虚拟现实治疗对中风患者静态姿势控制和动态平衡的有效性:随机对照试验的系统审查,元分析和元回归
Ming-Yu Tian1, Myoung-Ho Lee1, Ju-Hak Kim1
1Department of Rehabilitation Sciences, Graduate School, Daegu University, Jillyang, Gyeongsan 712-714, Gyeongbuk, Republic of Korea.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
虚拟现实 (VR) 疗法在改善中风患者的静态姿势控制和动态平衡方面表现有前途. 虽然作为常规康复治疗的辅助有效,但由于研究的局限性,需要进一步研究.
科学领域:
- 神经康复疗法 神经康复疗法
- 生物医学工程 生物医学工程
- 物理疗法物理治疗
背景情况:
- 脑卒中显著损害了静态姿势控制和动态平衡.
- 传统的康复方法在恢复这些功能方面存在局限性.
- 虚拟现实 (VR) 疗法为中风康复提供了一种新的方法.
研究的目的:
- 系统地审查和分析关于VR治疗中风的随机对照试验 (RCT).
- 为了比较VR疗法的有效性与用于姿势控制和平衡的传统康复.
- 评估VR对压力中心 (COP),伯格平衡量表 (BBS) 和定时上行测试 (TUG) 等特定结果指标的影响.
主要方法:
- 对36项涉及1118名成人中风患者的RCT进行了系统审查和元分析.
- 包括使用VR干预措施的研究,单独或与常规疗法结合.
- 分析静态姿势控制 (COP) 和动态平衡 (BBS,TUG) 的结果.
主要成果:
- 虚拟现实干预显著改善静态姿势控制 (SMD -0.59至 -0.38,p < 0.05),但在闭眼条件下没有 (SMD -0.13,p = 0.43).
- 在VR治疗中观察到动态平衡的显著改善 (BBS: MD 3.29; TUG: MD -3.43, p < 0.0001).
- 在多个结局中发现了实质性的异质性和偏差的高风险.
结论:
- 基于VR的干预措施显示,在中风幸存者中增强静态姿势控制和动态平衡的潜在好处.
- 虚拟现实疗法可能是最有效的,当整合作为常规康复策略的辅助.
- 进一步高质量,大规模的RCT是必要的,以证实发现和临床相关性,由于异质性和偏见.
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