目的:癫痫患者可能从使用虚拟现实(VR)和虚拟环境(VE)观察到的报酬中受益,特别是在与视觉空间导航相关的认知困难(记忆,注意,和处理速度)。
目的:本系统评价中考虑的研究问题与作为癫痫的认知康复实践的VE效率以及癫痫患者的特定VR方法相关。为了符合标准,研究包括患有任何形式的癫痫的参与者和结构化康复计划/模型的方法学设计。数据是在网上收集的,使用学术数据库。
结果:14项研究纳入文献综述,6项纳入统计分析。实施ROBINS-I方案以评估偏倚风险。对差异的汇总估计进行了逆方差分析(随机效应),以连续数据的形式。尽管研究存在异质性,他们都同意VR和VE在认知康复中与视觉空间记忆有关的有益方面,注意,和信息处理速度。
结论:我们建议癫痫患者可以从VR认知康复干预中获益,关于视觉空间记忆,注意,和信息处理速度。然而,需要进一步研究,以便更好地了解通过VE进行认知康复的机制,并建立有效和动态的康复方案.
OBJECTIVE: Epilepsy patients could possibly benefit from the remuneration observed in the use of virtual reality (VR) and virtual environments (VEs), especially in cognitive difficulties associated with visuospatial navigation (memory, attention, and processing speed).
OBJECTIVE: Research questions under consideration in the present systematic review are associated to VEs\' efficiency as a cognitive rehabilitation practice in epilepsy and the particular VR methods indicated for epilepsy patients. To meet criteria, studies included participants suffering from any form of epilepsy and a methodological design with a structured rehabilitation program/model. Data were collected online, using academic databases.
RESULTS: Fourteen studies were included in the literature review and 6 in the statistical analysis. ROBINS-I protocol was implemented to assess the risk of bias. An inverse variance analysis (random effects) of pooled estimates of differences was implemented, in the form of continuous data. Despite the heterogeneity of the studies, all of them agree on the beneficial aspects of VR and VEs in cognitive rehabilitation in relation to visuospatial memory, attention, and information processing speed.
CONCLUSIONS: We suggest that patients suffering from epilepsy may benefit from the use of VR cognitive rehabilitation interventions, concerning visuospatial memory, attention, and information processing speed. However, further investigation is needed in order to gain a better understanding of the mechanisms involved in cognitive rehabilitation via VEs and establish efficient and dynamic rehabilitation protocols.