Rijndam Revalidatie centrum , Rotterdam, LJ, Netherlands.
Revant Rehabilitation Centres , Breda, JW, Netherlands.
Dev Neurorehabil. 2020 Nov;23(8):502-518. doi: 10.1080/17518423.2019.1683907. Epub 2019 Nov 1.
: To investigate the effect of Virtual Reality Therapy (VRT) on balance and walking in children with cerebral palsy (CP). : A systematic search in Pubmed and Embase was performed until the 9th of July 2019. Articles were included if the population consisted of children with CP data on balance and/or walking were reported. Results were pooled in two meta-analyses. : 26 articles were included. For 'balance' 5 and for 'walking' 4 were used for the meta-analyses. The meta-analyses showed a significant result in favor of VRT for balance, SMD 0.89 [95% CI, SD 0.14, 1.63] and for walking, SMD 3.10 [95% Cl, SD 0.78, 5.35]. : VRT seems a promising intervention for rehabilitation in children with CP. The meta-analysis confirmed this positive effect. These results must be interpreted with caution due to differences in the interventions used, the lack of randomized-controlled trials, and the relatively small groups.
: 目的:探讨虚拟现实疗法(VRT)对脑瘫儿童平衡和行走能力的影响。: 我们在 PubMed 和 Embase 中进行了系统检索,检索时间截至 2019 年 7 月 9 日。如果研究人群为脑瘫儿童,且报告了平衡和/或行走数据,则纳入相关研究。我们对两项 meta 分析的数据进行了汇总。: 共纳入 26 篇文章。其中,有 5 篇文章用于平衡能力的 meta 分析,4 篇文章用于行走能力的 meta 分析。meta 分析结果显示,VRT 对平衡能力(SMD 0.89[95%CI,SD 0.14,1.63])和行走能力(SMD 3.10[95%CI,SD 0.78,5.35])均具有显著的积极影响。: VRT 似乎是脑瘫儿童康复治疗有前途的干预手段。该 meta 分析证实了这种积极的影响。但由于干预措施的差异、缺乏随机对照试验以及相对较小的研究群体,这些结果必须谨慎解释。