Ziauddin College of Physical Therapy, Faculty of Allied Health Sciences, Ziauddin University, Karachi, Pakistan.
Ziauddin University, Karachi, Pakistan.
Medicine (Baltimore). 2024 Jul 26;103(30):e38940. doi: 10.1097/MD.0000000000038940.
Patients' compliance and receptivity to nonimmersive virtual reality (NIVR) can enhance their long-term exercise therapy compliance for neurological illnesses. Patients with Parkinson disease (PD) have age-standardized rates of disability, death, and prevalence that are rising the fastest; several researches have revealed that there is no known cure for PD at this time. Thus, the current study investigates how NIVR affects patients with PD using Wii-Fit exercises. Therefore, the present study investigates the effects of NIVR using Wii-Fit exercises among patients with PD.
The population, intervention, comparison, outcome approach was used to select the research studies. Cochrane Central Register of Controlled Trials, Cumulative Index of Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online, PubMed, Physiotherapy Evidence Database, and ProQuest were checked for citations from 2012 to 2022. RevMan was used to analyze data. A fixed and random effects model was used to analyze the pooled effect size in terms of mean and standard deviation. The heterogeneity was calculated using the I2 statistic. Cochrane examined for bias in randomized controlled trials.
This review comprised 12 trials in total. Using the Berg Balance Scale, the pooled analysis showed statistically significant effects on the NIVR group (pooled standardized mean difference = 0.61 [95% confidence interval, 0.28-0.95]; I2 = 53%; P = .0003). The pooled effects of cognition showed nonsignificant effects of NIVR (pooled standardized mean difference = 0.15 [95% confidence interval, -0.21 to 0.51]; I2 = 0%; P = .41).
The review suggests that NIVR is effective for balance rehabilitation but ineffective for cognitive improvement in patients with PD aged >18 to 85 years.
患者对非沉浸式虚拟现实（NIVR）的依从性和接受度可以提高他们对神经疾病长期运动治疗的依从性。患有帕金森病（PD）的患者的残疾、死亡和患病率的标准化年龄比率增长最快；有几项研究表明，目前还没有治愈 PD 的方法。因此，本研究使用 Wii-Fit 锻炼来研究 NIVR 对 PD 患者的影响。因此，本研究使用 Wii-Fit 锻炼来研究 NIVR 对 PD 患者的影响。
采用人群、干预、比较、结局方法选择研究。从 2012 年到 2022 年，检索 Cochrane 对照试验中心注册库、护理与联合健康文献累积索引、医学文献分析与检索系统在线、PubMed、物理治疗证据数据库和 ProQuest 中的引文。使用 RevMan 分析数据。使用均数和标准差分析汇总效应大小的固定和随机效应模型。使用 I2 统计量计算异质性。 Cochrane 检查随机对照试验的偏倚。
本综述共包括 12 项试验。使用 Berg 平衡量表，汇总分析显示 NIVR 组具有统计学显著效果（汇总标准化均数差=0.61[95%置信区间，0.28-0.95]；I2=53%；P=0.0003）。认知的汇总效应显示 NIVR 对认知没有显著影响（汇总标准化均数差=0.15[95%置信区间，-0.21 至 0.51]；I2=0%；P=0.41）。
本综述表明，NIVR 对 18 岁至 85 岁以上 PD 患者的平衡康复有效，但对认知改善无效。
