoCA和MMSE评分均高于治疗前,实验组上述评分升高更为显著,差异均有统计学意义(P<0.05)。结论常规康复治疗结合Kinect体感游戏可有效改善脑卒中患者认知功能障碍。
Objective To evaluate the effect of somatosensory interactive game Kinect on patients with cognitive impairment after stroke. Methods From January 2017 to June 2017, 60 patients with cognitive impairment after stroke treated in the First Affiliated Hospital of Wenzhou Medical University were selected and divided into the control group and the experimental group by random number table, with 30 cases in each group. The control group was treated with routine rehabilitation, while the experimental group was additionally treated with Kinect games on the bases of the control group. Montreal cognitive assessment(MoCA) and minimum mental state examination(MMSE) were applied before and 4 weeks after intervention. Results After intervention, the scores of MoCA and MMSE in both groups were significantly higher than those of control group, and the scores above in experimental group increased more remarkably, with statistically significant differences(P < 0.05). Conclusion The somatosensory interactive game Kinect combined with routine rehabilitation can further improve the cognitive ability of patients with stroke.
Objective To evaluate the effect of somatosensory interactive game Kinect on patients with cognitive impairment after stroke. Methods From January 2017 to June 2017, 60 patients with cognitive impairment after stroke treated in the First Affiliated Hospital of Wenzhou Medical University were selected and divided into the control group and the experimental group by random number table, with 30 cases in each group. The control group was treated with routine rehabilitation, while the experimental group was additionally treated with Kinect games on the bases of the control group. Montreal cognitive assessment(MoCA) and minimum mental state examination(MMSE) were applied before and 4 weeks after intervention. Results After intervention, the scores of MoCA and MMSE in both groups were significantly higher than those of control group, and the scores above in experimental group increased more remarkably, with statistically significant differences(P < 0.05). Conclusion The somatosensory interactive game Kinect combined with routine rehabilitation can further improve the cognitive ability of patients with stroke.
引文
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[13]种玉飞,夏文广,徐婷,等.高压氧联合认知训练治疗脑卒中后认知障碍的疗效观察[J].中国康复,2016,31(4):298-300.
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[19]陈长香,徐金献,王尚书,等.体感互动游戏改善脑卒中患者记忆功能的效果[J].中国康复医学杂志,2013,28(7):624-627.
[20]Gonzálezortega D,Díazpernas FJ,Martínezzarzuela M,et al.A Kinect-based system for cognitive rehabilitation exercises monitoring[J].Comput Meth Prog Bio,2014,113(2):620-631.
[21]Gamito P,Oliveira J,Coelho C,et al.Cognitive training on stroke patients via virtual reality-based serious games[J].Disabil Rehabil,2017,39(4):385-388.
[22]Tillmann B,Koelsch S,Escoffier N,et al.Cognitive priming in sung and instrumental music:activation of inferior frontal cortex[J].Neuroimage,2006,31(4):1771-1782.
[23]朱韫钰,陈文华,余波,等.浅述娱乐疗法在脑卒中康复中的应用[J].中国康复理论与实践,2009,15(2):152-154.
[24]Giovanni DP,Angelo M,Loredana Z,et al.Augmentationrelated brain plasticity[J].Front Syst Neurosci,2014,8(10):109-119.
[25]Luria AR.Memory disturbances in local brain lesions[J].Neuropsychologia,1971,9(4):367-375.
[26]王玉中,王秀霞.认知功能训练对脑卒中后认知障碍患者康复疗效的研究[J].现代预防医学,2010,37(5):1572-1573.
[2]Qu Y,Zhuo L,Li N,et al.Prevalence of post-stroke cognitive impairment in china:a community-based,cross-sectional study[J].PLo S One,2015,10(4):864-878.
[3]Levine DA,Galecki AT,Langa KM,et al.Trajectory of Cognitive Decline after Incident Stroke[J].Jama,2015,314(1):41-45.
[4]谢笑,黄国志.虚拟现实技术应用于脑卒中康复治疗的研究现状及进展[J].中华脑科疾病与康复杂志:电子版,2014,20(4):49-52.
[5]窦娜,李丹,马素慧,等.体感交互技术对脑卒中平衡功能和步行功能训练的效果[J].中国康复理论与实践,2014,4(1):66-69.
[6]杨雨洁,岳雨珊,郭佳宝,等.虚拟现实技术对脑卒中患者上下肢运动功能康复效果的系统评价[J].中国康复理论与实践,2013,19(8):710-721.
[7]陈清棠.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1997,29(6):381-383.
[8]Cumming TB,Churilov L,Linden T,et al.Montreal Cognitive Assessment and Mini-Mental State Examination are both valid cognitive tools in stroke[J].Acta Neurol Scand,2013,128(2):122-129.
[9]王博,冀来喜,王海军,等.针刺治疗脑卒中后认知障碍研究进展[J].中国康复理论与实践,2007,13(10):937-940.
[10]叶勤,吴瑞枝,李海林.石杉碱甲治疗改善脑器质性疾病患者的记忆和认知功能[J].中国临床康复,2005,9(36):128-129.
[11]曲福玲,魏英玲,刘忠良.脑卒中后轻度认知障碍的评定和康复新进展[J].中国康复理论与实践,2009,15(12):1107-1110.
[12]但昭君,熊玉倩,李海峰.醒脑开窍针法对脑卒中后认知功能障碍的疗效[J].中国康复理论与实践,2016,22(7):827-829.
[13]种玉飞,夏文广,徐婷,等.高压氧联合认知训练治疗脑卒中后认知障碍的疗效观察[J].中国康复,2016,31(4):298-300.
[14]Takeuchi H,Taki Y,Kawashima R.Effects of working memory training on cognitive functions and neural systems[J].Rev Neurosci,2011,21(6):427-449.
[15]Jia H,Mccaskey MA,Yang S,et al.Effects of acupuncture and computer-assisted cognitive training for poststroke attention deficits:study protocol for a randomized controlled trial[J].Trials,2015,16(1):546-558.
[16]Yoo C,Yong MH,Chung J,et al.Effect of computerized cognitive rehabilitation program on cognitive function and activities of living in stroke patients[J].J Phys Ther Sci,2015,27(8):2487-2489.
[17]Lange B,Koenig S,Mcconnell E,et al.Interactive gamebased rehabilitation using the Microsoft Kinect[C].IEEE Virtual Reality,2012:171-172.
[18]王静,马景全,陈长香,等.体感游戏Kinect改善脑卒中患者执行功能的效果研究[J].中国康复医学杂志,2014,29(8):748-751.
[19]陈长香,徐金献,王尚书,等.体感互动游戏改善脑卒中患者记忆功能的效果[J].中国康复医学杂志,2013,28(7):624-627.
[20]Gonzálezortega D,Díazpernas FJ,Martínezzarzuela M,et al.A Kinect-based system for cognitive rehabilitation exercises monitoring[J].Comput Meth Prog Bio,2014,113(2):620-631.
[21]Gamito P,Oliveira J,Coelho C,et al.Cognitive training on stroke patients via virtual reality-based serious games[J].Disabil Rehabil,2017,39(4):385-388.
[22]Tillmann B,Koelsch S,Escoffier N,et al.Cognitive priming in sung and instrumental music:activation of inferior frontal cortex[J].Neuroimage,2006,31(4):1771-1782.
[23]朱韫钰,陈文华,余波,等.浅述娱乐疗法在脑卒中康复中的应用[J].中国康复理论与实践,2009,15(2):152-154.
[24]Giovanni DP,Angelo M,Loredana Z,et al.Augmentationrelated brain plasticity[J].Front Syst Neurosci,2014,8(10):109-119.
[25]Luria AR.Memory disturbances in local brain lesions[J].Neuropsychologia,1971,9(4):367-375.
[26]王玉中,王秀霞.认知功能训练对脑卒中后认知障碍患者康复疗效的研究[J].现代预防医学,2010,37(5):1572-1573.