Shen Jiabin, Johnson Sarah, Chen Cheng, Xiang Henry
Center for Pediatric Trauma Research (JS, SJ, CC, HX).
Center for Injury Research and Policy (JS, SJ, CC, HX).
Am J Lifestyle Med. 2018 Feb 6;14(1):6-15. doi: 10.1177/1559827618756588. eCollection 2020 Jan-Feb.
. Pediatric traumatic brain injury (TBI) is associated with physical and psychobehavioral impairment in children. Effective rehabilitation programs postinjury are critical for children with TBI. Virtual reality (VR) has been increasingly adopted for brain injury rehabilitation. However, scientific synthesis is lacking in evaluating its effectiveness in pediatric TBI rehabilitation. This article aimed to conduct a systematic review on the effectiveness of VR-based pediatric TBI rehabilitation. . A systematic literature search was conducted in PubMed, PsycInfo, SCOPUS, CENTRAL, BioMed Central, CiNAHL, and Web of Science through November 2015. Personal libraries and relevant references supplemented the search. Two authors independently reviewed the abstracts and/or full text of 5824 articles. Data extraction and qualitative synthesis was conducted along with quantitative assessment of research quality by 2 authors. . A positive impact was found for VR-based interventions on children's physical rehabilitation post-TBI. The quality of research evidence was moderate, which largely suffered from small samples, lack of immersive VR experience, and lack of focus on socioemotional outcomes post-TBI. . The present review identified positive effects of VR interventions for pediatric TBI rehabilitation especially in physical outcomes. Future research should include larger samples and broader post-TBI outcomes in children using VR-based interventions.
小儿创伤性脑损伤（TBI）与儿童的身体及心理行为损伤相关。伤后有效的康复计划对TBI患儿至关重要。虚拟现实（VR）已越来越多地应用于脑损伤康复。然而，在评估其在小儿TBI康复中的有效性方面缺乏科学的综合分析。本文旨在对基于VR的小儿TBI康复的有效性进行系统评价。
通过检索截至2015年11月的PubMed、PsycInfo、SCOPUS、CENTRAL、BioMed Central、CiNAHL和Web of Science进行系统的文献检索。个人藏书及相关参考文献补充了检索内容。两位作者独立审阅了5824篇文章的摘要和/或全文。由两位作者进行数据提取和定性综合分析，并对研究质量进行定量评估。
发现基于VR的干预措施对小儿TBI后的身体康复有积极影响。研究证据的质量中等，主要存在样本量小、缺乏沉浸式VR体验以及未关注TBI后的社会情感结局等问题。
本综述确定了VR干预对小儿TBI康复有积极作用，尤其是在身体结局方面。未来的研究应纳入更大样本量，并在使用基于VR干预措施的儿童中纳入更广泛的TBI后结局。
