Centre for Smart Health, School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong.
Medicina (Kaunas). 2023 Apr 21;59(4):813. doi: 10.3390/medicina59040813.
: This systematic review aimed to clarify the effectiveness of virtual reality rehabilitation on physical outcomes for people with stroke. : Articles were searched through PubMed, EMBASE, the Cochrane Library, the Physiotherapy Evidence Database, CINAHL, Web of Science, and ProQuest Dissertations and Theses, from inception to 30 April 2022. Methodological quality was scored using the Assessing the Methodological Quality of Systematic Reviews 2 tool. Each systematic review for the outcome of interest was assessed by two independent reviewers using the Grading of Recommendations Assessment, Development, and Evaluation system. : Twenty-six articles were selected. These studies evaluated the effectiveness of virtual reality on limb motor function, balance, gait, and daily function in patients with stroke. The findings suggested a beneficial effect of virtual reality; there was a "very low" to "moderate" quality of evidence for improved limb extremity function, balance, and daily function, and a "very low" to "moderate" quality of evidence for improved gait. : Despite widespread interest in the use of virtual reality rehabilitation, high-quality evidence for its routine use in stroke treatment is lacking. Further research is needed to determine the treatment modality, duration, and long-term effects of virtual reality on stroke populations.
本系统评价旨在阐明虚拟现实康复对脑卒中患者身体康复结果的有效性。研究人员通过 PubMed、EMBASE、Cochrane 图书馆、物理治疗证据数据库、CINAHL、Web of Science 和 ProQuest Dissertations and Theses 等数据库，从建库至 2022 年 4 月 30 日，对相关文献进行了检索。采用评估系统综述方法学质量（Assessing the Methodological Quality of Systematic Reviews 2）工具对文献质量进行评分。针对感兴趣结局的每篇系统评价，均由两位独立的评审员采用推荐评估、制定与评估分级（Grading of Recommendations Assessment, Development, and Evaluation）系统进行评估。
共纳入 26 篇文章，这些研究评估了虚拟现实对脑卒中患者肢体运动功能、平衡、步态和日常功能的影响。结果表明虚拟现实具有有益的效果，改善肢体功能、平衡和日常功能的证据质量为“极低”到“中度”，改善步态的证据质量为“极低”到“中度”。
尽管虚拟现实康复的应用受到广泛关注，但缺乏其在脑卒中治疗中常规应用的高质量证据。需要进一步的研究来确定虚拟现实对脑卒中患者的治疗模式、时长和长期效果。
