PDF(Pubmed)
Abstract：
UNASSIGNED: To compile all the scientific evidence available to date to evaluate the effect of virtual reality based therapy (VRBT) on reducing pain intensity, kinesiophobia, and associated disability, and on increasing the hr-QoL in patients with chronic neck pain (CNP) or chronic low back pain (CLBP).
UNASSIGNED: Studies published in PubMed Medline, SCOPUS, Web of Science, CINAHL Complete, and Physiotherapy Evidence Database (PEDro) up to June 2023 were searched. All searches followed the PICOS Framework. Two authors independently screened the studies found in the searches. Any differences of opinion regarding the selection of studies were settled by a third author.
UNASSIGNED: Twenty-five RCTs, published between 2013 and 2022, providing data from 1261 patients (20 RCTs) with CLBP and 261 patients (five RCTs) with CNP, were included. In reducing pain intensity for patients with CLBP, meta-analyses showed that VRBT is effective in reducing pain just to the end of the intervention, and this effect could be maintained 1 and 6 months after the therapy.
UNASSIGNED: VRBT was found to be better than therapeutic exercise (TE), sham, and no intervention (NI), showing a major effect when VRBT was used as a complementary therapy to conventional physiotherapy (CPT). Further, VRBT showed an immediate effect and immersive VRBT was the most adequate VRBT modality in reducing pain in CNP patients. No differences were found between non-immersive VRBT and immersive VRBT in reducing pain, kinesiophobia, disability, and hr-QoL in patients with CLBP.
UNASSIGNED: Studies published in PubMed Medline, SCOPUS, Web of Science, CINAHL Complete, and Physiotherapy Evidence Database (PEDro) up to June 2023 were searched. All searches followed the PICOS Framework. Two authors independently screened the studies found in the searches. Any differences of opinion regarding the selection of studies were settled by a third author.
UNASSIGNED: Twenty-five RCTs, published between 2013 and 2022, providing data from 1261 patients (20 RCTs) with CLBP and 261 patients (five RCTs) with CNP, were included. In reducing pain intensity for patients with CLBP, meta-analyses showed that VRBT is effective in reducing pain just to the end of the intervention, and this effect could be maintained 1 and 6 months after the therapy.
UNASSIGNED: VRBT was found to be better than therapeutic exercise (TE), sham, and no intervention (NI), showing a major effect when VRBT was used as a complementary therapy to conventional physiotherapy (CPT). Further, VRBT showed an immediate effect and immersive VRBT was the most adequate VRBT modality in reducing pain in CNP patients. No differences were found between non-immersive VRBT and immersive VRBT in reducing pain, kinesiophobia, disability, and hr-QoL in patients with CLBP.
摘要：
■为了汇编迄今为止可用的所有科学证据，以评估基于虚拟现实的治疗（VRBT）对减轻疼痛强度的影响，运动恐惧症,和相关的残疾，以及增加慢性颈痛（CNP）或慢性下腰痛（CLBP）患者的hr-QoL。
■发表在PubMedMedline上的研究，Scopus,WebofScience,CINAHL完成,搜索了截至2023年6月的物理治疗证据数据库(PEDro)。所有搜索都遵循PICOS框架。两位作者独立筛选了搜索中发现的研究。关于选择研究的任何分歧都由第三作者解决。
■二十五个RCT，2013年至2022年发表，提供了来自1261例CLBP患者（20例RCTs）和261例CNP患者（5例RCTs）的数据，包括在内。在降低CLBP患者的疼痛强度方面，荟萃分析表明，VRBT在干预结束时可有效减轻疼痛，这种效果可以在治疗后1个月和6个月保持。
■发现VRBT优于治疗性锻炼（TE），sham,并且没有干预（NI），当VRBT用作常规物理治疗（CPT）的补充疗法时，显示出主要效果。Further,VRBT显示出立竿见影的效果，沉浸式VRBT是减轻CNP患者疼痛的最合适的VRBT方式。非沉浸式VRBT和沉浸式VRBT在减轻疼痛方面没有差异，运动恐惧症,残疾,CLBP患者的hr-QoL。
■发表在PubMedMedline上的研究，Scopus,WebofScience,CINAHL完成,搜索了截至2023年6月的物理治疗证据数据库(PEDro)。所有搜索都遵循PICOS框架。两位作者独立筛选了搜索中发现的研究。关于选择研究的任何分歧都由第三作者解决。
■二十五个RCT，2013年至2022年发表，提供了来自1261例CLBP患者（20例RCTs）和261例CNP患者（5例RCTs）的数据，包括在内。在降低CLBP患者的疼痛强度方面，荟萃分析表明，VRBT在干预结束时可有效减轻疼痛，这种效果可以在治疗后1个月和6个月保持。
■发现VRBT优于治疗性锻炼（TE），sham,并且没有干预（NI），当VRBT用作常规物理治疗（CPT）的补充疗法时，显示出主要效果。Further,VRBT显示出立竿见影的效果，沉浸式VRBT是减轻CNP患者疼痛的最合适的VRBT方式。非沉浸式VRBT和沉浸式VRBT在减轻疼痛方面没有差异，运动恐惧症,残疾,CLBP患者的hr-QoL。
