虚拟现实技术在杜氏肌营养不良症治疗中的应用：系统评价。
The Use of Virtual Reality Technologies in the Treatment of Duchenne Muscular Dystrophy: Systematic Review.
机构信息
Department of Physiotherapy, Faculty of Health Sciences, University of Malaga, Malaga, Spain.
Department of Physiotherapy, University of Seville, Seville, Spain.
出版信息
JMIR Mhealth Uhealth. 2020 Dec 8;8(12):e21576. doi: 10.2196/21576.
BACKGROUND
Duchenne muscular dystrophy is a serious and progressive disease affecting one in 3500-6000 live male births. The use of new virtual reality technologies has revolutionized the world of youth rehabilitation.
OBJECTIVE
We performed a systematic review to study the effectiveness of the use of virtual reality systems applied in the rehabilitation of the upper limbs of individuals with Duchenne muscular dystrophy.
METHODS
Between June 2018 and September 2019, we carried out a series of searches in 5 scientific databases: (1) PubMed, (2) Web of Science, (3) Scopus, (4) The Cochrane Library, and (5) MEDLINE via EBSCO. Two evaluators independently conducted the searches following the PRISMA recommendations for systematic reviews for articles. Two independent evaluators collated the results. Article quality was determined using the PEDro scale.
RESULTS
A total of 7 clinical trials were included in the final review. These studies used new technologies as tools for physiotherapeutic rehabilitation of the upper limbs of patients with Duchenne muscular dystrophy. Collectively, the studies showed improvement in functionality, quality of life, and motivation with the use of virtual reality technologies in the rehabilitation of upper limbs of individuals with Duchenne muscular dystrophy.
CONCLUSIONS
The treatment of neuromuscular diseases has changed in recent years, from palliative symptom management to preventive methods for capacity building. The use of virtual reality is beginning to be necessary in the treatment of progressive diseases involving movement difficulties, as it provides freedom and facilitates the improvement of results in capacity training. Given that new technologies are increasingly accessible, rehabilitation and physiotherapy programs can use these technologies more frequently, and virtual reality environments can be used to improve task performance, which is essential for people with disabilities. Ultimately, virtual reality can be a great tool for physiotherapy and can be used for Duchenne muscular dystrophy rehabilitation programs to improve patient performance during training.
TRIAL REGISTRATION
PROSPERO International Prospective Register of Systematic Reviews CRD42018102548; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=102548.
背景
杜氏肌营养不良症是一种严重且进行性的疾病，每 3500-6000 名活产男婴中就有 1 名患病。新的虚拟现实技术的应用彻底改变了青少年康复领域。
目的
我们进行了一项系统评价，研究虚拟现实系统在杜氏肌营养不良症患者上肢康复中的应用效果。
方法
2018 年 6 月至 2019 年 9 月，我们在 5 个科学数据库中进行了一系列搜索：（1）PubMed；（2）Web of Science；（3）Scopus；（4）The Cochrane Library；（5）EBSCO 中的 MEDLINE。两名评估员根据系统评价的 PRISMA 建议独立进行了文章搜索。两名独立评估员对结果进行了整理。使用 PEDro 量表评估文章质量。
结果
最终综述纳入了 7 项临床试验。这些研究使用新技术作为杜氏肌营养不良症患者上肢物理治疗康复的工具。总的来说，这些研究表明，在杜氏肌营养不良症患者上肢康复中使用虚拟现实技术可改善功能、生活质量和动力。
结论
近年来，神经肌肉疾病的治疗已从姑息性症状管理转变为预防能力建设的方法。虚拟现实的应用在涉及运动困难的进行性疾病的治疗中开始变得必要，因为它提供了自由并促进了能力训练中结果的改善。由于新技术越来越容易获得，康复和物理治疗计划可以更频繁地使用这些技术，并且虚拟现实环境可以用于提高任务表现，这对残疾人来说至关重要。最终，虚拟现实可以成为物理治疗的重要工具，并可用于杜氏肌营养不良症康复计划，以提高患者在训练中的表现。
试验注册
PROSPERO 国际前瞻性系统评价注册中心 CRD42018102548；https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=102548。
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