基于预防跌倒干预的虚拟现实的影响:系统性审查和元分析
Bom-Mi Park1, Heejung Choi1, Harim Jeong2
1Department of Nursing, Research Institute (RIBHS), College of Biomedical & Health Science, Konkuk University, Chungju-si 27478, Republic of Korea.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
虚拟现实 (VR) 干预有效地提高了预防跌倒的信心,特别是对于那些患有像帕金森病和多发性硬化症等神经疾病的人来说. 然而,目前的证据并不能显著降低实际的跌倒率,需要进一步的研究.
科学领域:
- 老年学和康复医学 老年学和康复医学
- 人与计算机的交互
- 神经学 神经学
背景情况:
- 跌倒是造成伤害的主要原因,十分之一的事故导致身体伤害.
- 目前关于预防跌倒的虚拟现实 (VR) 的系统审查是有限的.
- 这项研究系统地审查和元分析了用于预防跌倒的VR干预措施.
研究的目的:
- 评估基于VR的防摔研究趋势.
- 评估VR干预措施在减少跌倒和提高跌倒自我效能的有效性.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了多个数据库 (PubMed,EBMASE,CINAHL,Cochrane,韩国) 截至2024年12月31日.
- 包括49项研究,对37项使用R软件 (4.4.1) 进行了元分析.
主要成果:
- 虚拟现实干预显著改善了跌倒的自我有效性 (跌倒效率尺度:ES = 0.28,p < 0.001).
- 总体而言,没有观察到跌倒数量的显著减少 (ES = -0.31,p = 0.20).
- 在帕金森病 (ES = 0.61) 和多发性硬化症 (ES = 0.34) 组中观察到最大的自我有效性改善;仅在MS中显著减少跌倒 (ES = -0.56).
结论:
- 虚拟现实干预增强了跌倒的自我有效性,特别是在神经疾病患者中.
- 目前的证据并没有强烈支持VR在减少实际跌倒发生率方面的有效性.
- 需要进一步的大规模,长期的研究来证实VR对预防跌倒的持续影响.
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