沉浸式虚拟现实镜像疗法在脑卒中后上肢康复中的应用:范围综述。

Application of immersive virtual reality mirror therapy for upper limb rehabilitation after stroke: a scoping review.

机构信息

Healthcare Technologies Research Group, School of Health and Social Care (Sighthill Campus), Edinburgh Napier University, Edinburgh, UK.

Principal's Office, Edinburgh Napier University, Edinburgh, UK.

出版信息

Neurol Sci. 2024 Sep;45(9):4173-4184. doi: 10.1007/s10072-024-07543-3. Epub 2024 Apr 29.

Abstract

Mirror therapy is a commonly used rehabilitation intervention in post stroke upper limb rehabilitation. Despite many potential technological developments, mirror therapy is routinely delivered through the use of a static mirror or mirror box. This review aims to synthesise evidence on the application of immersive virtual reality mirror therapy (IVRMT) in poststroke upper limb rehabilitation. A scoping review was performed on relevant English studies published between 2013 to 2023. Literature search was undertaken on APA PsycInfo, CINAHL, Cochrane Library, MEDLINE, PubMed and Web of Science between August 5 and 17, 2023. Additional studies were included from Google Scholar and reference lists of identified articles. A total of 224 records were identified, of which 8 full-text articles were selected for review. All included studies were published between 2019 and 2023, and from high- and upper-middle-income nations. All the studies were experimental (n = 8). The total sample size in the studies was 259, most of whom were stroke patients with upper limb weakness (n = 184). This review identified three major themes and two sub-themes based on the contents of the studies conducted on the application of IVRMT: IVRMT's technical application, feasibility and impact on clinical outcomes (motor recovery and adverse events). IVRMT was concluded to be a safe and feasible approach to post-stroke upper limb rehabilitation, offering enhanced engagement and motor recovery. However, more methodologically robust studies should be conducted to advance this area of practice, and to include a uniform IVRMT intervention protocol, dose, and use of outcome measure.

摘要

镜像疗法是一种常用于脑卒中后上肢康复的康复干预措施。尽管有许多潜在的技术发展,但镜像疗法通常通过使用静态镜子或镜子盒来实现。本综述旨在综合评估沉浸式虚拟现实镜像疗法(IVRMT)在脑卒中后上肢康复中的应用证据。我们对 2013 年至 2023 年间发表的相关英文研究进行了范围综述。文献检索于 2023 年 8 月 5 日至 17 日在 APA PsycInfo、CINAHL、Cochrane 图书馆、MEDLINE、PubMed 和 Web of Science 上进行,同时还从 Google Scholar 和已确定文章的参考文献中纳入了其他研究。共确定了 224 条记录,其中 8 篇全文文章被选作综述。所有纳入的研究均发表于 2019 年至 2023 年,且来自高收入和中上收入国家。所有研究均为实验性研究(n=8)。研究中的总样本量为 259 例,其中大多数为上肢无力的脑卒中患者(n=184)。本综述根据对 IVRMT 应用进行的研究内容,确定了三个主要主题和两个次要主题:IVRMT 的技术应用、可行性及其对临床结果(运动恢复和不良事件)的影响。研究结果表明,IVRMT 是一种安全且可行的脑卒中后上肢康复方法,可提高患者的参与度和运动恢复。然而,应开展更多方法学上更可靠的研究来推进这一实践领域的发展,并纳入统一的 IVRMT 干预方案、剂量和结果测量方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05dc/11306508/90063f0a2450/10072_2024_7543_Fig1_HTML.jpg

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