A Decade of Progress Using Virtual Reality for Poststroke Lower Extremity Rehabilitation: Systematic Review of the Intervention Methods.
A Decade of Progress Using Virtual Reality for Poststroke Lower Extremity Rehabilitation: Systematic Review of the Intervention Methods.
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DOI：
10.1155/2015/342529
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发表时间：
2015
影响因子：
--
通讯作者：
Oliva-Pascual-Vaca Á
中科院分区：
文献类型：
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作者：
Luque-Moreno C;Ferragut-Garcías A;Rodríguez-Blanco C;Heredia-Rizo AM;Oliva-Pascual-Vaca J;Kiper P;Oliva-Pascual-Vaca Á
Objective.对文献进行系统回顾，描述应用于中风患者下肢（LE）的不同虚拟现实（VR）干预措施和交互式视频游戏，并根据最常用的结局指标分析结果。材料和方法。对2004年1月至2014年1月期间不同数据库（Medline、Cinahl、Web of Science、PEDro和科克伦）中的随机试验进行了电子检索。结合多个术语（虚拟现实、反馈、卒中、偏瘫、脑损伤、脑血管意外、下肢、腿部和步态），最终根据既定的纳入和排除标准纳入11篇文献。结果回顾的试验显示，在研究设计和评估工具方面存在高度异质性，这使得难以比较和分析不同类型的干预措施。然而，他们中的大多数人发现，由于VR干预，步态速度，平衡和运动功能得到了显着改善。结论.虽然证据有限，但它表明中风患者的VR干预（超过10次）可能对平衡和步态恢复产生积极影响。更好的结果时，获得了多模式的方法，结合VR和传统的物理治疗，使用。灵活的软件似乎能更好地适应患者的要求，允许更具体和个性化的治疗。
Objective. To develop a systematic review of the literature, to describe the different virtual reality (VR) interventions and interactive videogames applied to the lower extremity (LE) of stroke patients, and to analyse the results according to the most frequently used outcome measures. Material and Methods. An electronic search of randomized trials between January 2004 and January 2014 in different databases (Medline, Cinahl, Web of Science, PEDro, and Cochrane) was carried out. Several terms (virtual reality, feedback, stroke, hemiplegia, brain injury, cerebrovascular accident, lower limb, leg, and gait) were combined, and finally 11 articles were included according to the established inclusion and exclusion criteria. Results. The reviewed trials showed a high heterogeneity in terms of study design and assessment tools, which makes it difficult to compare and analyze the different types of interventions. However, most of them found a significant improvement on gait speed, balance and motor function, due to VR intervention. Conclusions. Although evidence is limited, it suggests that VR intervention (more than 10 sessions) in stroke patients may have a positive impact on balance, and gait recovery. Better results were obtained when a multimodal approach, combining VR and conventional physiotherapy, was used. Flexible software seems to adapt better to patients' requirements, allowing more specific and individual treatments.