TY - JOUR AU - Meinke, Anita AU - Peters, Rick AU - Knols, Ruud H AU - Swanenburg, Jaap AU - Karlen, Walter PY - 2022 DA - 2022/6/10 TI -电子游戏对改善非特异性腰痛患者姿势平衡的躯干运动反馈:试验随机对照试验JO - JMIR Serious Games SP - e31685 VL - 10 IS - 2 KW -腰痛KW -姿势平衡KW - exergame KW -姿势反馈KW -电机控制KW -运动障碍KW -惯性测量单元KW -随机对照试验AB -背景:腰痛患者的姿势平衡受到损害，可能是由于躯干的电机控制发生变化。通过对躯干姿势和运动的传感器反馈来加强锻炼干预，可能会改善腰痛患者的姿势平衡。目的:我们假设，在腰痛患者安静站立时，对躯干运动进行反馈的锻炼可以减少前后方向的摇摆。次要结果是在抬箱子和服务员鞠躬任务中评估腰椎和髋关节运动，以及参与者报告的结果。对运动干预的依从性也进行了检查。方法:进行随机对照试验，干预组使用Valedo home(一种基于2个惯性测量单位的运动游戏)进行无监督的视觉反馈家庭运动。对照组不接受干预。在苏黎世大学医院就诊4次(T1-T4)时，由盲眼工作人员记录结果。干预组在T2至T3之间的3周内进行9次20分钟的训练，并在T3至T4之间指导患者自行锻炼。 Postural balance was assessed on a force platform. Lumbar spine and hip angles were obtained from 3 inertial measurement units. The assessments included pain intensity, disability, quality of life, and fear of movement questionnaires. Results: A total of 32 participants with nonspecific low back pain completed the first assessment T1, and 27 (84%) participants were randomized at T2 (n=14, 52% control and n=13, 48% intervention). Intention-to-treat analysis revealed no significant difference in change in anterior-posterior sway direction during the intervention period with a specified schedule (T2-T3) between the groups (W=99; P=.36; r=0.07). None of the outcomes showed significant change in accordance with our hypotheses. The intervention group completed a median of 61% (55/90; range 2%-99%) of the exercises in the predefined training program. Adherence was higher in the first intervention period with a specified schedule. Conclusions: The intervention had no significant effect on postural balance or other outcomes, but the wide range of adherence and a limited sample size challenged the robustness of these conclusions. Future work should increase focus on improving adherence to digital interventions. Trial Registration: ClinicalTrials.gov NCT04364243; https://clinicaltrials.gov/ct2/show/NCT04364243 International Registered Report Identifier (IRRID): RR2-10.2196/26982 SN - 2291-9279 UR - https://games.www.mybigtv.com/2022/2/e31685 UR - https://doi.org/10.2196/31685 UR - http://www.ncbi.nlm.nih.gov/pubmed/35687390 DO - 10.2196/31685 ID - info:doi/10.2196/31685 ER -