对于中风康复的虚拟现实
Kate E Laver1,2, Belinda Lange2, Stacey George2
1Division of Rehabilitation, Aged and Palliative Care, Southern Adelaide Local Health Network, Adelaide, Australia.
The Cochrane database of systematic reviews
|June 19, 2025
概括
虚拟现实 (VR) 康复显示了中低确定性证据,可以改善中风幸存者的上肢功能,平衡和活动限制. 当VR被添加到通常的护理中时,观察到更大的益处,增加了整体治疗时间.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 人与计算机的交互
背景情况:
- 自2004年以来,虚拟现实 (VR) 已成为中风康复中的重要治疗方式.
- 使用了一系列VR应用,从非沉浸式游戏到专门的沉浸式环境.
- 本综述是对VR在中风后恢复效果的最新分析.
研究的目的:
- 评估虚拟现实干预对中风患者上肢功能和活动的影响.
- 评估VR对步态,平衡,运动和认知功能,活动限制,参与和生活质量的影响.
- 识别和分析与VR康复相关的不良事件.
主要方法:
- 包括190个随机对照试验 (RCT) 与7188名参与者,包括119个新研究.
- 使用固定效应模型计算标准化平均差异 (SMD) 和95%置信区间 (CI) 的元分析.
- 使用GRADE系统评估证据确定性,使用Cochrane RoB 1工具评估偏差风险.
主要成果:
- 与替代疗法相比,VR显示了中度至低确定性证据,用于改善上肢功能 (SMD 0.20) 和平衡 (SMD 0.26).
- 虚拟现实显著改善了活动限制 (SMD 0.21),具有中等确定性证据.
- 在添加到通常的护理时,VR显示了改善上肢功能 (SMD 0.42) 和活动限制 (SMD 0.22) 的中度确定性证据.
结论:
- 虚拟现实和交互式视频游戏在中风幸存者中对上肢功能,平衡和活动限制的替代疗法提供了轻微的优势.
- 使用VR来增加通常的护理似乎可以更显著地增强上肢功能.
- 关于VR对参与和生活质量的影响的证据仍然不足,对于步行速度的发现是不同的.
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