关键词: balance brain injury falls neurological impairment virtual reality

来  源:   DOI:10.3390/brainsci14050429   PDF(Pubmed)

Abstract:
BACKGROUND: Virtual reality (VR)-based interventions to improve balance and mobility are gaining increasing traction across patient populations. VR-based interventions are believed to be more enjoyable and engaging for patients with traumatic brain injury. This scoping review aims to summarize existing studies from the literature that used VR to improve balance and mobility and determine the gap in VR-based balance literature specific to individuals with traumatic brain injury.
METHODS: Two authors independently searched the literature using the search terms \"Virtual Reality Traumatic Brain Injury Lower Limb\", \"Virtual Reality Traumatic Brain Injury Balance\", and \"Virtual Reality Traumatic Brain Injury Gait\".
RESULTS: A total of seventeen studies, specifically, three randomized controlled trials, one one-arm experimental study, two retrospective studies, two case studies, one feasibility/usability study, one cohort study, and seven diagnostic (validation) studies, met the inclusion criteria for this review. The methodological quality of the studies evaluated using the PEDro scale was fair.
CONCLUSIONS: Future studies should focus on large-scale clinical trials using validated technology to determine its effectiveness and dose-response characteristics. Additionally, standard assessment tools need to be selected and utilized across interventional studies aimed at improving balance and mobility to help compare results between studies.
摘要:
背景:基于虚拟现实(VR)的干预措施改善了平衡和移动性,在患者人群中获得了越来越多的吸引力。基于VR的干预措施被认为对创伤性脑损伤患者更有趣和更有吸引力。本范围综述旨在总结现有的使用VR来改善平衡和移动性的文献研究,并确定基于VR的平衡文献中针对创伤性脑损伤个体的差距。
方法:两位作者使用搜索词“虚拟现实创伤性脑损伤下肢”独立搜索文献,“虚拟现实创伤性脑损伤平衡”,和“虚拟现实创伤性脑损伤步态”。
结果:共有17项研究,具体来说,三项随机对照试验,一项单臂实验研究,两项回顾性研究,两个案例研究,一项可行性/可用性研究,一项队列研究,和七项诊断(验证)研究,符合本次审查的纳入标准。使用PEDro量表评估的研究的方法学质量是公平的。
结论:未来的研究应集中在使用经过验证的技术进行大规模临床试验,以确定其有效性和剂量反应特征。此外,需要在旨在改善平衡和流动性的介入研究中选择和使用标准评估工具,以帮助比较研究之间的结果.
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