Effects of virtual reality in the early-stage stroke rehabilitation: A systematic review and meta-analysis of randomized controlled trials

康复 随机对照试验 物理医学与康复 冲程(发动机) 物理疗法 荟萃分析 医学 系统回顾 虚拟现实 阶段(地层学) 心理学 梅德林 外科 计算机科学 人机交互 工程类 内科学 古生物学 生物 机械工程 法学 政治学
作者
Jie Hao,Zixuan Yao,Kimberly Harp,Yeongjin Gwon,Zhen Chen,Ka‐Chun Siu
出处
期刊:Physiotherapy Theory and Practice [Taylor & Francis]
卷期号:39 (12): 2569-2588 被引量:12
标识
DOI:10.1080/09593985.2022.2094302
摘要

Background Virtual reality (VR) is an emerging technology and has shown promising outcomes in stroke rehabilitation. VR can create an enriched environment, facilitate task-specific training, and provide multimodal sensorimotor feedback to augment functional recovery by driving the experience-dependent plasticity, which is prominent in the early-stage after stroke.Purpose This review aimed to systematically identify and examine the feasibility and effectiveness of VR intervention applied within one-month after stroke on functional outcomes of patients.Methods Randomized controlled trials were searched across six databases published between 2000 and 2021. Two independent reviewers conducted study selection, data extraction, and quality assessment. Physiotherapy Evidence Database (PEDro) scale was used to evaluate the quality of included studies. Qualitative synthesis and meta-analysis were conducted to compare VR-based rehabilitation and conventional rehabilitation.Results Seventeen randomized controlled trials were included in this review, and all of them meet the criteria for good quality. The results confirmed the feasibility of applying VR in early stroke rehabilitation. In the meta-analyses, there were no significant differences between VR and control on upper extremity function (SMD = 0.22, P = .10), Activities of Daily Living outcomes (SMD = 0.15, P = .11), balance (SMD = 0.18, P = .86), and cognition (SMD = 0.34, P = .06).Conclusion VR is a feasible approach and demonstrates comparable effectiveness in functional outcomes with conventional rehabilitation in patients with stroke at the early-stage. Further research focusing on the application of VR in acute stroke survivors with adequate sample size, additional follow-up evaluation and valid outcome measures are warranted.
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