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系统评价:基于虚拟现实的人体运动与健康促进技术

A systematic review: Virtual-reality-based techniques for human exercises and health improvement.

机构信息

Department of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai, China.

Department of Ophthalmology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Public Health. 2023 Mar 23;11:1143947. doi: 10.3389/fpubh.2023.1143947. eCollection 2023.

Abstract

Virtual Reality (VR) has emerged as a new safe and efficient tool for the rehabilitation of many childhood and adulthood illnesses. VR-based therapies have the potential to improve both motor and functional skills in a wide range of age groups through cortical reorganization and the activation of various neuronal connections. Recently, the potential for using serious VR-based games that combine perceptual learning and dichoptic stimulation has been explored for the rehabilitation of ophthalmological and neurological disorders. In ophthalmology, several clinical studies have demonstrated the ability to use VR training to enhance stereopsis, contrast sensitivity, and visual acuity. The use of VR technology provides a significant advantage in training each eye individually without requiring occlusion or penalty. In neurological disorders, the majority of patients undergo recurrent episodes (relapses) of neurological impairment, however, in a few cases (60-80%), the illness progresses over time and becomes chronic, consequential in cumulated motor disability and cognitive deficits. Current research on memory restoration has been spurred by theories about brain plasticity and findings concerning the nervous system's capacity to reconstruct cellular synapses as a result of interaction with enriched environments. Therefore, the use of VR training can play an important role in the improvement of cognitive function and motor disability. Although there are several reviews in the community employing relevant Artificial Intelligence in healthcare, VR has not yet been thoroughly examined in this regard. In this systematic review, we examine the key ideas of VR-based training for prevention and control measurements in ocular diseases such as Myopia, Amblyopia, Presbyopia, and Age-related Macular Degeneration (AMD), and neurological disorders such as Alzheimer, Multiple Sclerosis (MS) Epilepsy and Autism spectrum disorder. This review highlights the fundamentals of VR technologies regarding their clinical research in healthcare. Moreover, these findings will raise community awareness of using VR training and help researchers to learn new techniques to prevent and cure different diseases. We further discuss the current challenges of using VR devices, as well as the future prospects of human training.

摘要

虚拟现实(VR)已成为治疗许多儿童和成人疾病的一种新的安全有效的工具。基于 VR 的疗法具有通过皮层重组和激活各种神经元连接来改善广泛年龄段的运动和功能技能的潜力。最近,人们探索了使用结合感知学习和双眼刺激的严肃 VR 游戏来治疗眼科和神经疾病的潜力。在眼科领域,几项临床研究已经证明了使用 VR 训练来增强立体视、对比敏感度和视力的能力。使用 VR 技术在不要求遮盖或惩罚的情况下为每个眼睛提供了单独训练的显著优势。在神经疾病中,大多数患者经历神经损伤的反复发作(复发),然而,在少数情况下(60-80%),疾病随着时间的推移而进展并成为慢性,导致累积性运动障碍和认知缺陷。目前,关于记忆恢复的研究受到大脑可塑性理论和关于神经系统由于与丰富环境相互作用而重建细胞突触的能力的发现的推动。因此,VR 训练可以在改善认知功能和运动障碍方面发挥重要作用。尽管在医疗保健领域有几个使用相关人工智能的社区评论,但 VR 在这方面尚未得到彻底研究。在这个系统评价中,我们检查了基于 VR 的训练在眼部疾病(如近视、弱视、老花眼和年龄相关性黄斑变性(AMD))和神经疾病(如阿尔茨海默病、多发性硬化症(MS)、癫痫和自闭症谱系障碍)的预防和控制措施中的关键思想。本综述强调了 VR 技术在医疗保健临床研究方面的基本原理。此外,这些发现将提高社区对使用 VR 训练的认识,并帮助研究人员学习预防和治疗不同疾病的新技术。我们进一步讨论了使用 VR 设备的当前挑战,以及人类训练的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/119f/10076722/2f720077c396/fpubh-11-1143947-g0001.jpg

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