Baptista Rafael Reimann, Huaco Aranguri Alejandra A, Sanchez Zevallos Gustavo A, Juarez Huanca Cynthia B, Huanca Machon Massiel
Pontifical Catholic University of Rio Grande do Sul, School of Health and Life Sciences, Porto Alegre, Brazil.
Facultad de Medicina Humana, Departamento de Ciencias de la Salud, Universidad Católica de Santa María, Arequipa, Perú.
Arch Rehabil Res Clin Transl. 2024 Jun 26;6(3):100354. doi: 10.1016/j.arrct.2024.100354. eCollection 2024 Sep.
To conduct a systematic review of the literature on the effect of virtual reality (VR) on biomechanical gait parameters (BGPs) in older adults. Specifically, the spatial-temporal parameters of gait, gait velocity, kinematics, and ground reaction forces, and examine how they are affected by VR interventions. To evaluate the effectiveness and validity of VR gait training and subsequently its potential integration into rehabilitation therapies. This review is a valuable contribution to the current literature as it does not limit its focus to a particular disease. By examining a wide range of studies, we sought to provide a comprehensive analysis of the effects of VR on the BGP in older adults. Our findings can inform future research on VR gait training and its potential role in rehabilitation for older adults.
Two authors independently conducted an electronic search from August 18, 2021, to December 17, 2021, using the PubMed, Scopus, and Web of Science databases, including articles published between January 1997 and July 2021.
The search yielded 1226 articles, and after exclusion, 16 articles were included in the analysis.
The Joanna Briggs Institute appraisal tool for randomized controlled trials and experimental studies, and the Cochrane risk of bias tool, version 2, were used to assess the level of evidence and bias in the studies.
In our synthesis, we included data from 9 studies with a total of 217 subjects. The range of follow-up periods across these studies was 2-10 weeks, and 40% of the studies conducted the study in community-dwelling individuals. Of the randomized controlled trials, 9 had a low-risk level, whereas 1 study had moderate risk. All studies with control groups and low bias levels demonstrated a positive effect of VR intervention on the BGP in older adults.
Consistent evidence suggests that VR intervention has positive effects on gait performance in older adults.
对虚拟现实（VR）对老年人生物力学步态参数（BGP）影响的文献进行系统综述。具体而言，研究步态的时空参数、步速、运动学以及地面反作用力，并考察它们如何受到VR干预的影响。评估VR步态训练的有效性和效度，以及其随后整合到康复治疗中的潜力。本综述对当前文献具有重要贡献，因为它并不局限于特定疾病。通过审视广泛的研究，我们试图对VR对老年人BGP的影响进行全面分析。我们的研究结果可为未来关于VR步态训练及其在老年人康复中潜在作用的研究提供参考。
两位作者于2021年8月18日至2021年12月17日独立进行电子检索，使用PubMed、Scopus和Web of Science数据库，检索1997年1月至2021年7月发表的文章。
检索得到1226篇文章，排除后，16篇文章纳入分析。
使用乔安娜·布里格斯循证卫生保健中心随机对照试验和实验研究评估工具以及Cochrane偏倚风险工具第2版，评估研究中的证据水平和偏倚。
在我们的综合分析中，纳入了9项研究的数据，共217名受试者。这些研究的随访期为2至10周，40%的研究在社区居住个体中开展。在随机对照试验中，9项风险水平较低，而1项研究风险中等。所有有对照组且偏倚水平较低的研究均表明VR干预对老年人的BGP有积极影响。
一致的证据表明，VR干预对老年人的步态表现有积极影响。
