Department of Physical Education, Shenzhen University, Shenzhen 518061, China.
Department of Health, Exercise Science and Recreation Management, University of Mississippi, Oxford, MS 38655, USA.
Int J Environ Res Public Health. 2019 Oct 28;16(21):4161. doi: 10.3390/ijerph16214161.
This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP. To this end, relevant literature up until 3 August 2019 was retrieved from Chinese databases (CNKI and Wanfang Data) and the databases in other languages (Web of Science, Pubmed, EBSCOhost, Informit, Scopus, Science Direct, and ProQuest), and bias analysis was conducted with the PEDro scale in this research. Randomized controlled trials (RCTs) were selected and underwent meta-analysis, and combined effect size was calculated with a random effects model. The results showed that VR games may improve the balance of children with CP (Hedge's g = 0.29; 95% CI 0.10-0.48), and no significant influence of the intervention on balance of children with CP was shown in the subgroup analysis. In conclusion, VR games played a positive role in the improvement of balance of children with CP, but these results should be viewed with caution owing to current methodological defects (difference in measurement, heterogeneity of control groups, intervention combined with other treatments, etc.).
本研究旨在通过定量综合现有文献，评估虚拟现实（VR）游戏对脑瘫儿童平衡恢复的影响，并进一步确定 VR 游戏干预（每次干预的持续时间、干预频率、干预周期和总干预时间）对脑瘫儿童平衡恢复的影响。为此，截至 2019 年 8 月 3 日，从中文数据库（中国知网和万方数据）和其他语言数据库（Web of Science、Pubmed、EBSCOhost、Informit、Scopus、Science Direct 和 ProQuest）中检索了相关文献，并使用 PEDro 量表进行了偏倚分析。本研究选择了随机对照试验（RCT）并进行了荟萃分析，并使用随机效应模型计算了合并效应量。结果表明，VR 游戏可能改善脑瘫儿童的平衡能力（Hedge's g = 0.29；95%CI 0.10-0.48），但亚组分析显示干预对脑瘫儿童平衡能力无显著影响。总之，VR 游戏在改善脑瘫儿童平衡能力方面发挥了积极作用，但由于目前方法学上的缺陷（测量方法不同、对照组的异质性、干预与其他治疗相结合等），这些结果应谨慎看待。
