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用于上肢中风远程康复的严肃游戏——未来研究综述

Serious Games for Stroke Telerehabilitation of Upper Limb - A Review for Future Research.

作者信息

Amorim Paula, Santos Beatriz Sousa, Dias Paulo, Silva Samuel, Martins Henrique

机构信息

Faculty of Health Sciences, University of Beira Interior, Portugal.

Institute of Electronics and Informatics Engineering of Aveiro.

出版信息

Int J Telerehabil. 2020 Dec 8;12(2):65-76. doi: 10.5195/ijt.2020.6326.

Abstract

Maintaining appropriate home rehabilitation programs after stroke, with proper adherence and remote monitoring is a challenging task. Virtual reality (VR) - based serious games could be a strategy used in telerehabilitation (TR) to engage patients in an enjoyable and therapeutic approach. The aim of this review was to analyze the background and quality of clinical research on this matter to guide future research. The review was based on research material obtained from PubMed and Cochrane up to April 2020 using the PRISMA approach. The use of VR serious games has shown evidence of efficacy on upper limb TR after stroke, but the evidence strength is still low due to a limited number of randomized controlled trials (RCT), a small number of participants involved, and heterogeneous samples. Although this is a promising strategy to complement conventional rehabilitation, further investigation is needed to strengthen the evidence of effectiveness and support the dissemination of the developed solutions.

摘要

在中风后维持适当的家庭康复计划,并确保患者适当坚持且进行远程监测,是一项具有挑战性的任务。基于虚拟现实(VR)的严肃游戏可能是一种用于远程康复(TR)的策略,能让患者以一种愉快且具有治疗作用的方式参与其中。本综述的目的是分析关于此事的临床研究背景和质量,以指导未来的研究。该综述基于截至2020年4月使用PRISMA方法从PubMed和Cochrane获取的研究材料。VR严肃游戏已显示出对中风后上肢远程康复有效的证据,但由于随机对照试验(RCT)数量有限、参与的参与者数量较少以及样本的异质性,证据强度仍然较低。尽管这是一种补充传统康复的有前景的策略,但仍需要进一步研究以加强有效性证据,并支持已开发解决方案的推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/342e/7757643/08d492353f55/ijt-12-2-65-g001.jpg

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