School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China.
School of Rehabilitation Medicine, Capital Medical University, Beijing 100068, China.
J Healthc Eng. 2021 Nov 29;2021:7363403. doi: 10.1155/2021/7363403. eCollection 2021.
To systematically evaluate the effectiveness of virtual reality (VR) in the rehabilitation of patients with functional ankle instability (FAI).
Nine databases were researched, including PubMed, Cochrane Library, Web of Science, Embase, OVID, CNKI, VIP, WanFang, SinoMed, ResearchGate, and WorldWildScience. The publication date deadline was May 22, 2021. To analyze the effect of VR rehabilitation of FAI, we systematically reviewed the literature using the RevMan 5.4 software. Five randomized controlled trials (RCTs) were included in the analysis, consisting of 137 patients with FAI; 68 of them were in the experimental group, 69 were in the control group, and all were university students. A comparison study was conducted between the two groups in terms of balance function, muscle performance, and proprioception. VR rehabilitation in the treatment of FAI was found to be significantly more effective using a 30-second single-leg standing test than conventional rehabilitation. The angular offset index of VR rehabilitation training was significantly lower than that of conventional balance training (0.66 ± 0.18 vs. 0.95 ± 0.21; = 0.005).
VR rehabilitation is effective at treating FAI. However, RCTs with higher homogeneity are needed to provide a more reliable evidence-based foundation for clinical rehabilitation.
系统评价虚拟现实（VR）在功能性踝关节不稳（FAI）患者康复中的疗效。
检索PubMed、Cochrane Library、Web of Science、Embase、OVID、CNKI、VIP、万方、中国生物医学文献服务系统、ResearchGate 和 WorldWildScience 9 个数据库，检索时限均为 2021 年 5 月 22 日。应用 RevMan 5.4 软件对 VR 康复治疗 FAI 的疗效进行系统评价。纳入 5 项随机对照试验（RCT），共 137 例 FAI 患者，其中 68 例为实验组，69 例为对照组，均为大学生。对两组平衡功能、肌肉力量、本体感觉进行比较分析。结果发现，VR 康复治疗 FAI 的 30 秒单腿站立试验优于传统康复治疗，VR 康复训练的角度偏移指数明显低于传统平衡训练（0.66 ± 0.18 vs. 0.95 ± 0.21； = 0.005）。
VR 康复治疗 FAI 有效，但仍需要同质性更高的 RCT 来为临床康复提供更可靠的循证基础。
