Melillo Antonio, Chirico Andrea, De Pietro Giuseppe, Gallo Luigi, Caggianese Giuseppe, Barone Daniela, De Laurentiis Michelino, Giordano Antonio
Department of Mental and Physical Health and Preventive Medicine, "Luigi Vanvitelli" University of Campania, 80129 Naples, Italy.
Department of Biology, Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA.
Cancers (Basel). 2022 Jun 28;14(13):3163. doi: 10.3390/cancers14133163.
Rehabilitation plays a crucial role in cancer care, as the functioning of cancer survivors is frequently compromised by impairments that can result from the disease itself but also from the long-term sequelae of the treatment. Nevertheless, the current literature shows that only a minority of patients receive physical and/or cognitive rehabilitation. This lack of rehabilitative care is a consequence of many factors, one of which includes the transportation issues linked to disability that limit the patient's access to rehabilitation facilities. The recent COVID-19 pandemic has further shown the benefits of improving telemedicine and home-based rehabilitative interventions to facilitate the delivery of rehabilitation programs when attendance at healthcare facilities is an obstacle. In recent years, researchers have been investigating the benefits of the application of virtual reality to rehabilitation. Virtual reality is shown to improve adherence and training intensity through gamification, allow the replication of real-life scenarios, and stimulate patients in a multimodal manner. In our present work, we offer an overview of the present literature on virtual reality-implemented cancer rehabilitation. The existence of wide margins for technological development allows us to expect further improvements, but more randomized controlled trials are needed to confirm the hypothesis that VRR may improve adherence rates and facilitate telerehabilitation.
康复在癌症护理中起着至关重要的作用，因为癌症幸存者的身体机能常常受到损害的影响，这些损害可能由疾病本身导致，也可能源于治疗的长期后遗症。然而，目前的文献表明，只有少数患者接受了身体和/或认知康复治疗。这种康复护理的缺乏是由多种因素造成的，其中一个因素包括与残疾相关的交通问题，这限制了患者获得康复设施的机会。最近的新冠疫情进一步显示了改善远程医疗和家庭康复干预措施的好处，以便在前往医疗机构就诊成为障碍时促进康复项目的实施。近年来，研究人员一直在研究虚拟现实技术应用于康复的益处。虚拟现实通过游戏化的方式提高了依从性和训练强度，能够复制现实生活场景，并以多模式的方式刺激患者。在我们目前的工作中，我们对目前关于虚拟现实实施的癌症康复的文献进行了综述。技术发展仍有很大空间，这让我们有望看到进一步的改进，但需要更多的随机对照试验来证实虚拟现实康复（VRR）可能提高依从率并促进远程康复的假设。
