在基于扩展现实的康复中使用3D和4D数字人体建模：一项系统综述。

Using 3D and 4D digital human modeling in extended reality-based rehabilitation: a systematic review.

作者信息

Lu Mengdi, Saeys Wim, Maryam Maria, Gjeleshi Inva, Nazarahari Hoda, Truijen Steven, Scataglini Sofia

机构信息

4D4ALL Laboratory, Department of Rehabilitation Sciences and Physiotherapy, Center for Health and Technology (CHaT), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Department of Neurological Rehabilitation, Rehabilitation Hospital Revarte, Edegem, Belgium.

出版信息

Front Bioeng Biotechnol. 2025 Mar 12;13:1496168. doi: 10.3389/fbioe.2025.1496168. eCollection 2025.

DOI:10.3389/fbioe.2025.1496168

PMID:40144388

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11937100/

Abstract

INTRODUCTION

Extended reality (XR) is increasingly used in rehabilitation, showing potential to enhance clinical outcomes. Recently, integrating digital human modeling (DHM) with XR has gained attention. This systematic review aimed to evaluate the effectiveness of combining 3D and 4D DHM with XR in rehabilitation.

METHODS

A systematic literature search was conducted according to PRISMA 2020 guidelines on the 28 of May 2024 in five databases (PubMed, IEEE Database, Cochrane Library, Web of Science, and Science Direct). All types of experimental studies investigating the effectiveness of XR using 3D and 4D DHM in rehabilitation were included. Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) and Evidence-Based Guideline Development (EBRO) were used to evaluate the methodological quality of the studies included.

RESULTS

Of the 1048 articles found, 16 were included in this review. These studies focused on 3D DHM in XR-based rehabilitation across various conditions and demonstrated superior effectiveness, especially in individuals with neglect, anorexia nervosa, bulimia nervosa, and type 2 diabetes in comparison with conventional therapy. DHM, captured via 3D cameras and combined with motion analysis or Wii remotes, was integrated into XR systems like VR games and avatar therapy. The studies reveal positive impacts on functional (e.g., upper limb function, gait, balance, quality of life), physical (e.g., pain reduction, spasticity, joint range), psychological (e.g., depression, emotional regulation, body image), and general health outcomes (e.g., body composition, metabolic health).

CONCLUSION

Despite variability in study parameters, limited evidence suggests that 3D DHM in XR-based rehabilitation may enhance physical and psychological recovery across various pathologies. This review highlights the potential of DHM and XR integration but underscores the need for further research with larger samples, longer follow-ups, and standardized measures to confirm these technologies' reliability and effectiveness in rehabilitation.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/PROSPERO/view/CRD42024553551, identifier CRD42024553551.

摘要

引言

扩展现实（XR）在康复领域的应用日益广泛，显示出改善临床疗效的潜力。近年来，将数字人体建模（DHM）与XR相结合受到了关注。本系统评价旨在评估3D和4D DHM与XR相结合在康复中的有效性。

方法

根据PRISMA 2020指南，于2024年5月28日在五个数据库（PubMed、IEEE数据库、Cochrane图书馆、科学网和科学Direct）中进行了系统的文献检索。纳入了所有研究3D和4D DHM在康复中使用XR有效性的各类实验研究。采用基于共识的健康测量工具选择标准（COSMIN）和循证指南制定（EBRO）来评估纳入研究的方法学质量。

结果

在检索到的1048篇文章中，有16篇纳入了本评价。这些研究聚焦于基于XR的康复中的3D DHM在各种情况下的应用，并显示出卓越的有效性，特别是与传统疗法相比，对患有忽视症、神经性厌食症、神经性贪食症和2型糖尿病的个体。通过3D相机捕捉并与运动分析或Wii遥控器相结合的DHM被整合到VR游戏和虚拟化身治疗等XR系统中。研究揭示了对功能（如上肢功能、步态、平衡、生活质量）、身体（如疼痛减轻、痉挛、关节活动范围）、心理（如抑郁、情绪调节、身体形象）和总体健康结果（如身体成分、代谢健康）的积极影响。