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虚拟现实技术改善老年人的步态和平衡功能:一项随机对照试验的荟萃分析。

Virtual reality technology improves the gait and balance function of the elderly: a meta-analysis of randomized controlled trials.

作者信息

Chen Junyu, Yan Shuxia, Yin Haiyan, Lin Dan, Mei Ziqi, Ding Zichun, Wang Meng, Bai Yamei, Xu Guihua

机构信息

School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Arch Med Sci. 2024 Jul 26;20(6):1918-1929. doi: 10.5114/aoms/186353. eCollection 2024.

Abstract

INTRODUCTION

Improving the gait and balance function is an important part of the health of the elderly. This study aimed to conduct a meta-analysis to evaluate the effects of virtual reality (VR) technology on the gait and balance function of the elderly.

MATERIAL AND METHODS

Two authors independently searched EMBASE, PubMed, Web of Science, ClinicalTrials, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang and Weipu databases up to October 20, 2023 for randomized controlled trials (RCTs) on the application of VR in improving the gait and balance function in the elderly. We screened the literature, extracted data and evaluated the bias risk of included RCTs, and used RevMan software for meta-analysis.

RESULTS

Fourteen RCTs were finally included in this meta-analysis. A total of 662 elderly adults were included, of whom 336 underwent VR intervention. The results of the meta-analysis showed that the gait and balance function of the elderly in the VR group were significantly better than those in the traditional intervention group (all < 0.05). There was no significant difference in terms of increasing the muscle strength of the lower extremities or alleviating the fear of falling between groups (all > 0.05).

CONCLUSIONS

VR can effectively improve the gait and dynamic and static balance function of the elderly. However, the effect of VR on increasing the muscle strength of lower extremities and reducing the fear of falling in the elderly is still not obvious.

摘要

引言

改善步态和平衡功能是老年人健康的重要组成部分。本研究旨在进行一项荟萃分析,以评估虚拟现实(VR)技术对老年人步态和平衡功能的影响。

材料与方法

两位作者独立检索了截至2023年10月20日的EMBASE、PubMed、Web of Science、ClinicalTrials、Cochrane图书馆、中国知网(CNKI)、万方和维普数据库,以查找关于VR应用于改善老年人步态和平衡功能的随机对照试验(RCT)。我们筛选文献、提取数据并评估纳入的RCT的偏倚风险,并使用RevMan软件进行荟萃分析。

结果

本荟萃分析最终纳入了14项RCT。总共纳入了662名老年人,其中336人接受了VR干预。荟萃分析结果表明,VR组老年人的步态和平衡功能明显优于传统干预组(均<0.05)。两组在增加下肢肌肉力量或减轻跌倒恐惧方面没有显著差异(均>0.05)。

结论

VR可以有效改善老年人的步态以及动态和静态平衡功能。然而,VR对增加老年人下肢肌肉力量和降低跌倒恐惧的效果仍不明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51fd/11831358/936f9efd6e5b/AMS-20-6-186353-g001.jpg

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