背景:下腰痛是全球最普遍的疼痛之一。基于虚拟现实的训练已被用于下腰痛作为一种新的治疗策略。目前的证据表明,基于虚拟现实的训练对慢性腰背痛患者的有效性尚无定论。
目的:这项研究进行了一项荟萃分析,以评估基于虚拟现实的训练对疼痛的即时和短期影响,疼痛相关的恐惧,慢性腰痛患者的残疾。
方法:我们搜索了PubMed,Embase,WebofScience,PEDro,中部,和CINAHL数据库从成立到2024年1月。仅选择了评估基于虚拟现实的训练对慢性下腰痛患者的影响的随机对照试验。结果集中在疼痛上,通过运动恐惧症的坦帕量表测量与疼痛相关的恐惧,和Oswestry残疾指数衡量的残疾。近期期限定义为干预后的近期期限,短期定义为干预后3~6个月.偏差工具的Cochrane风险和等级(建议分级,评估,开发和评估)方法用于评估方法和证据的质量,分别。
结果:总计,20项涉及1059例患者的随机对照试验符合分析条件。基于虚拟现实的训练显示疼痛有显著改善(平均差异[MD]-1.43;95%CI-1.86至-1.00;I2=95%;P<.001),使用坦帕运动恐惧症量表(MD-5.46;95%CI-9.40至1.52;I2=90%;P=.007),使用Oswestry残疾指数(MD-11.50;95%CI-20.00至-3.01;I2=95%;P=.008)对干预后立即患有慢性下腰痛的个体进行残疾。然而,在疼痛方面没有观察到显著差异(P=.16),疼痛相关的恐惧(P=0.10),和残疾(P=0.43)在短期内。
结论:这些发现表明,基于虚拟现实的训练可以有效地用于近期患有慢性下腰痛的个体,尤其是减轻疼痛,减轻疼痛相关的恐惧,改善残疾。然而,短期获益需要更多高质量试验来证明.
背景:PROSPEROCRD42021292633;http://tinyurl.com/25mydxpz。
BACKGROUND: Low back pain is one of the most prevalent pain conditions worldwide. Virtual reality-based training has been used for low back pain as a new treatment strategy. Present evidence indicated that the effectiveness of virtual reality-based training for people with
chronic low back pain is inconclusive.
OBJECTIVE: This study conducted a meta-analysis to evaluate the immediate- and short-term effects of virtual reality-based training on pain, pain-related fear, and disability in people with
chronic low back pain.
METHODS: We searched the PubMed, Embase, Web of Science, PEDro, CENTRAL, and CINAHL databases from inception until January 2024. Only randomized controlled trials assessing the effects of virtual reality-based training on individuals with
chronic low back pain were selected. The outcomes were focused on pain, pain-related fear measured by the Tampa Scale of Kinesiophobia, and disability measured by the Oswestry Disability Index. The immediate term was defined as the immediate period after intervention, and the short term was defined as 3 to 6 months after intervention. The Cochrane Risk of Bias tool and the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach were used to evaluate the quality of the methodology and evidence, respectively.
RESULTS: In total, 20 randomized controlled trials involving 1059 patients were eligible for analysis. Virtual reality-based training showed significant improvements in pain (mean difference [MD] -1.43; 95% CI -1.86 to -1.00; I2=95%; P<.001), pain-related fear using the Tampa Scale of Kinesiophobia (MD -5.46; 95% CI -9.40 to 1.52; I2=90%; P=.007), and disability using the Oswestry Disability Index (MD -11.50; 95% CI -20.00 to -3.01; I2=95%; P=.008) in individuals with
chronic low back pain immediately after interventions. However, there were no significant differences observed in pain (P=.16), pain-related fear (P=.10), and disability (P=.43) in the short term.
CONCLUSIONS: These findings indicated that virtual reality-based training can be used effectively for individuals with
chronic low back pain in the immediate term, especially to reduce pain, alleviate pain-related fear, and improve disability. However, the short-term benefits need more high-quality trials to be demonstrated.
BACKGROUND: PROSPERO CRD42021292633; http://tinyurl.com/25mydxpz.