Stander Jessica, du Preez Jennifer C, Kritzinger Chantel, Obermeyer Natasha M, Struwig Silke, van Wyk Nikki, Zaayman Jessica, Burger Marlette
Division of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
S Afr J Physiother. 2021 May 20;77(1):1516. doi: 10.4102/sajp.v77i1.1516. eCollection 2021.
Individuals with Down syndrome may struggle with anticipatory postural adjustments, and adapt slower to motor tasks and environmental changes, due to decreased motor proficiency.
To determine the effectiveness of virtual reality therapy (VRT), specifically Nintendo Wii, combined with physiotherapy or occupational therapy (OT) for improving motor proficiency in individuals with Down syndrome, compared to standard physiotherapy, OT or no intervention.
Nine computerised databases were searched from inception to July 2020. Methodological quality of randomised controlled trials and quasi-experimental studies was appraised using the physiotherapy evidence database (PEDro) scale and the Joanna Briggs Institute Critical Appraisal Checklist for Case Reports.
Two randomised controlled trials and four quasi-experimental studies were included, with an average PEDro score of 7.3. One included case study scored 5. This review included 345 participants. Motor proficiency includes balance, coordination, strength and agility. Agility showed a significant improvement after 5 ( = 0.01) or 24 ( < 0.01) weeks. Strength showed a significant improvement after a 6- ( = 0.000) or 24-week intervention ( < 0.05). Balance showed inconclusive results for adults, and significant improvement in children after 6 ( = 0.000), 8 ( < 0.05) or 24 ( < 0.003) weeks. One study ( = 155) showed that upper limb and bilateral coordination improved significantly after 24 weeks ( < 0.003).
Level II, III-1 and IV evidence suggested that VRT may be valuable to improve agility and strength in individuals with Down syndrome, and balance and coordination in children with Down syndrome.
It may be beneficial to use VRT in addition to standard physiotherapy or OT interventions for improving motor proficiency in individuals with Down syndrome.
由于运动能力下降，唐氏综合征患者在预期姿势调整方面可能存在困难，并且对运动任务和环境变化的适应较慢。
与标准物理治疗、职业治疗或不进行干预相比，确定虚拟现实疗法（VRT），特别是任天堂Wii，联合物理治疗或职业治疗（OT）对提高唐氏综合征患者运动能力的有效性。
检索了9个计算机化数据库，检索时间从建库至2020年7月。使用物理治疗证据数据库（PEDro）量表和乔安娜·布里格斯研究所病例报告批判性评价清单对随机对照试验和半实验性研究的方法学质量进行评价。
纳入两项随机对照试验和四项半实验性研究，平均PEDro评分为7.3。纳入的一项病例研究评分为5分。本综述纳入345名参与者。运动能力包括平衡、协调、力量和敏捷性。敏捷性在5周（P = 0.01）或24周（P < 0.01）后有显著改善。力量在进行6周（P = 0.000）或24周干预后有显著改善（P < 0.05）。平衡能力在成人中结果不明确，在儿童中6周（P = 0.000）、8周（P < 0.05）或24周（P < 0.003）后有显著改善。一项研究（n = 155）表明，24周后上肢和双侧协调性有显著改善（P < 0.003）。
二级、三级-1和四级证据表明，VRT可能对提高唐氏综合征患者的敏捷性和力量以及唐氏综合征儿童的平衡和协调性有价值。
除标准物理治疗或OT干预外，使用VRT可能有助于提高唐氏综合征患者的运动能力。
