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脊髓损伤后虚拟现实康复的效果：系统评价和荟萃分析。

Effects of virtual reality rehabilitation after spinal cord injury: a systematic review and meta-analysis.

机构信息

Department of Rehabilitation, The Third Hospital of Mianyang (Sichuan Mental Health Center), No. 190 Jiannan Road, Mianyang, China.

Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, No. 25 Taiping Street, Luzhou, China.

出版信息

J Neuroeng Rehabil. 2024 Oct 28;21(1):191. doi: 10.1186/s12984-024-01492-w.

DOI:10.1186/s12984-024-01492-w
PMID:39468617
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11514920/
Abstract

BACKGROUND

Spinal cord injury (SCI) is a common neurological condition marked by damage to the spinal cord. In the field of neurological rehabilitation, virtual reality (VR) is increasingly employed for evaluating and addressing the physical limitations caused by SCI. This study aimed to describe and calculate the effect sizes of virtual reality intervention (VR) on the functional performance of SCI.

METHODS

We searched PubMed, Embase, Web of Science, and Cochrane Library to identify articles published before October 30, 2023, that addressed the intervention of SCI using virtual reality technology. We excluded from the meta-analysis articles that did not provide enough data to evaluate the association between virtual reality intervention and spinal cord injury. The RevMan 5.4 statistical software was used for data analysis.

RESULTS

We included 16 articles in the systematic review and pooled 9 for the meta-analysis, which were 5 randomized controlled trials (RCTs) and 4 non-RCTs, including 248 subjects. The outcome measure of the walking index for spinal cord injury, limits of stability testing and berg balance scale scores improved in non-RCTs.

CONCLUSION

VR has shown promise in enhancing walking ability and balance function in individuals with SCI. However, the existing evidence for VR interventions in SCI patients remains limited, highlighting the necessity for future studies in this area.

摘要

背景

脊髓损伤（SCI）是一种常见的神经系统疾病，其特征是脊髓受损。在神经康复领域，虚拟现实（VR）技术越来越多地用于评估和解决 SCI 引起的身体限制。本研究旨在描述和计算 VR 干预对 SCI 患者功能表现的影响大小。

方法

我们检索了 PubMed、Embase、Web of Science 和 Cochrane Library，以确定截至 2023 年 10 月 30 日发表的使用虚拟现实技术干预 SCI 的文章。我们排除了未提供足够数据评估虚拟现实干预与脊髓损伤之间关联的 meta 分析文章。使用 RevMan 5.4 统计软件进行数据分析。

结果

我们对系统评价进行了 16 项研究的综述，并对其中 9 项进行了 meta 分析，其中 5 项为随机对照试验（RCT），4 项为非 RCT，共纳入 248 例受试者。非 RCT 中步行指数、稳定性测试限制和伯格平衡量表评分的改善。

结论

VR 已显示出在提高 SCI 患者的行走能力和平衡功能方面的潜力。然而，目前 VR 干预在 SCI 患者中的证据仍然有限，突出了这一领域未来研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/83743a73923f/12984_2024_1492_Fig13_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/5b4d4208d39c/12984_2024_1492_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/1ebdf7eafd7d/12984_2024_1492_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/fa059480cf3a/12984_2024_1492_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/4b968afd9b6f/12984_2024_1492_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/00e938146b5c/12984_2024_1492_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/50dfb7bab23d/12984_2024_1492_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/4080ddbc716c/12984_2024_1492_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/1112042e887f/12984_2024_1492_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/d452b34be264/12984_2024_1492_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de13/11514920/83743a73923f/12984_2024_1492_Fig13_HTML.jpg

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