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虚拟现实:物理康复的新前沿。

Virtual Reality: A New Frontier of Physical Rehabilitation.

作者信息

Capriotti Alessandro, Moret Sarah, Del Bello Eleonora, Federici Ario, Lucertini Francesco

机构信息

Department of Biomolecular Sciences, University of Urbino Carlo Bo, 61029 Urbino, Italy.

出版信息

Sensors (Basel). 2025 May 13;25(10):3080. doi: 10.3390/s25103080.

DOI:10.3390/s25103080
PMID:40431872
Abstract

Immersive virtual reality (VR) technology has enhanced the field of physical rehabilitation by offering a novel approach to motor recovery and serving as an effective assessment tool. It enables the simulation of various actions, including activities of daily living, within immersive, safe, and controlled environments. Although numerous studies have examined the efficacy of immersive VR for upper limb motor recovery in patients with various conditions, this review aimed to summarize current evidence, highlight benefits and limitations, and provide directions for future research. The review was conducted following PRISMA guidelines. Studies involving individuals over 18 years old with stroke, Parkinson's disease, amputation, or fibromyalgia were included. The findings demonstrate improvements in strength, dexterity, range of motion, and coordination. Additional benefits included enhanced neuroplasticity and pain reduction. Immersive VR-based exercise sessions were often perceived as more enjoyable and engaging, and less complex, than conventional therapy. The technology proved to be safe, adaptable across age groups, and customizable. Furthermore, the integration of immersive VR into telerehabilitation programs improved accessibility for both patients and healthcare providers. However, not all populations may benefit equally from this method due to variability in disease severity and the presence of comorbidities.

摘要

沉浸式虚拟现实(VR)技术通过提供一种促进运动恢复的新方法并作为一种有效的评估工具,增强了物理康复领域。它能够在沉浸式、安全且可控的环境中模拟各种动作,包括日常生活活动。尽管众多研究已经探讨了沉浸式VR对患有各种病症的患者上肢运动恢复的疗效,但本综述旨在总结当前证据,突出其益处和局限性,并为未来研究提供方向。该综述遵循PRISMA指南进行。纳入了涉及18岁以上患有中风、帕金森病、截肢或纤维肌痛的个体的研究。研究结果表明,在力量、灵活性、活动范围和协调性方面有改善。其他益处包括增强神经可塑性和减轻疼痛。与传统疗法相比,基于沉浸式VR的锻炼课程通常被认为更有趣、更有吸引力且不那么复杂。事实证明,该技术是安全的,可跨年龄组适应且可定制。此外,将沉浸式VR整合到远程康复计划中提高了患者和医疗服务提供者的可及性。然而,由于疾病严重程度的差异和合并症的存在,并非所有人群都能同样受益于这种方法。

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1
Virtual Reality: A New Frontier of Physical Rehabilitation.虚拟现实:物理康复的新前沿。
Sensors (Basel). 2025 May 13;25(10):3080. doi: 10.3390/s25103080.
2
Virtual Reality Therapy for Upper Limb Motor Impairments in Patients With Stroke: A Systematic Review and Meta-Analysis.虚拟现实疗法治疗中风患者上肢运动障碍:系统评价与荟萃分析
Physiother Res Int. 2025 Apr;30(2):e70040. doi: 10.1002/pri.70040.
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Effect of virtual reality-based upper limb training on activity of daily living and quality of life among stroke survivors: a systematic review and meta-analysis.基于虚拟现实的上肢训练对中风幸存者日常生活活动能力和生活质量的影响:一项系统评价和荟萃分析
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本文引用的文献

1
Technological Features of Immersive Virtual Reality Systems for Upper Limb Stroke Rehabilitation: A Systematic Review.沉浸式虚拟现实系统在上肢脑卒中康复中的技术特点:系统评价。
Sensors (Basel). 2024 May 31;24(11):3546. doi: 10.3390/s24113546.
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Virtual reality rehabilitation for unilateral spatial neglect: A systematic review of immersive, semi-immersive and non-immersive techniques.虚拟现实康复治疗单侧空间忽略:沉浸式、半沉浸式和非沉浸式技术的系统评价。
Neurosci Biobehav Rev. 2023 Sep;152:105248. doi: 10.1016/j.neubiorev.2023.105248. Epub 2023 May 27.
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Playing your pain away: designing a virtual reality physical therapy for children with upper limb motor impairment.
通过游戏缓解疼痛:为上肢运动障碍儿童设计虚拟现实物理治疗方案。
Virtual Real. 2023;27(1):173-185. doi: 10.1007/s10055-021-00522-5. Epub 2021 Jun 9.
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The Effect of Virtual Reality on Cold Pain Sensitivity in Patients with Fibromyalgia and Pain-Free Individuals: A Randomized Crossover Study.虚拟现实对纤维肌痛和无痛个体冷痛敏感性的影响:一项随机交叉研究。
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Neural Plast. 2022 Jan 24;2022:7399995. doi: 10.1155/2022/7399995. eCollection 2022.
8
Effects of virtual reality-based motor control training on inflammation, oxidative stress, neuroplasticity and upper limb motor function in patients with chronic stroke: a randomized controlled trial.虚拟现实为基础的运动控制训练对慢性脑卒中患者炎症、氧化应激、神经可塑性和上肢运动功能的影响:一项随机对照试验。
BMC Neurol. 2022 Jan 11;22(1):21. doi: 10.1186/s12883-021-02547-4.
9
Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials.基于虚拟现实的疗法可减轻纤维肌痛综合征对女性的致残影响:随机对照试验的系统评价与荟萃分析
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[Current status of immersive virtual reality as a tool for physical and functional rehabilitation in patients with Parkinson´s disease: systematic review].[沉浸式虚拟现实作为帕金森病患者身体和功能康复工具的现状:系统评价]
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