Garcia-Garcia E, Sanchez-Herrera Baeza P, Cuesta-Gomez A
Orpea Sanchinarro, Madrid, Espana.
Universidad Rey Juan Carlos, 28922 Alcorcon, Espana.
Rev Neurol. 2019 Aug 16;69(4):135-144. doi: 10.33588/rn.6904.2019034.
Spinal cord injury is a complex and life-disrupting condition. The functional recovery of the upper limb has been considered as an important objective in tetraplegia because it improves significantly the quality of living in these patients. Virtual reality is a new emerging tool of rehabilitation in spinal cord injured patients.
To carry out a systematic review about the information about the application of these systems in spinal cord injury in the rehabilitation of the upper limb.
This review includes clinical trials dated until April 2018, which investigate the functional recovery of the upper limb through virtual reality systems in patients with complete or incomplete tetraplegia. The following databases were used to search for those clinical trials: Scopus, Web of Science, PubMed, Medline Complete, Science Direct, CINHAL and Brain.
Five articles were selected for this review, including randomized clinical trials and clinical trials. The main results show a good tendency on the functional recovery with the combination of virtual reality systems and conventional therapy.
The main limitations and the low quality of the studies show the necessity of further investigations with this new tool of rehabilitation. However, the incorporation of virtual reality systems as a rehabilitation supplement might be a beneficial tool on the functional recovery in spinal cord injury.
脊髓损伤是一种复杂且会扰乱生活的病症。上肢功能恢复一直被视为四肢瘫痪治疗的重要目标，因为这能显著提高这些患者的生活质量。虚拟现实是脊髓损伤患者康复领域新兴的一种工具。
对这些系统在脊髓损伤上肢康复中的应用信息进行系统综述。
本综述纳入截至2018年4月的临床试验，这些试验通过虚拟现实系统研究完全性或不完全性四肢瘫痪患者的上肢功能恢复情况。使用以下数据库搜索这些临床试验：Scopus、科学引文索引、PubMed、医学在线全文数据库、科学直达、护理学与健康领域数据库以及Brain。
本综述选取了5篇文章，包括随机临床试验和临床试验。主要结果表明，虚拟现实系统与传统疗法相结合，在上肢功能恢复方面呈现出良好趋势。
研究的主要局限性和低质量表明，有必要使用这种新的康复工具进行进一步研究。然而，将虚拟现实系统作为康复辅助手段，可能是促进脊髓损伤患者功能恢复的有益工具。
