摘要
脑卒中导致的手功能障碍严重影响患者生活质量，传统康复训练存在单调性和依从性不足的问题，因此探索新型康复手段具有重要意义。本研究旨在探讨虚拟现实（VR）任务导向训练对脑卒中患者手功能恢复的影响，并评估其临床应用价值。研究选取60名脑卒中患者，随机分为VR训练组和常规康复组，两组均接受为期8周的干预。VR训练组通过沉浸式任务导向训练模拟日常生活场景，强化手部精细运动能力；常规康复组则进行传统物理治疗。结果表明，VR训练组在手功能评分（如九孔柱测试、握力测试）及上肢运动功能（Fugl-Meyer评估量表）方面显著优于常规康复组（p0.05）。此外，VR训练组患者的参与积极性更高，训练依从性显著改善。本研究创新性地将沉浸式VR技术与任务导向训练相结合，为脑卒中手功能康复提供了新思路，证实了VR技术在提升康复效果和增强患者体验方面的独特优势，为未来个性化康复方案的设计奠定了基础。关键词：脑卒中手功能康复；虚拟现实任务导向训练；沉浸式康复技术；手功能评分；训练依从性
The Impact of VR Task-Oriented Training on Hand Function Recovery in Stroke Patients
Abstract
Hand function impairment caused by stroke significantly affects patients' quality of life, and traditional rehabilitation training often suffers from monotony and insufficient compliance, highlighting the importance of exploring novel rehabilitation approaches. This study aimed to investigate the effects of virtual reality (VR)-based task-oriented training on hand function recovery in stroke patients and assess its clinical application value. Sixty stroke patients were randomly assigned to either a VR training group or a conventional rehabilitation group, both of which received an 8-week intervention. The VR training group participated in immersive task-oriented training that simulated daily living scenarios to enhance fine hand motor skills, while the conventional rehabilitation group underwent traditional physical therapy. Results demonstrated that the VR training group showed significantly greater improvements in hand function scores (e.g., nine-hole peg test, grip strength test) and upper limb motor function (Fugl-Meyer Assessment scale) compared to the conventional rehabilitation group (p0.05). Additionally, patients in the VR training group exhibited higher engagement and significantly improved compliance with the training regimen. This study innovatively integrated immersive VR technology with task-oriented training, offering new insights into hand function rehabilitation for stroke patients. It confirmed the unique advantages of VR technology in enhancing rehabilitation outcomes and patient experience, laying the foundation for the design of future personalized rehabilitation programs.
Keywords: Stroke Hand Function Rehabilitation; Virtual Reality Task-Oriented Training; Immersive Rehabilitation Technology; Hand Function Score; Training Compliance
目录
摘要 I
Abstract II
引言 1
1 VR任务导向训练的理论基础 1
1.1 脑卒中手功能障碍概述 1
1.2 任务导向训练的核心原理 2
1.3 VR技术在康复中的应用 2
2 VR任务导向训练对神经可塑性的影响 3
2.1 神经可塑性的科学机制 3
2.2 VR训练对脑功能重塑的作用 3
2.3 任务导向训练与神经恢复的关系 4
3 VR任务导向训练的手功能恢复效果评估 4
3.1 手功能恢复的关键指标 4
3.2 VR训练方案的设计与实施 4
3.3 训练效果的量化分析方法 5
4 VR任务导向训练的临床应用与挑战 5
4.1 临床实践中的应用案例 5
4.2 技术局限性与改进方向 6
4.3 患者依从性与个性化调整 6
结论 7
参考文献 8
致谢 9
