PDF(Pubmed)
Abstract：
UNASSIGNED: This systematic review and meta-analysis aims to investigate the effects of virtual reality (VR) exercise compared to traditional rehabilitation on pain, function, and muscle strength in patients with knee osteoarthritis (KOA). Additionally, the study explores the mechanisms by which VR exercise contributes to the rehabilitation of KOA patients.
UNASSIGNED: We systematically searched PubMed, the Cochrane Library, Embase, Web of Science, Scopus, and PEDro according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our search spanned from the library construction to 24 May 2024, focusing on randomized controlled trials Primary outcomes included pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and muscle strength. Meta-analysis was conducted using RevMan (version 5.4) and Stata (version 14.0). The bias risk of included studies was assessed using the Cochrane RoB 2.0 tool, while the quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.
UNASSIGNED: This meta-analysis and systematic review included nine studies involving 456 KOA patients. The results indicated that VR exercise significantly improved pain scores (SMD, -1.53; 95% CI: -2.50 to -0.55; p = 0.002), WOMAC total score (MD, -14.79; 95% CI: -28.26 to -1.33; p = 0.03), WOMAC pain score (MD, -0.93; 95% CI: -1.52 to -0.34; p = 0.002), knee extensor strength (SMD, 0.51; 95% CI: 0.14 to 0.87; p = 0.006), and knee flexor strength (SMD, 0.65; 95% CI: 0.28 to 1.01; p = 0.0005), but not significantly for WOMAC stiffness (MD, -0.01; 95% CI: -1.21 to 1.19; p = 0.99) and physical function (MD, -0.35; 95% CI: -0.79 to -0.09; p = 0.12).
UNASSIGNED: VR exercise significantly alleviates pain, enhances muscle strength and WOMAC total score in KOA patients, but improvements in joint stiffness and physical function are not significant. However, the current number of studies is limited, necessitating further research to expand on the present findings.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024540061, identifier CRD42024540061.
UNASSIGNED: We systematically searched PubMed, the Cochrane Library, Embase, Web of Science, Scopus, and PEDro according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our search spanned from the library construction to 24 May 2024, focusing on randomized controlled trials Primary outcomes included pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and muscle strength. Meta-analysis was conducted using RevMan (version 5.4) and Stata (version 14.0). The bias risk of included studies was assessed using the Cochrane RoB 2.0 tool, while the quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.
UNASSIGNED: This meta-analysis and systematic review included nine studies involving 456 KOA patients. The results indicated that VR exercise significantly improved pain scores (SMD, -1.53; 95% CI: -2.50 to -0.55; p = 0.002), WOMAC total score (MD, -14.79; 95% CI: -28.26 to -1.33; p = 0.03), WOMAC pain score (MD, -0.93; 95% CI: -1.52 to -0.34; p = 0.002), knee extensor strength (SMD, 0.51; 95% CI: 0.14 to 0.87; p = 0.006), and knee flexor strength (SMD, 0.65; 95% CI: 0.28 to 1.01; p = 0.0005), but not significantly for WOMAC stiffness (MD, -0.01; 95% CI: -1.21 to 1.19; p = 0.99) and physical function (MD, -0.35; 95% CI: -0.79 to -0.09; p = 0.12).
UNASSIGNED: VR exercise significantly alleviates pain, enhances muscle strength and WOMAC total score in KOA patients, but improvements in joint stiffness and physical function are not significant. However, the current number of studies is limited, necessitating further research to expand on the present findings.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024540061, identifier CRD42024540061.
摘要：
■本系统综述和荟萃分析旨在研究与传统康复相比，虚拟现实（VR）运动对疼痛的影响，函数,膝骨关节炎（KOA）患者的肌肉力量。此外,本研究探讨了VR运动有助于KOA患者康复的机制.
■我们系统地搜索了PubMed，Cochrane图书馆,Embase,WebofScience,Scopus,和PEDro根据系统评价和荟萃分析（PRISMA）指南的首选报告项目。我们的搜索范围从图书馆建设到2024年5月24日，重点是随机对照试验，主要结果包括疼痛，西安大略省和麦克马斯特大学骨关节炎指数（WOMAC），和肌肉力量。使用RevMan（5.4版）和Stata（14.0版）进行Meta分析。纳入研究的偏倚风险使用CochraneRoB2.0工具进行评估，虽然使用建议分级来评估证据质量，评估,发展,和评估(等级)方法。
■这项荟萃分析和系统评价包括9项研究，涉及456例KOA患者。结果表明，VR运动显著改善疼痛评分(SMD，-1.53；95%CI：-2.50至-0.55；p=0.002)，WOMAC总分（MD，-14.79；95%CI：-28.26至-1.33；p=0.03），WOMAC疼痛评分（MD，-0.93；95%CI：-1.52至-0.34；p=0.002），膝关节伸肌强度(SMD,0.51；95%CI：0.14至0.87；p=0.006），和膝盖屈肌强度(SMD，0.65；95%CI：0.28至1.01；p=0.0005)，但对于WOMAC刚度(MD，-0.01；95%CI：-1.21至1.19；p=0.99）和身体功能（MD，-0.35；95%CI：-0.79至-0.09；p=0.12）。
■VR运动可显着缓解疼痛，提高KOA患者的肌肉力量和WOMAC总分，但关节刚度和物理功能的改善并不显著。然而,目前的研究数量有限，需要进一步研究以扩大目前的发现。
■https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42024540061，标识符CRD42024540061。
■我们系统地搜索了PubMed，Cochrane图书馆,Embase,WebofScience,Scopus,和PEDro根据系统评价和荟萃分析（PRISMA）指南的首选报告项目。我们的搜索范围从图书馆建设到2024年5月24日，重点是随机对照试验，主要结果包括疼痛，西安大略省和麦克马斯特大学骨关节炎指数（WOMAC），和肌肉力量。使用RevMan（5.4版）和Stata（14.0版）进行Meta分析。纳入研究的偏倚风险使用CochraneRoB2.0工具进行评估，虽然使用建议分级来评估证据质量，评估,发展,和评估(等级)方法。
■这项荟萃分析和系统评价包括9项研究，涉及456例KOA患者。结果表明，VR运动显著改善疼痛评分(SMD，-1.53；95%CI：-2.50至-0.55；p=0.002)，WOMAC总分（MD，-14.79；95%CI：-28.26至-1.33；p=0.03），WOMAC疼痛评分（MD，-0.93；95%CI：-1.52至-0.34；p=0.002），膝关节伸肌强度(SMD,0.51；95%CI：0.14至0.87；p=0.006），和膝盖屈肌强度(SMD，0.65；95%CI：0.28至1.01；p=0.0005)，但对于WOMAC刚度(MD，-0.01；95%CI：-1.21至1.19；p=0.99）和身体功能（MD，-0.35；95%CI：-0.79至-0.09；p=0.12）。
■VR运动可显着缓解疼痛，提高KOA患者的肌肉力量和WOMAC总分，但关节刚度和物理功能的改善并不显著。然而,目前的研究数量有限，需要进一步研究以扩大目前的发现。
■https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42024540061，标识符CRD42024540061。
