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目的：探讨沉浸式虚拟现实计算机辅助康复环境（computer assisted rehabilitation environment,CAREN）系统训练对孤独症谱系障碍（autism spectrum disorder,ASD）儿童运动功能及生活质量的影响。方法：采用随机对照实验，将24例7～9岁存在运动功能障碍的ASD儿童随机分为常规组（n=12）和CAREN组（n=12）。常规组接受由平衡板训练、重心转移与动态稳定训练、Bobath球训练及步态与功能性移动训练构成的常规任务导向康复训练，CAREN组接受由“森林行走”“踩脚印”“驾船”“交通拥堵”构成的基于沉浸式虚拟现实CAREN系统的康复训练，干预周期为8周，共48次。干预前后采用步态时空参数、平衡能力、孤独症行为评定量表（autism behavior checklist,ABC）和儿童生活质量量表（pediatric quality of life inventory,PedsQL）进行评估，并分析各维度改善结果之间的关联特征。结果：干预后，2组患儿步态时空参数、平衡能力、ABC评分和Peds QL评分均有显著改善（P<0.05）。与常规组相比，CAREN组步宽更小、步速更快、步长更长、支撑期占比更低、摆动期占比更高（P<0.05）;4个方向稳定极限（limits of stability,LS）位移距离更大（P<0.05），多姿势下稳定（postural stability,PS）压力中心移动速度更低（P<0.05）;ABC评分降低幅度更大（P<0.05）,PedsQL评分升高幅度更大（P<0.05）;CAREN组改善涉及ABC评分、步态参数和平衡能力等多个维度，呈现多维关联特征。结论：沉浸式虚拟现实CAREN系统训练可改善ASD儿童步态时空参数和平衡能力，并促进其行为表现和生活质量改善，可为ASD儿童运动康复提供初步循证依据。
Abstract：Objective:To investigate the effects of immersive virtual reality CAREN(computer assisted rehabilitation environment) system training on motor function and quality of life in children with autism spectrum disorder(ASD).Methods:A randomized controlled trial was adopted,twenty-four children aged 7 to 9 years with ASD and motor dysfunction were randomly assigned to a routine group(n=12) and a CAREN group(n=12).The routine group received conventional task-oriented rehabilitation training consisting of balance board training,weight-shifting and dynamic stability training,Bobath ball training,and gait and functional mobility training,whereas the CAREN group received immersive virtual reality CAREN system-based rehabilitation training consisting of the forest road,step on it,the boat,and the traffic jam.The intervention lasted 8 weeks,with a total of 48 sessions.Spatiotemporal gait parameters,balance ability,autism behavior checklist(ABC),and pediatric quality of life inventory(PedsQL) were assessed before and after the intervention,and the associations among improvements across different domains were further analyzed.Results:After the intervention,both groups showed improvements in spatiotemporal gait parameters,balance ability,ABC scores,and PedsQL scores(P<0.05).Compared with the routine group,the CAREN group showed a smaller step width,greater walking speed,longer step length,a lower proportion of stance phase,and a higher proportion of swing phase(P<0.05).The CAREN group also demonstrated greater displacement distances of limits of stability in all four directions(P<0.05) and lower center-of-pressure velocity under four postural conditions in the postural stability test(P<0.05).In addition,the CAREN group showed a greater reduction in ABC scores(P<0.05) and a greater increase in PedsQL scores(P<0.05).Improvements in the CAREN group involved multiple domains,including ABC scores,gait parameters,and balance ability,and showed multidimensional association features.Conclusions:Immersive virtual reality CAREN system training can improve spatiotemporal gait parameters and balance ability in children with ASD,and promote improvements in behavioral performance and quality of life.These findings provide preliminary evidence for the application of CAREN system training in motor rehabilitation for children with ASD.
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基本信息:
DOI：10.16470/j.csst.2026040
中图分类号:R749.94
引用信息:
[1]张晓珍,杨成波,靳乾辉,等.沉浸式虚拟现实系统训练对孤独症谱系障碍儿童运动功能及生活质量的影响[J].中国体育科技,2026,62(09):62-74.DOI:10.16470/j.csst.2026040.
基金信息:
国家社会科学基金青年项目（24CTY009）
2026-09-15
2026-09-15