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探索基于虚拟现实的康复在中风中的疗效:当前证据的叙述性综述。

Exploring the efficacy of virtual reality-based rehabilitation in stroke: a narrative review of current evidence.

机构信息

Department of Medicine and Surgery, LadokeAkintola University of Technology, Ogbomoso, Nigeria.

Department of Medicine and Surgery, University of Ilorin, Ilorin, Nigeria.

出版信息

Ann Med. 2023;55(2):2285907. doi: 10.1080/07853890.2023.2285907. Epub 2023 Nov 27.

DOI:10.1080/07853890.2023.2285907
PMID:38010358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10836287/
Abstract

BACKGROUND

Stroke rehabilitation presents a complex challenge, necessitating innovative approaches to optimise functional recovery. Virtual Reality-Based Rehabilitation (VRBR) has emerged as a promising intervention that capitalises on immersive technology to engage stroke survivors in their recovery journey. This review aims to examine the efficacy of VRBR in stroke rehabilitation, focusing on its advantages and challenges.

METHODS

A comprehensive search of relevant literature was conducted to gather evidence on the efficacy of VRBR in stroke survivors. Studies that investigated the impact of VRBR on patient engagement, functional recovery, and overall rehabilitation outcomes were included. The review also assessed the ability of VRBR to simulate real-life scenarios and facilitate essential daily activities for stroke survivors.

RESULTS

The review highlights that VRBR offers a unique immersive experience that enhances patient engagement and motivation during rehabilitation. The immersive nature of VRBR fosters a sense of presence, which can positively impact treatment adherence and outcomes. Moreover, VRBR's capacity to replicate real-world scenarios provides stroke survivors with opportunities to practice vital daily activities, promoting functional independence. In contrast, conventional rehabilitation methods lack the same level of engagement and real-world simulation.

CONCLUSION

VRBR holds promise as an efficacious intervention in stroke rehabilitation. Its immersive nature enhances patient engagement and motivation, potentially leading to better treatment adherence and outcomes. The ability of VRBR to simulate real-life scenarios offers a unique platform. However, challenges such as cost, equipment, patient suitability, data privacy, and acceptance must be addressed for successful integration into stroke rehabilitation practice.

摘要

背景

中风康复是一个复杂的挑战,需要创新的方法来优化功能恢复。基于虚拟现实的康复(VRBR)已经成为一种很有前途的干预手段,它利用沉浸式技术让中风幸存者参与到他们的康复之旅中。本综述旨在探讨 VRBR 在中风康复中的疗效,重点关注其优点和挑战。

方法

我们对相关文献进行了全面搜索,以收集 VRBR 对中风幸存者的疗效的证据。纳入了研究 VRBR 对患者参与度、功能恢复和整体康复结果影响的研究。综述还评估了 VRBR 模拟现实生活场景和促进中风幸存者进行基本日常活动的能力。

结果

综述强调 VRBR 提供了一种独特的沉浸式体验,可提高中风康复过程中的患者参与度和积极性。VRBR 的沉浸式性质可以培养存在感,这可以对治疗依从性和结果产生积极影响。此外,VRBR 复制现实世界场景的能力为中风幸存者提供了练习重要日常活动的机会,促进了功能独立性。相比之下,传统的康复方法缺乏相同的参与度和现实世界的模拟。

结论

VRBR 作为中风康复的一种有效干预手段具有很大的潜力。它的沉浸式性质提高了患者的参与度和积极性,可能会导致更好的治疗依从性和结果。VRBR 模拟现实生活场景的能力提供了一个独特的平台。然而,必须解决成本、设备、患者适用性、数据隐私和接受度等挑战,才能成功将 VRBR 整合到中风康复实践中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6623/10836287/4fb89942a86e/IANN_A_2285907_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6623/10836287/7e868df3a400/IANN_A_2285907_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6623/10836287/4fb89942a86e/IANN_A_2285907_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6623/10836287/7e868df3a400/IANN_A_2285907_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6623/10836287/4fb89942a86e/IANN_A_2285907_F0002_B.jpg

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Use of Virtual Reality and Videogames in the Physiotherapy Treatment of Stroke Patients: A Pilot Randomized Controlled Trial.虚拟现实和电子游戏在脑卒中患者物理治疗中的应用:一项初步随机对照试验。
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