本文選題：體感互動技術(shù) + 康復��； 參考：《杭州師范大學》2017年碩士論文

【摘要】：【背景】體感互動康復訓練是一種多媒體與運動康復相結(jié)合的新型的帶有娛樂性和智能性的現(xiàn)代高科技的康復訓練技術(shù)。國內(nèi)外研究者發(fā)現(xiàn)它在運動障礙、認知障礙和平衡障礙的患者訓練中具有很好的康復效果。肩周炎是中老年人的常見病,臨床發(fā)病率高達20.6%。由于疾病帶來的肩關節(jié)疼痛和功能障礙,以及病程較長,給患者的生活及工作帶來極大的痛苦和不便,嚴重影響其生活質(zhì)量。本研究結(jié)合目前體感互動技術(shù)的最新研究進展和信息技術(shù)在家庭、社區(qū)的普及,探索體感互動康復訓練技術(shù)在肩周炎患者社區(qū)康復中的應用效果及其前景。圍繞這一問題,本研究首先在社區(qū)開展肩周炎患者情況的現(xiàn)狀調(diào)查,探索肩周炎患者在社區(qū)的分布情況,然后在社區(qū)醫(yī)生和康復治療師的配合下,應用體感互動康復訓練設備對肩周炎患者實施康復訓練,觀察體感互動康復訓練技術(shù)對肩周炎患者的運動功能及其他功能的康復效果。通過以上研究為此類技術(shù)在社區(qū)的廣泛應用提供理論和現(xiàn)實依據(jù)�！灸康摹勘狙芯吭诨仡檱鴥�(nèi)外文獻的基礎上,從康復護理的專業(yè)視角,結(jié)合肩周炎患者的生理、心理特點,觀察體感互動康復訓練對肩周炎患者的康復效果,并對其在社區(qū)的應用前景進行研究,為改善肩周炎患者的肩關節(jié)功能,提高其生活質(zhì)量、完善社區(qū)康復護理體系提供理論和實踐指導�！痉椒ā勘狙芯坑烧{(diào)查研究和類實驗研究方法組成,以類實驗研究方法為中心。在杭州市選取3個社區(qū),以方便抽樣方式調(diào)查了258例肩周炎患者。在調(diào)查研究的基礎上招募愿意參加類實驗研究的對象62例,隨機分成實驗組30例和對照組32例。對照組成員采用社區(qū)常規(guī)康復治療方法,實驗組成員實施體感互動康復訓練,每次30分鐘,每周3次,持續(xù)進行12周。分別在干預前、干預4周、干預8周和干預12周后使用肩關節(jié)功能評價量表和肩關節(jié)范圍測量儀器進行疼痛、肩關節(jié)活動范圍、肌力、日常生活活動能力和局部形態(tài)指標的評定,并使用握力器進行握力測定。【結(jié)果】1.調(diào)查結(jié)果:調(diào)查對象的年齡為28~79歲,平均(52.86±15.47)歲,患病率呈現(xiàn)年輕化的趨勢;女性患者占54.3%,多于男性;調(diào)查對象的病程平均(3.93±2.91)年,病程5年以上居多,占24.8%;右肩患病者居多,達41.1%;采用最多的社區(qū)康復治療方法是運動鍛煉、推拿等中醫(yī)療法,分別占48.4%和43.4%。此外,16.7%的患者從未做過任何治療。肩周炎康復知識和態(tài)度總均分為(27.92±6.40)分,高低分之間差值較大,且得分均處于較低水平。不同文化程度、婚姻狀況、收入狀況、認知狀況的肩周炎患者康復知識態(tài)度得分不同,差異具有統(tǒng)計學意義(P0.05)。2.實驗結(jié)果:(1)實驗組成員的肩關節(jié)功能有所改善,尤其是疼痛、肩關節(jié)活動范圍和日常生活活動能力方面。實驗組成員的疼痛、肩關節(jié)活動范圍和日常生活活動能力在干預8周時即有改善,與對照組相比差異有統(tǒng)計學意義(P0.01),且干預因素和時間因素存在交互作用。(2)實驗組成員的肩關節(jié)功能總分干預前為(49.86±16.11)分,干預12周提高到(73.70±5.86)。其中疼痛得分由(12.50±5.68)分提高到(22.83±2.52)分,表明疼痛程度減輕;肩關節(jié)活動范圍得分由(12.50±5.68)分提高到(22.83±2.52)分,活動范圍擴大;日常生活活動能力得分由(19.96±6.73)分提高到(27.43±2.16)分,日常生活活動能力改善。(3)實驗組和對照組成員的肩關節(jié)功能總分、疼痛、肩關節(jié)活動范圍、肌力、日常生活活動能力和局部形態(tài)得分在四個時間點間差異有統(tǒng)計學意義(P0.05),隨著時間的變化而變化。(4)干預12周后,實驗組成員的肩關節(jié)功能總分、疼痛、肩關節(jié)活動范圍和日常生活活動能力得分與對照組相比持續(xù)顯著性提高(P0.01);其余各項得分均無統(tǒng)計學差異(P0.05)。(5)與基線相比,干預4周后實驗組成員的肩關節(jié)功能總分、肩關節(jié)活動范圍、日常生活活動能力顯著提高(P0.01),肌力改善(P0.05),疼痛程度明顯減輕(P0.01),且至干預12周后,效果得以保持(P0.01)。對照組成員的肩關節(jié)功能總分、肩關節(jié)活動范圍和日常生活活動能力顯著提高(P0.01),疼痛程度減輕(P0.05),且至干預12周后,效果得以保持(P0.01)。(6)實驗組和對照組的治療有效率經(jīng)統(tǒng)計學檢驗Z=-2.380,P=0.017(P0.05),差異有統(tǒng)計學意義,說明兩組不同的治療干預措施在改善肩關節(jié)整體功能的治療效應上存在差別,使用體感互動康復訓練治療肩周炎療效更佳。3.握力方面,干預12周后,實驗組和對照組成員的握力值差異無統(tǒng)計學意義(P0.05)�！窘Y(jié)論】體感互動康復訓練可以緩解肩周炎患者的疼痛程度,擴大肩關節(jié)活動的范圍,減輕肩關節(jié)運動障礙的體征以及增強日常生活的能力,能有效應用于肩周炎患者的康復治療。但是肩周炎患者在康復知識掌握方面欠缺,社區(qū)康復治療服務體系并不完善。社區(qū)衛(wèi)生服務機構(gòu)應加強對肩周炎患者康復知識的指導和健康宣教,并提供可靠的康復治療方法,以提高其生活質(zhì)量。
[Abstract]:[background] somatosensory interactive rehabilitation training is a new kind of modern high-tech rehabilitation training with entertainment and intelligence combined with multimedia and exercise rehabilitation. Researchers at home and abroad have found that it has good rehabilitation effect in the training of patients with dyskinesia, cognitive impairment and balance disorder. The incidence of common diseases is up to 20.6%. due to the pain and dysfunction of the shoulder joint caused by the disease, as well as the long course of disease, which brings great pain and inconvenience to the life and work of the patients. This study combines the latest research progress of the current somatosensory interaction technology and the popularization of information technology in the family and the community. To explore the effect and Prospect of somatosensory rehabilitation training in community rehabilitation of patients with periarthritis of shoulder and its prospect. Around this problem, this study first investigates the situation of patients with periarthritis of shoulder in the community, explores the distribution of patients with periarthritis of shoulder in the community, and then applies the sense of body interaction under the cooperation of community medical students and rehabilitation therapists. The rehabilitation training equipment is applied to the patients with periarthritis of shoulder, and the effects of the physical activity rehabilitation training on the exercise function and other functions of the patients with periarthritis of shoulder are observed. From the professional perspective of rehabilitation nursing, combined with the physiological and psychological characteristics of the patients with periarthritis of shoulder, the effect of the rehabilitation training on the patients with periarthritis of shoulder is observed, and the prospect of its application in the community is studied. The theory and reality are provided to improve the shoulder function of the patients with periarthritis of shoulder, improve the quality of life and improve the community rehabilitation nursing system. [Methods] this study was made up of investigation and class experimental research methods, centered on the method of class experiment. In Hangzhou, 258 cases of scapulohumeral periarthritis were investigated by convenient sampling in 3 communities. On the basis of the investigation, 62 subjects were recruited to take part in the experimental research, and 30 cases were randomly divided into experimental groups and the two were randomly assigned to the experimental group. Group 32 cases. The members of the control group were treated with community routine rehabilitation therapy. The members of the experimental group implemented the physical interaction rehabilitation training, 30 minutes each time, 3 times a week for 12 weeks. Before intervention, intervention for 4 weeks, intervention for 8 weeks and intervention 12 weeks after 12 weeks of shoulder joint function assessment and shoulder joint range measurement instruments for pain and shoulder joint live. Dynamic range, muscle strength, daily living ability and local morphological indexes and grip strength measurement. [results] 1. survey results: the age of the survey was 28~79 years old, the average age was (52.86 + 15.47) years, the prevalence rate was younger, 54.3% of the female patients were more than men, and the average course of the survey was 3.93 + 2.91. In the year, the course of the disease was more than 5 years, accounting for 24.8%, the majority of the right shoulder patients were 41.1%, and the most common methods of community rehabilitation were exercise, massage, 48.4% and 43.4%., and 16.7% of the patients had never done any treatment. The total average score of the rehabilitation knowledge and attitude of scapulohumeral periarthritis was (27.92 + 6.40), and the difference between the high and low scores was compared. The scores of the patients with different cultural degree, marital status, income and cognition were different, the difference was statistically significant (P0.05).2. experimental results: (1) the shoulder joint function of the members of the experimental group was improved, especially the pain, the range of shoulder joint activity and daily life activities. The pain, range of shoulder joint activity and daily living ability of the members of the experimental group improved at 8 weeks. There was a significant difference between the control group and the control group (P0.01), and there was a interaction between the intervention and the time factors. (2) the members of the experimental group had a total score of (49.86 + 16.11) before the intervention of the shoulder joint function and the intervention for 12 weeks. The pain score increased from (12.50 + 5.68) to (22.83 + 2.52) score (22.83 + 2.52), indicating that the pain degree was reduced, the range of shoulder motion range was increased from (12.50 + 5.68) to (22.83 + 2.52), and the range of activity was enlarged. The scores of daily living ability were increased from 19.96 + 6.73 to 27.43 + 12.50, and daily life activity could be achieved. (3) the total score of shoulder joint function in the experimental group and the control group, the pain, the range of shoulder joint activity, the muscle strength, the ability of daily living activity and the local morphologic score were statistically significant between the four time points (P0.05), and changed with the time. (4) after 12 weeks of intervention, the total score of shoulder joint function, pain, and shoulder of the members of the experimental group were in the shoulder. The score of joint activity range and daily living activity increased significantly compared with the control group (P0.01), and the other scores were not statistically significant (P0.05). (5) compared with the baseline, the total score of shoulder joint function, shoulder joint activity, daily living ability increased significantly (P0.01) and muscle strength improvement (P0.). 05), the degree of pain was significantly reduced (P0.01), and the effect was maintained after 12 weeks. The total score of shoulder joint function, the range of shoulder joint activity and activity of daily living were significantly increased (P0.01), and the degree of pain was reduced (P0.05) in the control group, and the effect was maintained after 12 weeks (P0.01). (6) treatment and control group treatment. The effective rate was statistically tested Z=-2.380, P=0.017 (P0.05), the difference was statistically significant, indicating that there were differences in the treatment effect of two groups of different treatment interventions on improving the overall function of shoulder joints. The treatment of scapulohumeral periarthritis with somatosensory rehabilitation training was better in the treatment of.3. grip strength. After intervention, the control group and the control group were in the grip of the group. There was no statistical significance (P0.05). [Conclusion] somatosensory interactive rehabilitation training can relieve the pain degree of patients with periarthritis of shoulder, expand the range of shoulder joint activity, reduce the physical signs of shoulder joint movement and enhance the ability of daily life, and can be effectively applied to the rehabilitation treatment of patients with periarthritis of shoulder. The community rehabilitation treatment service system is not perfect. Community health service institutions should strengthen the guidance and health education for patients with periarthritis of shoulder, and provide reliable methods of rehabilitation in order to improve their quality of life.

【學位授予單位】：杭州師范大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.2

【參考文獻】

相關期刊論文 前10條

1 劉洪富;;互動體感游戲?qū)δX卒中患者運動和平衡功能的康復效果觀察[J];中國衛(wèi)生標準管理;2016年01期

2 毛榮華;陳長香;;視覺訓練對腦卒中后認知功能障礙患者的效果研究[J];中華護理雜志;2015年11期

3 劉翠娟;劉箴;劉婷婷;陸濤;方昊;劉良平;;虛擬現(xiàn)實在焦慮癥和自閉癥治療中的應用研究[J];系統(tǒng)仿真學報;2015年10期

4 朱祥;王尚書;任丹丹;郝阿月;盧琪;梁明明;陳長香;;體感交互技術(shù)Kinect在腦卒中后下肢功能康復的應用[J];河北聯(lián)合大學學報(醫(yī)學版);2015年04期

5 謝凌鋒;黃曉琳;岳翔;肖鋒;韓肖華;;Mulligan動態(tài)關節(jié)松動術(shù)結(jié)合牽伸療法治療肩周炎的療效觀察[J];中國康復醫(yī)學雜志;2015年05期

6 湯，

本文編號：1794604