基于虚拟现实技术的康复训练对学龄前期孤独症谱系障碍儿童的疗效研究

doi:10.11852/zgetbjzz2024-1216

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (11): 1201-1206.DOI: 10.11852/zgetbjzz2024-1216

基于虚拟现实技术的康复训练对学龄前期孤独症谱系障碍儿童的疗效研究

郭乃绮¹, 储莉婷², 姚宇凯¹, 马晨欢³, 陆丁杰¹, 李晓倩¹, 王瑜¹

1.上海交通大学医学院附属儿童医院上海市儿童医院儿童保健医学部康复科,上海 200062;
2.上海市疾病预防控制中心儿童青少年健康所;
3.上海交通大学医学院附属儿童医院上海市儿童医院儿童保健医学部

收稿日期:2024-10-11 修回日期:2025-02-18 发布日期:2025-11-11 出版日期:2025-11-10
通讯作者: 王瑜,E-mail:wy_rain@126.com
作者简介:郭乃绮(1997—),女,硕士研究生在读,主要研究方向为儿童发育行为。
基金资助:
上海交通大学/医学院-儿童医院临床研究培育专项重点项目(2021YLYZ02);上海交通大学医学院-儿童医院临床研究培育专项面上项目(2022YLYM09);上海市康复医学会“康复科技创新行动计划”专项(2024JGKT13);上海市卫生健康委员会卫生行业临床研究青年项目(20234Y0071); 深圳市深爱公益基金会专项研究基金(SA202300107)

Efficacy of virtual reality-based rehabilitation training for preschool-aged children with autism spectrum disorders

GUO Naiqi¹, CHU Liting², YAO Yukai¹, MA Chenhuan³, LU Dingjie¹, LI Xiaoqian¹, WANG Yu¹

1. Department of Rehabilitation of Child Health Care Medical Division, Shanghai Children′s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200062, China;
2. Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention;
3. Department of Child Health Care Medical Division, Shanghai Children′s Hospital, School of Medicine, Shanghai Jiao Tong University

Received:2024-10-11 Revised:2025-02-18 Online:2025-11-10 Published:2025-11-11
Contact: WANG Yu,E-mail:wy_rain@126.com

摘要/Abstract

摘要： 目的评估基于虚拟现实(VR)技术的康复训练对孤独症谱系障碍(ASD)儿童的治疗效果,以期为ASD儿童的数字化治疗提供理论依据。方法本研究选取 2023年12月—2024年4月期间就诊于上海市儿童医院儿童保健医学部的60名ASD儿童,随机分为干预组和对照组。对照组接受康复团队指导的早期家庭干预;干预组在对照组的干预训练基础上接受VR康复训练,每周1次,每次1h。治疗前后使用孤独症行为量表(ABC)、儿童孤独症评定量表(CARS)、长处与困难问卷(SDQ)以及社交反应量表(SRS)来评估疗效。结果干预前干预组和对照组ABC、CARS、SDQ和SRS评分差异均无统计学意义(P>0.05),干预组干预后ABC感觉、交往、运动因子得分和总分及CARS总分均低于对照组,差异有统计学意义(t=2.253、2.113、2.162、3.364、2.742,P<0.05)。SDQ显示干预组干预后多动注意缺陷、同伴交往问题、亲社会行为、困难总分得分低于对照组,差异有统计学意义(t=2.084、3.623、2.591、3.074,P<0.05)。SRS结果表明,干预后干预组在社交认知、社交沟通和孤独症行为方式得分及总分优于对照组(t=2.012、2.546、2.126、3.507,P<0.05)。结论基于VR技术的康复训练对ASD儿童核心症状和社会功能具有积极改善作用,显示出良好的临床应用潜力,但其长期效果和普适性仍需进一步研究验证。

关键词: 虚拟现实, 康复训练, 学龄前期, 孤独症谱系障碍, 治疗效果

Abstract: Objective To evaluate the therapeutic efficacy of virtual reality (VR)-based rehabilitation training for children with autism spectrum disorder (ASD), in order to provide a theoretical foundation for digital interventions in ASD treatment. Methods From December 2023 to April 2024, a total of 60 children diagnosed with ASD at the Department of Child Health Medicine, Shanghai Children′s Hospital were randomly assigned to either an intervention group or a control group.The control group received early family intervention guided by a rehabilitation team, while the intervention group underwent VR-based rehabilitation training once a week for one hour per session additionally.Therapeutic outcomes were assessed before and after the intervention using the Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), Strengths and Difficulties Questionnaire (SDQ), and Social Responsiveness Scale (SRS). Results Before the intervention, there were no statistically significant differences in ABC, CARS, SDQ, and SRS scores between the intervention and control groups (P>0.05).After the intervention, the intervention group showed significantly lower scores in the sensory, social, and motor factors of the ABC, as well as in the total ABC and CARS scores, compared to the control group (t=2.253, 2.113, 2.162, 3.364, 2.742, P < 0.05).The SDQ revealed that the intervention group had significantly lower scores in hyperactivity/inattention, peer relationship problems, prosocial behavior, and total difficulties compared to the control group (t=2.084, 3.623, 2.591, 3.074, P < 0.05).The SRS results indicated that the intervention group outperformed the control group in social cognition, social communication, autistic mannerisms, and total scores after the intervention (t =2.012, 2.546, 2.126, 3.507, P<0.05). Conclusions VR-based rehabilitation training demonstrates positive effects on improving core symptoms and social functioning in children with ASD, highlighting its potential for clinical application.However, further research is needed to validate its long-term efficacy and generalizability.

Key words: virtual reality, rehabilitation, preschool, autism spectrum disorder, therapeutic efficacy

中图分类号:

R179

郭乃绮, 储莉婷, 姚宇凯, 马晨欢, 陆丁杰, 李晓倩, 王瑜. 基于虚拟现实技术的康复训练对学龄前期孤独症谱系障碍儿童的疗效研究[J]. 中国儿童保健杂志, 2025, 33(11): 1201-1206.

GUO Naiqi, CHU Liting, YAO Yukai, MA Chenhuan, LU Dingjie, LI Xiaoqian, WANG Yu. Efficacy of virtual reality-based rehabilitation training for preschool-aged children with autism spectrum disorders[J]. Chinese Journal of Child Health Care, 2025, 33(11): 1201-1206.

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基于虚拟现实技术的康复训练对学龄前期孤独症谱系障碍儿童的疗效研究

Efficacy of virtual reality-based rehabilitation training for preschool-aged children with autism spectrum disorders

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