Larson Eric B, Feigon Maia, Gagliardo Pablo, Dvorkin Assaf Y
Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA Rehabilitation Institute of Chicago, Chicago, IL, USA.
Rehabilitation Institute of Chicago, Chicago, IL, USA Institute of Psychology, Illinois Institute of Technology, Chicago, IL, USA.
NeuroRehabilitation. 2014;34(4):759-72. doi: 10.3233/NRE-141078.
Recent advancement in the technology of virtual reality (VR) has allowed improved applications for cognitive rehabilitation.
The aim of this review is to facilitate comparisons of therapeutic efficacy of different VR interventions.
A systematic approach for the review of VR cognitive rehabilitation outcome research addressed the nature of each sample, treatment apparatus, experimental treatment protocol, control treatment protocol, statistical analysis and results. Using this approach, studies that provide valid evidence of efficacy of VR applications are summarized. Applications that have not yet undergone controlled outcome study but which have promise are introduced.
Seventeen studies conducted over the past eight years are reviewed. The few randomized controlled trials that have been completed show that some applications are effective in treating cognitive deficits in people with neurological diagnoses although further study is needed.
Innovations requiring further study include the use of enriched virtual environments that provide haptic sensory input in addition to visual and auditory inputs and the use of commercially available gaming systems to provide tele-rehabilitation services. Recommendations are offered to improve efficacy of rehabilitation, to improve scientific rigor of rehabilitation research and to broaden access to the evidence-based treatments that this research has identified.
虚拟现实(VR)技术的最新进展使得其在认知康复方面有了更好的应用。
本综述的目的是便于比较不同VR干预措施的治疗效果。
一种用于综述VR认知康复结果研究的系统方法涉及每个样本的性质、治疗设备、实验治疗方案、对照治疗方案、统计分析和结果。采用这种方法,总结了提供VR应用有效性有效证据的研究。介绍了尚未进行对照结果研究但有前景的应用。
回顾了过去八年进行的17项研究。已完成的少数随机对照试验表明,一些应用在治疗神经诊断患者的认知缺陷方面是有效的,尽管还需要进一步研究。
需要进一步研究的创新包括使用丰富的虚拟环境,除了视觉和听觉输入外还提供触觉感官输入,以及使用商业可用的游戏系统提供远程康复服务。提出了提高康复效果、提高康复研究科学严谨性以及扩大获得本研究确定的循证治疗方法的建议。