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用于非特异性颈部疼痛患者康复的沉浸式技术的有效性和不良反应:一项系统综述。

Effectiveness and adverse effects of immersive technologies used for rehabilitation of patients with non-specific neck pain: a systematic review.

作者信息

Kostka Joanna S, Zawadzka-Fabijan Agnieszka, Działa Dariusz, Bruc Bogumiła, Pruszyńska Magdalena, Figas Gabriela, O'Connor Rory J, Malmivaara Antti, Kujawa Jolanta E

机构信息

Department of Gerontology, Medical University of Lodz, Lodz, Poland.

Clinic of Medical Rehabilitation, Medical University of Lodz, Lodz, Poland.

出版信息

J Rehabil Med. 2025 Jan 31;57:jrm42108. doi: 10.2340/jrm.v57.42108.

Abstract

OBJECTIVE

The aim of this study is to evaluate the effectiveness of immersive technologies in the rehabilitation of patients with non-specific neck pain and identify any potential side effects associated with their use.

DESIGN

Systematic review.

SUBJECTS/PATIENTS: Individuals with non-specific neck pain.

METHODS

A systematic literature search of randomized controlled trials was conducted using Medline (PubMed), Embase (Ovid), Scopus, Cochrane Database of Systematic Reviews, WHO, Pedro, and ClinicalTrials.gov. Risk of bias was assessed with Cochrane Risk of Bias tool.

RESULTS

Five studies with a total of 203 participants (129 women, 74 men) were included in the review. In most studies, both the virtual reality (VR) and control groups demonstrated improvement in pain, functioning related to neck pain, and range of motion. Two cases found the virtual reality group to demonstrate greater improvements in pain and range of motion (for some movements), but not in function. The studies analysed lack much information regarding the applicability of VR therapy.

CONCLUSION

The data are promising and suggest that VR therapy may have benefits in the rehabilitation of patients with non-specific neck pain. Data on the safety of therapy and adverse events are insufficient to draw any conclusions.

摘要

目的

本研究旨在评估沉浸式技术在非特异性颈部疼痛患者康复中的有效性,并确定其使用过程中可能存在的任何潜在副作用。

设计

系统评价。

研究对象/患者:非特异性颈部疼痛患者。

方法

使用Medline(PubMed)、Embase(Ovid)、Scopus、Cochrane系统评价数据库、世界卫生组织数据库、佩德罗数据库和ClinicalTrials.gov对随机对照试验进行系统文献检索。采用Cochrane偏倚风险工具评估偏倚风险。

结果

该评价纳入了5项研究,共203名参与者(129名女性,74名男性)。在大多数研究中,虚拟现实(VR)组和对照组在疼痛、与颈部疼痛相关的功能以及活动范围方面均有改善。有2项研究发现虚拟现实组在疼痛和活动范围(某些动作)方面有更大改善,但在功能方面没有。所分析的研究缺乏关于VR治疗适用性的许多信息。

结论

数据很有前景,表明VR治疗可能对非特异性颈部疼痛患者的康复有益。关于治疗安全性和不良事件的数据不足以得出任何结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2628/11811534/390d1a614ef3/JRM-57-42108-g001.jpg

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