دورية أكاديمية

Virtual reality skateboarding training for balance and functional performance in degenerative lumbar spine disease.

التفاصيل البيبلوغرافية
العنوان: Virtual reality skateboarding training for balance and functional performance in degenerative lumbar spine disease.
المؤلفون: Tsai YC; School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, 3F., No. 17, Xuzhou Rd., Zhongzheng Dist, Taipei, Taiwan., Hsu WL; School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, 3F., No. 17, Xuzhou Rd., Zhongzheng Dist, Taipei, Taiwan. wlhsu@ntu.edu.tw.; Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan. wlhsu@ntu.edu.tw., Kantha P; School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, 3F., No. 17, Xuzhou Rd., Zhongzheng Dist, Taipei, Taiwan.; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand., Chen PJ; School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, 3F., No. 17, Xuzhou Rd., Zhongzheng Dist, Taipei, Taiwan., Lai DM; Division of Neurosurgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
المصدر: Journal of neuroengineering and rehabilitation [J Neuroeng Rehabil] 2024 May 09; Vol. 21 (1), pp. 74. Date of Electronic Publication: 2024 May 09.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101232233 Publication Model: Electronic Cited Medium: Internet ISSN: 1743-0003 (Electronic) Linking ISSN: 17430003 NLM ISO Abbreviation: J Neuroeng Rehabil Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2004-
مواضيع طبية MeSH: Postural Balance*/physiology , Virtual Reality* , Lumbar Vertebrae*, Humans ; Male ; Female ; Middle Aged ; Aged ; Physical Functional Performance ; Exercise Therapy/methods ; Spinal Diseases/rehabilitation ; Spinal Diseases/physiopathology
مستخلص: Background: Degenerative lumbar spine disease (DLD) is a prevalent condition in middle-aged and elderly individuals. DLD frequently results in pain, muscle weakness, and motor impairment, which affect postural stability and functional performance in daily activities. Simulated skateboarding training could enable patients with DLD to engage in exercise with less pain and focus on single-leg weight-bearing. The purpose of this study was to investigate the effects of virtual reality (VR) skateboarding training on balance and functional performance in patients with DLD.
Methods: Fourteen patients with DLD and 21 age-matched healthy individuals completed a 6-week program of VR skateboarding training. The motion capture and force platform systems were synchronized to collect data during a single-leg stance test (SLST). Musculoskeletal simulation was utilized to calculate muscle force based on the data. Four functional performance tests were conducted to evaluate the improvement after the training. A Visual Analogue Scale (VAS) was also employed for pain assessment.
Results: After the training, pain intensity significantly decreased in patients with DLD (p = 0.024). Before the training, patients with DLD took longer than healthy individuals on the five times sit-to-stand test (p = 0.024). After the training, no significant between-group differences were observed in any of the functional performance tests (p > 0.05). In balance, patients with DLD were similar to healthy individuals after the training, except that the mean frequency (p = 0.014) was higher. Patients with DLD initially had higher biceps femoris force demands (p = 0.028) but shifted to increased gluteus maximus demand after the training (p = 0.037). Gluteus medius strength significantly improved in patients with DLD (p = 0.039), while healthy individuals showed consistent muscle force (p > 0.05).
Conclusion: This is the first study to apply the novel VR skateboarding training to patients with DLD. VR skateboarding training enabled patients with DLD to achieve the training effects in a posture that relieves lumbar spine pressure. The results also emphasized the significant benefits to patients with DLD, such as reduced pain, enhanced balance, and improved muscle performance.
(© 2024. The Author(s).)
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معلومات مُعتمدة: NHRI-EX112-11019EI National Health Research Institutes; NHRI-EX112-11019EI National Health Research Institutes; NHRI-EX112-11019EI National Health Research Institutes; NHRI-EX112-11019EI National Health Research Institutes; 111-2223-E-002 -004 -MY Ministry of Science and Technology, Taiwan; 111-2223-E-002 -004 -MY Ministry of Science and Technology, Taiwan; 111-2223-E-002 -004 -MY Ministry of Science and Technology, Taiwan; 111-2223-E-002 -004 -MY Ministry of Science and Technology, Taiwan; NTU-CDP-113L7854 National Taiwan University; NTU-CDP-113L7854 National Taiwan University
فهرسة مساهمة: Keywords: Degenerative lumbar spine disease; Muscle force; Postural balance; Rehabilitation; Skateboarding; Virtual reality
تواريخ الأحداث: Date Created: 20240509 Date Completed: 20240510 Latest Revision: 20240512
رمز التحديث: 20240512
مُعرف محوري في PubMed: PMC11080234
DOI: 10.1186/s12984-024-01357-2
PMID: 38724981
قاعدة البيانات: MEDLINE
الوصف
تدمد:1743-0003
DOI:10.1186/s12984-024-01357-2