Hao Jie, Chen Ziyan, Yao Zixuan, Remis Andréas, Huang Biying, Li Yanfei
Department of Health & Rehabilitation Sciences, College of Allied Health Professions, University of Nebraska Medical Center, 68198 Omaha, NE USA.
Department of Physical Therapy, Southeast Colorado Hospital, 81073 Springfield, CO USA.
J Diabetes Metab Disord. 2024 Mar 25;23(1):417-425. doi: 10.1007/s40200-024-01413-7. eCollection 2024 Jun.
This systematic review aims to identify, critically appraise, and synthesize the effects of virtual reality on balance in people with diabetes.
Five biomedical databases were searched from inception to December 15, 2023. Clinical trials investigating the effects of virtual reality on performance-based or patient-reported outcome measures related to balance function among people with diabetes were included. Two independent reviewers conducted study selection, data extraction, and quality assessment. Cochrane risk-of-bias tool-2 were used to assess included studies. Meta-analysis was performed to examine the effects of the intervention.
Six studies with a total of 257 participants were identified. Two studies had high risk of bias, and four studies had some concerns regarding risk of bias. No adverse events related to virtual reality were reported. Meta-analysis revealed significant improvements in the Berg Balance Scale (SMD = 1.56, 95% CI 0.71 to 2.40, < 0.001), Timed Up and Go test (SMD = -0.74, 95% CI -1.21 to -0.28, = 0.002), and falls efficacy (SMD = 0.99, 95% CI 0.43 to 1.54, < 0.001) following virtual reality intervention. No significant differences were found for postural sway and single leg stance measures.
Virtual reality-based rehabilitation demonstrates promising effects for improving balance in people with diabetes. Further studies with high methodological quality and large sample sizes are warranted.
The online version contains supplementary material available at 10.1007/s40200-024-01413-7.
本系统评价旨在识别、严格评估并综合虚拟现实对糖尿病患者平衡能力的影响。
检索了五个生物医学数据库，检索时间从建库至2023年12月15日。纳入了调查虚拟现实对糖尿病患者基于表现或患者报告的与平衡功能相关结局指标影响的临床试验。两名独立的评审员进行研究筛选、数据提取和质量评估。使用Cochrane偏倚风险工具2评估纳入的研究。进行荟萃分析以检验干预效果。
共识别出6项研究，涉及257名参与者。2项研究存在高偏倚风险，4项研究存在一些偏倚风险问题。未报告与虚拟现实相关的不良事件。荟萃分析显示，虚拟现实干预后，伯格平衡量表（标准化均数差[SMD]=1.56，95%可信区间[CI]为0.71至2.40，P<0.001）、计时起立行走测试（SMD=-0.74，95%CI为-1.21至-0.28，P=0.002）和跌倒效能（SMD=0.99，95%CI为0.43至1.54，P<0.001）有显著改善。姿势摆动和单腿站立测量未发现显著差异。
基于虚拟现实的康复训练对改善糖尿病患者的平衡能力显示出有前景的效果。有必要开展更多方法学质量高且样本量大的进一步研究。
在线版本包含可在10.1007/s40200-024-01413-7获取的补充材料。
