Tieri Gaetano, Morone Giovanni, Paolucci Stefano, Iosa Marco
a SCNLab, Fondazione Santa Lucia IRCCS , Rome , Italy.
b University of Rome Unitelma Sapienza , Italy.
Expert Rev Med Devices. 2018 Feb;15(2):107-117. doi: 10.1080/17434440.2018.1425613. Epub 2018 Jan 10.
Over recent decades many researchers and clinicians have started to use Virtual Reality (VR) as a new technology for implementing innovative rehabilitation treatments in cognitive and motor domains. However, the expression 'VR' has often also been improperly used to refer to video games. Further, VR efficacy, often confused with that of video-game exercises, is still debated.
In this review, we provide the scientific rationale for the advantages of using VR systems in rehabilitation and investigate whether the VR could really be a promising technique for the future of rehabilitation of patients, or if it is just an entertainment for scientists. In addition, we describe some of the most used devices in VR with their potential advantages for research and provide an overview of the recent evidence and meta-analyses in rehabilitation.
We highlight the efficacy and fallacies of VR in neurorehabilitation and discuss the important factors emerging from the use of VR, including the sense of presence and the embodiment over a virtual avatar, in developing future applications in cognitive and motor rehabilitation.
在最近几十年里，许多研究人员和临床医生已开始将虚拟现实（VR）作为一种新技术，用于在认知和运动领域实施创新的康复治疗。然而，“VR”这一表述也常常被不恰当地用于指代电子游戏。此外，VR的功效常与电子游戏练习的功效相混淆，目前仍存在争议。
在本综述中，我们阐述了在康复中使用VR系统的优势的科学依据，并研究VR究竟是真的会成为未来患者康复的一项有前景的技术，还是仅仅是科学家们的一种娱乐方式。此外，我们描述了VR中一些最常用的设备及其在研究方面的潜在优势，并概述了康复领域最近的证据和荟萃分析。
我们强调了VR在神经康复中的功效与谬误，并讨论了在开发未来认知和运动康复应用时，使用VR所产生的重要因素，包括临场感和对虚拟化身的具身化。
