Jia Chanyi, Liu Xiaoxia, Ning Lianzhen, Ge Lina
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
J Clin Nurs. 2025 Nov;34(11):4578-4589. doi: 10.1111/jocn.17730. Epub 2025 Apr 4.
Stroke incidence has increased recently, causing functional impairments in most patients. Augmented reality(AR) is frequently employed as an interactive and repetitive technology to facilitate functional rehabilitation. Therefore, this study aimed to examine the current evidence in the effect of AR for stroke rehabilitation.
Systematic review with meta-analysis.
Seven electronic databases including PubMed, Medline, CINAHL, Web of Science, Scopus, Embase and Cochrane were searched by MeSH terms and keywords such as 'Stroke' 'Augmented reality' up to December 1, 2024.
The Cochrane Risk of Bias tool was used to evaluate potential bias. Meta-analysis and Trial Sequence Analysis were used to analyse by the datastata15.0 software and TSA v0.9 software.
We searched 11 studies in a systematic review and 8 in a meta-analysis. The AR training group exhibited a significantly superior Berg Balance Scale scores(BBS) to those of the traditional training group. The Z-value curve of the sixth study crossed the traditional and TSA boundary values. Subgroup analysis revealed that BBS was significantly influenced in the hospital compared to the home intervention. The Timed Up and Go Test scores(TUG) and the 10-Meter Walk Test scores(10MWT) were similar in the AR and traditional training groups.
AR technology is beneficial for the lower limb balance functional rehabilitation of stroke patients. However, further exploration and verification are necessary due to an insufficient number of trials.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The findings provide clinical references for implementing AR in rehabilitation interventions for stroke patients.
This paper is helpful for nurses in the rehabilitation training process of stroke patients, to make personalised plans for their rehabilitation, implement rehabilitation, provide health education and address other aspects of efforts, to provide patients with comprehensive support and help, to promote the functional recovery of patients and improve the quality of life.
PRISMA guidelines.
PROSPERO number: CRD42024533761.
MJEditor (www.mjeditor.com) provided English editing services during the preparation of this manuscript.
近期卒中发病率有所上升，导致大多数患者出现功能障碍。增强现实（AR）常作为一种交互式和重复性技术用于促进功能康复。因此，本研究旨在考察AR对卒中康复效果的现有证据。
系统评价并进行荟萃分析。
截至2024年12月1日，通过医学主题词（MeSH）和“卒中”“增强现实”等关键词检索了包括PubMed、Medline、CINAHL、Web of Science、Scopus、Embase和Cochrane在内的七个电子数据库。
采用Cochrane偏倚风险工具评估潜在偏倚。使用datastata15.0软件和TSA v0.9软件进行荟萃分析和试验序贯分析。
在系统评价中检索到11项研究，在荟萃分析中检索到8项研究。AR训练组的伯格平衡量表（BBS）得分显著高于传统训练组。第六项研究的Z值曲线越过了传统和TSA边界值。亚组分析显示，与家庭干预相比，在医院进行干预时BBS受到的影响更大。AR训练组和传统训练组的计时起立行走测试（TUG）得分和10米步行测试（10MWT）得分相似。
AR技术有利于卒中患者下肢平衡功能的康复。然而由于试验数量不足，仍需进一步探索和验证。
对专业和/或患者护理的意义：研究结果为在卒中患者康复干预中应用AR提供了临床参考。
本文有助于护士在卒中患者的康复训练过程中，为其制定个性化康复计划、实施康复、提供健康教育及开展其他方面的工作，为患者提供全面支持与帮助，促进患者功能恢复，提高生活质量。
PRISMA指南。
PROSPERO编号：CRD42024533761。
MJEditor（www.mjeditor.com）在本稿件撰写过程中提供了英文编辑服务。
