Centre Hospitalier Rives de Seine, Courbevoie, France.
Department of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain.
Games Health J. 2020 Feb;9(1):1-10. doi: 10.1089/g4h.2019.0043.
Stroke is the main cause of disability in adulthood. Recent advances in virtual reality (VR) technologies have led to its increased use in the rehabilitation of stroke patients. A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to determine the effectiveness of game-based reality on upper limb (UL) motor function and quality of life after stroke. In March 2018, a search of the following databases was performed: PubMed, PEDro, Web of Science, Scopus, The Cochrane Library, and Medline at EBSCO. The selection criteria were all RCTs published in English or Spanish during the past 10 years. The PEDro scale was used to evaluate the methodological quality of the studies. A total of 20 clinical trials were included in the systemic review, of which 15 contributed information to the meta-analysis. Favorable results were found for VR interventions on UL motor function (Fugl-Meyer Assessment for upper extremity, standardized mean difference [SMD] = 1.53, 95% CI [0.51-2.54]) and quality of life (functional independence measure, SMD = 0.77, 95% CI [0.05-1.49]). The results demonstrate the potential benefits of VR interventions on the recovery of UL motor function and on quality of life after stroke.
中风是成年人残疾的主要原因。虚拟现实 (VR) 技术的最新进展使其在中风患者康复中的应用越来越广泛。对随机对照试验 (RCT) 的系统评价和荟萃分析旨在确定基于游戏的虚拟现实对上肢 (UL) 运动功能和中风后生活质量的影响。2018 年 3 月，在以下数据库中进行了搜索：PubMed、PEDro、Web of Science、Scopus、The Cochrane Library 和 EBSCO 的 Medline。选择标准是过去 10 年发表的所有英语或西班牙语的 RCT。使用 PEDro 量表评估研究的方法学质量。系统评价共纳入 20 项临床试验，其中 15 项为荟萃分析提供了信息。VR 干预对上肢运动功能（上肢 Fugl-Meyer 评估，标准化均数差 [SMD] = 1.53，95%置信区间 [0.51-2.54]）和生活质量（功能独立性测量，SMD = 0.77，95%置信区间 [0.05-1.49]）的结果均为有利。结果表明 VR 干预对上肢运动功能恢复和中风后生活质量有潜在益处。
