Garay-Sánchez Aitor, Suarez-Serrano Carmen, Ferrando-Margelí Mercedes, Jimenez-Rejano Jose Jesus, Marcén-Román Yolanda
Institute for Health Research Aragón (IIS Aragón), Miguel Servet University Hospital, 50009 Zaragoza, Spain.
Department of Physiotherapy, University of Seville, 41009 Seville, Spain.
J Clin Med. 2021 Sep 28;10(19):4473. doi: 10.3390/jcm10194473.
(1) Background: The development of new technologies means that the use of virtual reality is increasingly being implemented in rehabilitative approaches for adult stroke patients.
To analyze the existing scientific evidence regarding the application of immersive and non-immersive virtual reality in patients following cerebrovascular incidents and their efficacy in achieving dynamic and static balance. (2) Data sources: An electronic search of the databases Medline, Cochrane Library, PEDro, Scopus, and Scielo from January 2010 to December 2020 was carried out using the terms physiotherapy, physical therapy, virtual reality, immersive virtual reality, non-immersive virtual reality, stroke, balance, static balance, and dynamic balance.
Randomized controlled trials in patients older than 18 developed with an adult population (>18 years old) with balance disorders as a consequence of suffering a stroke in the previous six months before therapeutic intervention, including exercises harnessing virtual reality in their interventions and evaluations of balance and published in English or Spanish, were included. A total of two hundred twenty-seven articles were found, ten of which were included for review and of these, nine were included in the subsequent meta-analysis. (3) Data extraction: Two authors selected the studies and extracted their characteristics (participants, interventions, and validation instruments) and results. The methodological quality of the studies was evaluated using the PEDro scale, and the risk of bias was determined using the Cochrane risk-of-bias tool.
Of the selected studies, three did not show significant improvements and seven showed significant improvements in the intervention groups in relation to the variables. (4) Conclusions: Non-immersive virtual reality combined with conventional rehabilitation could be considered as a therapeutic option.
（1）背景：新技术的发展意味着虚拟现实在成人中风患者康复方法中的应用越来越广泛。
分析关于沉浸式和非沉浸式虚拟现实在脑血管事件后患者中的应用及其在实现动态和静态平衡方面的疗效的现有科学证据。（2）数据来源：使用术语物理治疗、物理疗法、虚拟现实、沉浸式虚拟现实、非沉浸式虚拟现实、中风、平衡、静态平衡和动态平衡，对2010年1月至2020年12月期间的Medline、Cochrane图书馆、PEDro、Scopus和Scielo数据库进行了电子检索。
纳入年龄大于18岁、因在治疗干预前六个月内中风而患有平衡障碍的成年人群（>18岁）的随机对照试验，这些试验在干预中包括利用虚拟现实的练习以及平衡评估，并且以英文或西班牙文发表。共找到227篇文章，其中10篇纳入综述，随后的荟萃分析纳入了其中9篇。（3）数据提取：两位作者选择研究并提取其特征（参与者、干预措施和验证工具）及结果。使用PEDro量表评估研究的方法学质量，并使用Cochrane偏倚风险工具确定偏倚风险。
在所选研究中，3项未显示出显著改善，7项显示干预组在变量方面有显著改善。（4）结论：非沉浸式虚拟现实结合传统康复可被视为一种治疗选择。
