School of Health Sciences, University of Canterbury, Christchurch, New Zealand.
School of Physiotherapy, Centre for Health, Activity, and Rehabilitation Research (CHARR), University of Otago, Christchurch, New Zealand.
Neuropsychol Rehabil. 2023 Sep;33(8):1430-1455. doi: 10.1080/09602011.2022.2107021. Epub 2022 Aug 5.
This systematic review aimed to present the comparison of the impacts of conventional exercise and virtual reality (VR) exergaming on the physical and cognitive abilities of people with multiple sclerosis (PwMS). The literature search was conducted in the EMBASE, PubMed, Scopus, CINAHL, and Cochrane Library databases. Eligible studies were identified by independent reviewers based on the title, abstract and full-texts. Studies were limited to randomized clinical trials published in peer-reviewed journals in English that compared conventional exercise with VR-exergaming for improving the physical and cognitive abilities of PwMS. Selected studies were assessed for their risk of bias and the major findings of the reviewed studies were analyzed descriptively. The search identified 239 articles of which 10 studies met the eligibility criteria. Despite these studies employing strategies to control biases, some risks of bias remain. Various gaming platforms and conventional exercises were used based on the extent of technologies and therapy regimens. The selected studies used measures of physical and cognitive abilities to compare VR-exergaming with conventional exercise. This review suggests positive impacts of both VR-exergaming and conventional exercise in MS rehabilitation. We also found that VR-exergaming generally exceeded conventional exercise for improving physical and cognitive abilities, psychosocial status, and fatigue.
本系统评价旨在展示常规运动与虚拟现实（VR）游戏锻炼对多发性硬化症患者（PwMS）身体和认知能力影响的比较。文献检索在 EMBASE、PubMed、Scopus、CINAHL 和 Cochrane Library 数据库中进行。根据标题、摘要和全文，由独立评审员确定符合条件的研究。研究仅限于发表在同行评议期刊上的英文随机临床试验，这些研究比较了常规运动与 VR 游戏锻炼对改善 PwMS 身体和认知能力的效果。选择的研究评估了其偏倚风险，对综述研究的主要发现进行了描述性分析。检索共确定了 239 篇文章，其中 10 项研究符合纳入标准。尽管这些研究采用了控制偏倚的策略，但仍存在一些偏倚风险。基于技术和治疗方案的程度，选择了使用各种游戏平台和常规运动的研究。选定的研究使用身体和认知能力的测量来比较 VR 游戏锻炼与常规运动。本综述表明 VR 游戏锻炼和常规运动对 MS 康复都有积极影响。我们还发现，VR 游戏锻炼通常比常规运动更能改善身体和认知能力、心理社会状态和疲劳。
