The Effectiveness Of Virtual Reality Along With Task Specific Training On Quality Of Life Of C6-C7 Level- Incomplete Spinal Cord Injury Patients

Pragyan Singh, Amitabh Dwivedi
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Abstract

Background- Spinal cord injury is a devastating condition. In recent years, traumatic spinal cord injury has become one of the major disabling conditions in young males. These chronic complications negatively impact patients’ functional independence and thus affect the quality of life. Methods-Thirty-seven spinal cord injury patientsC6-C7 with American Spinal Cord Injury Association (C, D) who full-filled the inclusion criteria were recruited,  out of which 7 discontinued the therapy program, 15 spinal cord injury  patients in Group I (Virtual Reality with Task Specific Training) and 15 spinal cord injury patients in the Group II (only task specific) completed the study.Virtual Reality training was given as an intervention using NIRVANA which is a semi-immersive Virtual Reality training. Results-Group I, which received only Task Specific Training, revealed a statistically significantly positive change in Quality of life (Z = -2.671, p = 0.008) with a medium effect size of (r = 0.48). For Group II, which received Virtual Reality along with Task Specific Training,revealed a statistically significantly positive change in Quality of life (Z = -3.415 p = 0.001) with a large effect size of (r = 0.62) Conclusion-Both the groups showed significant positive improvements in quality of life inspinal cord injury patients, indicating that both task-oriented training and the use of Virtual Reality as treatment modalities have a direct impact on QoL. However, more significant improvement was seen in Group 2 where Virtual Reality was combined with Task Specific Training.
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虚拟现实与特定任务训练对 C6-C7 级不完全脊髓损伤患者生活质量的影响
背景-脊髓损伤是一种破坏性疾病。近年来,外伤性脊髓损伤已成为年轻男性致残的主要疾病之一。这些慢性并发症对患者的功能独立性造成负面影响,进而影响生活质量。方法-招募了37名符合纳入标准的美国脊髓损伤协会(C、D级)C6-C7级脊髓损伤患者,其中7人中断了治疗计划,15名I组(虚拟现实与特定任务训练)脊髓损伤患者和15名II组(仅特定任务)脊髓损伤患者完成了研究。虚拟现实训练作为一种干预措施,使用了半沉浸式虚拟现实训练NIRVANA。结果--第一组(仅接受特定任务训练)显示,生活质量在统计学上有明显的积极变化(Z = -2.671,P = 0.008),效应大小为(r = 0.48)。结论--两组脊髓损伤患者的生活质量都有明显的积极改善,这表明任务导向训练和虚拟现实技术作为治疗方式对生活质量有直接影响。然而,虚拟现实技术与特定任务训练相结合的第 2 组的改善更为明显。
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