Can Virtual Reality-Assisted Therapy Offer Additional Benefits to Patients With Vestibular Disorders Compared With Conventional Vestibular Physical Therapy? A Meta-analysis

医学 荟萃分析 严格标准化平均差 置信区间 物理疗法 随机对照试验 前庭系统 康复 前庭康复 数据提取 平衡(能力) 物理医学与康复 梅德林 听力学 内科学 法学 政治学
作者
Hongyuan Chu,Ning Song,Zhirui Zhou,Zhifei Li,Xu Yang
出处
期刊:Archives of Physical Medicine and Rehabilitation [Elsevier BV]
卷期号:104 (3): 490-501 被引量:6
标识
DOI:10.1016/j.apmr.2022.08.972
摘要

Objective To determine whether virtual reality-assisted therapy (VRAT) significantly improves the treatment of peripheral or central vestibular disorders when compared with conventional vestibular physical therapy (CVPT) alone. Indicators of vestibular symptoms are used to determine this. Data Sources Two reviewers independently searched PubMed, EMBASE, ClinicalTrials.gov, Web of Science, and the Cochrane Collaboration database from January 2010 to January 2022 for studies reporting on VRAT in vestibular disorders. Study Selection Randomized controlled trials (RCTs) were included that mainly focused on the following measures: the Dizziness Handicap Inventory (DHI), Simulator Sickness Questionnaire, visual analog scale, and balance measures such as the Activities-specific Balance Confidence Scale (ABC), timed Up and Go test, sensory organization test, and center of pressure. The primary outcome was assessment of symptomatic changes before and after VRAT. Data Extraction Two authors independently conducted the literature search and selection. After screening, meta-analysis was performed on the RCTs using RevMan 5.3 software. Data Synthesis The results showed that VRAT produced significantly greater improvement than CVPT alone in scores of DHI-Total (standardized mean difference [SMD]: -7.09, 95% confidence interval [CI]: [-12.17, -2.00], P=.006), DHI-Functional (SMD=-3.66, 95% CI: [-6.34, -0.98], P=.007), DHI-Physical (SMD=-3.14, 95% CI: [-5.46, -0.83], P=.008), and DHI-Emotional (SMD=-3.10, 95% CI: [-5.13, -1.08], P=.003). ABC scores did not show improvement (SMD: 0.58, 95% CI: [-3.69, 4.85], P=.79). Subgroup analysis showed that DHI-Total between-group differences were insignificant for central vestibular disorders (SMD=-1.47, 95% CI: [-8.71, -5.78], P=.69), although peripheral disorders showed significant improvements (SMD=-9.58, 95% CI: [-13.92, -5.25], P<.0001). However, the included studies showed high heterogeneity (I2>75%). Conclusions VRAT may offer additional benefits for rehabilitation from vestibular diseases, especially peripheral disorders, when compared with CVPT alone. However, because of high heterogeneity and limited data, additional studies with a larger sample size and more sensitive and specific measurements are required to conclusively determine the evidence-based utility of virtual reality.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
安全123完成签到,获得积分20
1秒前
李嘉图的栗子完成签到,获得积分10
2秒前
Orange应助科研通管家采纳,获得10
2秒前
地表飞猪应助科研通管家采纳,获得10
2秒前
我是老大应助科研通管家采纳,获得10
2秒前
彭于晏应助chen采纳,获得10
2秒前
领导范儿应助科研通管家采纳,获得10
2秒前
汉堡包应助科研通管家采纳,获得10
2秒前
科研通AI2S应助科研通管家采纳,获得10
2秒前
斯文败类应助科研通管家采纳,获得10
2秒前
CipherSage应助科研通管家采纳,获得10
2秒前
隐形曼青应助科研通管家采纳,获得10
2秒前
SYLH应助科研通管家采纳,获得20
3秒前
3秒前
赘婿应助科研通管家采纳,获得10
3秒前
Owen应助科研通管家采纳,获得10
3秒前
田様应助科研通管家采纳,获得30
3秒前
JamesPei应助科研通管家采纳,获得10
3秒前
3秒前
所所应助科研通管家采纳,获得10
3秒前
昏睡的蟠桃应助科研通管家采纳,获得200
3秒前
搜集达人应助科研通管家采纳,获得10
3秒前
ding应助科研通管家采纳,获得10
3秒前
Jasper应助科研通管家采纳,获得10
4秒前
在水一方应助科研通管家采纳,获得10
4秒前
4秒前
Ava应助科研通管家采纳,获得10
4秒前
4秒前
4秒前
4秒前
4秒前
4秒前
4秒前
5秒前
5秒前
如云发布了新的文献求助10
6秒前
angela给angela的求助进行了留言
6秒前
6秒前
XZZH完成签到,获得积分10
7秒前
7秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038657
求助须知:如何正确求助?哪些是违规求助? 3576306
关于积分的说明 11375198
捐赠科研通 3306108
什么是DOI,文献DOI怎么找? 1819379
邀请新用户注册赠送积分活动 892698
科研通“疑难数据库(出版商)”最低求助积分说明 815066