Chen Yu-ping, Lee Shih-Yu, Howard Ayanna M
Department of Physical Therapy (Dr Chen) and School of Nursing (Dr Lee), Georgia State University, Atlanta, Georgia; School of Electronic and Computer Engineering (Dr Howard), Georgia Institute of Technology, Atlanta, Georgia.
Pediatr Phys Ther. 2014 Fall;26(3):289-300. doi: 10.1097/PEP.0000000000000046.
To systematically examine the effect of virtual reality (VR) on upper extremity (UE) function in children with cerebral palsy (CP) and assess the association among VR effects and children's characteristics and an intervention protocol.
A systematic literature search was conducted in PubMed, CINAHL, Cochrane, and PsycINFO up to June 2013. Research studies involving children with CP that used VR as the intervention method and UE outcome measures were included.
The search yielded 14 research articles, including 3 randomized controlled trials and 11 case series. Overall, VR provided a strong effect size (d = 1.00) when comparing pre- and postintervention. In subgroup analyses, younger children receiving home-based or laboratory-based VR and using an engineer-built VR system showed better improvement.
Virtual reality is a viable tool to improve UE function in children with CP. However, a more vigorous research design is needed to make a conclusive recommendation.
系统研究虚拟现实（VR）对脑瘫（CP）患儿上肢（UE）功能的影响，并评估VR效果与患儿特征及干预方案之间的关联。
截至2013年6月，在PubMed、CINAHL、Cochrane和PsycINFO中进行了系统的文献检索。纳入了以VR作为干预方法并采用UE结局指标的涉及CP患儿的研究。
检索得到14篇研究文章，包括3项随机对照试验和11个病例系列。总体而言，在比较干预前后时，VR具有较大的效应量（d = 1.00）。在亚组分析中，接受家庭或实验室VR干预且使用工程构建VR系统的年幼儿童显示出更好的改善。
虚拟现实是改善CP患儿UE功能的一种可行工具。然而，需要更严格的研究设计才能做出确定性的推荐。
