增强现实（AR）和虚拟现实（VR）在手部康复中的应用：系统评价。

Application of AR and VR in hand rehabilitation: A systematic review.

机构信息

Department of Informatics, University of Minho, Rua da Universidade, 4710-057 Braga, Portugal.

Department of Plastic and Reconstructive Surgery, Eberhard Karls University, BG Klinik Tuebingen, Schnarrenbergstraße 95, 72076 Tübingen, Germany.

出版信息

J Biomed Inform. 2020 Nov;111:103584. doi: 10.1016/j.jbi.2020.103584. Epub 2020 Oct 2.

DOI:10.1016/j.jbi.2020.103584

PMID:33011296

Abstract

BACKGROUND

The human hand is the part of the body most frequently injured in work related accidents, accounting for a third of all accidents at work and often involving surgery and long periods of rehabilitation. Several applications of Augmented Reality (AR) and Virtual Reality (VR) have been used to improve the rehabilitation process. However, there is no sound evidence about the effectiveness of such applications nor the main drivers of therapeutic success.

OBJECTIVES

The objective of this study was to review the efficacy of AR and VR interventions for hand rehabilitation.

METHODS

A systematic search of publications was conducted in October 2019 in IEEE Xplore, Web of Science, Cochrane library, and PubMed databases. Search terms were: (1) video game or videogame, (2) hand, (3) rehabilitation or therapy and (4) VR or AR. Articles were included if (1) were written in English, (2) were about VR or AR applications, (3) were for hand rehabilitation, (4) the intervention had tests on at least ten patients with injuries or diseases which affected hand function and (5) the intervention had baseline or intergroup comparisons (AR or VR intervention group versus conventional physical therapy group). PRISMA protocol guidelines were followed to filter and assess the articles.

RESULTS

From the eight selected works, six showed improvements in the intervention group, and two no statistical differences between groups. We were able to identify motivators of patients' adherence, namely real-time feedback to the patients, challenge, and increased individualized difficulty. Automated tracking, easy integration in the home setting and the recording of accurate metrics may increase the scalability and facilitate healthcare professionals' assessments.

CONCLUSIONS

This systematic review provided advantages and drivers for the success of AR/VR application for hand rehabilitation. The available evidence suggests that patients can benefit from the use of AR or VR interventions for hand rehabilitation.

摘要

背景

在与工作相关的事故中，人体手部是受伤最频繁的部位，占所有工作事故的三分之一，通常需要手术和长时间的康复。增强现实（AR）和虚拟现实（VR）的一些应用已经被用于改善康复过程。然而，这些应用的有效性以及治疗成功的主要驱动因素没有确凿的证据。

目的

本研究旨在综述 AR 和 VR 干预对手部康复的疗效。

方法

2019 年 10 月，我们在 IEEE Xplore、Web of Science、Cochrane 图书馆和 PubMed 数据库中进行了系统检索。检索词为：（1）视频游戏，（2）手，（3）康复或治疗，（4）VR 或 AR。纳入标准为：（1）用英文书写，（2）为 VR 或 AR 应用的相关研究，（3）为手部康复，（4）干预至少对十名手部功能受损的患者进行了测试，（5）干预有基线或组间比较（AR 或 VR 干预组与常规物理治疗组）。我们遵循 PRISMA 协议指南对文章进行筛选和评估。