Virtual Reality in the Treatment of Adults with Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.
Virtual Reality in the Treatment of Adults with Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.
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DOI：
10.3390/ijerph182211806
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发表时间：
2021-11-11
影响因子：
--
通讯作者：
Valenza MC
中科院分区：
文献类型：
--
作者：
Brea-Gómez B;Torres-Sánchez I;Ortiz-Rubio A;Calvache-Mateo A;Cabrera-Martos I;López-López L;Valenza MC
虚拟现实（VR）在治疗慢性腰痛方面具有优势。本系统综述和荟萃分析的目的是分析VR治疗慢性腰痛的有效性。本综述根据PRISMA设计并在PROSPERO注册（CRD42020222129）。截至2021年8月，检索了四个数据库（PubMed, Cinahl, Scopus, Web of Science）。纳入标准根据PICOS推荐定义。采用Downs和Black量表评估方法学质量，采用Cochrane偏倚风险评估工具评估偏倚风险。系统评价纳入14项研究，荟萃分析纳入11项研究。在干预后疼痛强度（11项试验，n = 569; SMD = - 1.92; 95% CI = - 2.73, - 1.11; p < 0.00001）和随访（4项试验，n = 240; SDM = - 6.34; 95% CI = - 9.12, - 3.56; p < 0.00001）方面，支持VR与不支持VR有显著差异；干预后运动恐惧症（3项试验，n = 192; MD = - 8.96; 95% CI = - 17.52, - 0.40; p = 0.04）和随访（2项试验，n = 149; MD = - 12.04; 95% CI = - 20.58, - 3.49; p = 0.006）。在残疾方面没有发现显著差异。综上所述，在干预后和随访中，VR可以显著降低慢性腰痛患者的疼痛强度和运动恐惧症。然而，高异质性的存在会影响结果的一致性。
Virtual reality (VR) can present advantages in the treatment of chronic low back pain. The objective of this systematic review and meta-analysis was to analyze the effectiveness of VR in chronic low back pain. This review was designed according to PRISMA and registered in PROSPERO (CRD42020222129). Four databases (PubMed, Cinahl, Scopus, Web of Science) were searched up to August 2021. Inclusion criteria were defined following PICOS recommendations. Methodological quality was assessed with the Downs and Black scale and the risk of bias with the Cochrane Risk of Bias Assessment Tool. Fourteen studies were included in the systematic review and eleven in the meta-analysis. Significant differences were found in favor of VR compared to no VR in pain intensity postintervention (11 trials; n = 569; SMD = −1.92; 95% CI = −2.73, −1.11; p < 0.00001) and followup (4 trials; n = 240; SDM = −6.34; 95% CI = −9.12, −3.56; p < 0.00001); and kinesiophobia postintervention (3 trials; n = 192; MD = −8.96; 95% CI = −17.52, −0.40; p = 0.04) and followup (2 trials; n = 149; MD = −12.04; 95% CI = −20.58, −3.49; p = 0.006). No significant differences were found in disability. In conclusion, VR can significantly reduce pain intensity and kinesiophobia in patients with chronic low back pain after the intervention and at followup. However, high heterogeneity exists and can influence the consistency of the results.
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影响因子：
3
作者：
Furlan, Andrea D.;Malmivaara, Antti;van Tulder, Maurits W.
通讯作者：
van Tulder, Maurits W.
影响因子：
1.7
作者：
Kim, TaeYeong;Lee, JaeHyuk;Yoon, BumChul
通讯作者：
Yoon, BumChul
DOI：
10.1016/j.jamda.2021.01.076
发表时间：
2021-05-03
影响因子：
7.6
作者：
Marques-Sule, Elena;Arnal-Gomez, Anna;Victoria Espi-Lopez, Gemma
通讯作者：
Victoria Espi-Lopez, Gemma
DOI：
10.1016/j.berh.2010.10.002
发表时间：
2010-12-01
影响因子：
5.2
作者：
Hoy, D.;Brooks, P.;Buchbinder, R.
通讯作者：
Buchbinder, R.
影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N