The Effect of Virtual Reality Training on Anticipatory Postural Adjustments in Patients with Chronic Nonspecific Low Back Pain: A Preliminary Study
العنوان: | The Effect of Virtual Reality Training on Anticipatory Postural Adjustments in Patients with Chronic Nonspecific Low Back Pain: A Preliminary Study |
---|---|
المؤلفون: | Le Li, Chuhuai Wang, Xin Li, Qiuhua Yu, Siyun Zhang, Zhicheng Li, Haizhen Luo, Wenzhao Liang, Le Ge |
المصدر: | Neural Plasticity, Vol 2021 (2021) Neural Plasticity |
بيانات النشر: | Hindawi Limited, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Article Subject, Visual analogue scale, Neurosciences. Biological psychiatry. Neuropsychiatry, Electromyography, Virtual reality, 03 medical and health sciences, Random Allocation, Young Adult, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Humans, In patient, 030212 general & internal medicine, Muscle, Skeletal, Postural Balance, medicine.diagnostic_test, business.industry, Virtual Reality Exposure Therapy, Kneeling, Motor control, Muscle activation, Anticipation, Psychological, Low back pain, Exercise Therapy, Treatment Outcome, Neurology, Female, Neurology (clinical), medicine.symptom, Chronic Pain, business, Low Back Pain, 030217 neurology & neurosurgery, Research Article, RC321-571 |
الوصف: | Objectives. This study is aimed at exploring the effects of virtual reality (VR) training on postural control, measured by anticipatory and compensatory postural adjustments (APAs and CPAs, respectively), in patients with chronic nonspecific low back pain (CNLBP) and the potential neuromuscular mechanism of VR training. Methods. Thirty-four patients were recruited and randomly assigned to the VR group ( n = 11 ), the motor control exercise group (MCE, n = 12 ) and the control group (CG, n = 11 ). The VR group received VR training using Kinect Xbox 360 systems and magnetic therapy. Besides magnetic therapy, the participants in the MCE group performed real-time ultrasound-guided abdominal drawing-in maneuver (ADIM) and four-point kneeling exercise. The CG only received magnetic therapy. Surface muscle electromyography (sEMG) was used to record the muscle activities of transverse abdominis (TrA), multifidus (MF), lateral gastrocnemius (LG), and tibialis anterior (TA) during ball-hitting tasks. The muscle activation time and integrals of the electromyography activities (IEMGs) during the APA and CPA stages were calculated and used in the data analysis. The visual analogue scale (VAS) and Oswestry dysfunction index (ODI) scores were also recorded. Results. A significant interaction effect of time × group was observed on the activation time of TrA ( p = 0.018 ) and MF ( p = 0.037 ). The post-intervention activation time of the TrA was earlier in the VR group ( p = 0.029 ). In contrast, the post-intervention activation time of the MF was significantly delayed in the VR group ( p = 0.001 ). The IEMGs of TrA ( p = 0.002 ) and TA ( p = 0.007 ) during CPA1 significantly decreased only in the VR group after the intervention. The VAS scores of three group participants showed significant decreases after intervention ( p < 0.001 ). Conclusions. Patients with CNLBP showed reciprocal muscle activation patterns of the TrA and MF muscles after VR training. VR training may be a potential intervention for enhancing the APAs of the patients with CNLBP. |
وصف الملف: | text/xhtml |
اللغة: | English |
تدمد: | 1687-5443 2090-5904 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a6719bd122ede7170a351fa5c60f55ea https://doaj.org/article/51f531c444394b7abf7761b63b72ca18 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....a6719bd122ede7170a351fa5c60f55ea |
قاعدة البيانات: | OpenAIRE |
تدمد: | 16875443 20905904 |
---|