虚拟现实训练对唐氏综合症儿童姿势控制的影响:一个案例系列

IF 0.7 Q4 REHABILITATION Technology and Disability Pub Date : 2023-04-10 DOI:10.3233/tad-220370
Andrea Leiton-Muñoz, R. Cartes-Velásquez, Valeska Gatica-Rojas
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引用次数: 0

摘要

背景:患有唐氏综合症(DS)的儿童在步态或站立时可能难以调整姿势,并且倾向于较慢地适应高要求的运动任务和环境变化。他们的日常活动功能经常减少或行动迟缓,姿势控制和平衡能力差是可能的原因。关于改善退行性椎体滑移患儿姿势控制的运动方案的研究有限。目的:确定任天堂Wii平衡板(NWBB)接口运动方案对DS儿童姿势控制和功能平衡的效果。方法:参与者是5名6-9岁的儿童,他们属于Espacio Down(位于智利Talca)法律组织,他们参加了NWBB的锻炼项目。干预持续时间为9周,每周进行两次25分钟的干预,每位受试者的总干预时间为7.5小时。通过临床测试在功能水平上评估干预前/后的姿势控制:使用压力中心(CoP)变量进行计时起走(TUG)、单腿站立(TOLS)和姿势测量,采用描述性统计和Wilcoxon检验,p< 0.05认为具有显著性。结果:在闭眼条件下,NWBB方案显著降低了CoP总速度、平均速度和中外侧和前后方向的位移(p= 0.021),减少了TUG测试的时间(p= 0.021)。结论:该试点研究为NWBB项目在退行性痴呆儿童中的有效性提供了初步证据。为期9周的NWBB计划可改善退行性痴呆儿童的姿势控制和功能平衡。
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Effects of virtual reality training in the postural control of children with Down syndrome: A case series
BACKGROUND: Children with Down syndrome (DS) may struggle adjusting their posture during gait or standing and tend to adapt slower to demanding motor tasks and environmental changes. The functionality in their daily activities is frequently diminished or they are slower, with poor postural control and balance as possible reasons. There is limited research on exercise programmes to improve postural control in children with DS. OBJECTIVE: To determine the effectivenes of an exercise programm with the Nintendo Wii Balance Board (NWBB) interface o postural control and functional balance of children with DS. METHODS: Participants were five children age 6–9 years belonging to the legal organization Espacio Down (in Talca, Chile), who underwen an exercise programm with the NWBB. The duration of the intervention wa 9 weeks, with two 25-minute sessions per week and a total intervention timeof 7.5 hours for each subject. Postural control pre-/postintervention was evaluated at a functional level with clinical tests: Timed Up and Go (TUG), One-Leg Standing (TOLS) and posturographic measures using centre of pressure (CoP) variables Descriptive statistics and the Wilcoxon test were applied, with p< 0.05 considered to be significant. RESULTS: Th NWBB programme showed a significant decrease in the CoP total velocity, mean velocity and displacements in themediolateral and anteroposterior directions (p= 0.021) for the closed-eyes condition and a decrease in the time of the TUG test (p= 0.021). CONCLUSIONS: This pilot study provides initial evidence for the effectiveness of the NWBB programme in children with DS. A 9-week NWBB programme improves the postural control and functional balanceof children with DS.
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来源期刊
Technology and Disability
Technology and Disability Medicine-Rehabilitation
CiteScore
1.40
自引率
20.00%
发文量
19
期刊介绍: Technology and Disability communicates knowledge about the field of assistive technology devices and services, within the context of the lives of end users - persons with disabilities and their family members. While the topics are technical in nature, the articles are written for broad comprehension despite the reader"s education or training. Technology and Disability"s contents cover research and development efforts, education and training programs, service and policy activities and consumer experiences. - The term Technology refers to assistive devices and services. - The term Disability refers to both permanent and temporary functional limitations experienced by people of any age within any circumstance.
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