Virtual reality in stroke recovery: a meta-review of systematic reviews

被引：6
作者：
Khan, Ammar [1 ]
Imam, Yahia Z. [1 ,2 ]
Muneer, Mohamed [1 ,2 ]
Al Jerdi, Salman [1 ]
Gill, Sumanjit K. [3 ]
机构：
[1] Weill Cornell Medicine in Qatar, PO Box 24144, Doha
[2] Hamad Medical Corporation, PO Box 3050, Doha
[3] UCL Institute of Neurology, Queen Square, London
来源：
Bioelectronic Medicine | 2024年 / 10卷 / 01期
关键词：
Rehabilitation; Stroke recovery; Systematic reviews; Virtual reality;
D O I：
10.1186/s42234-024-00150-9
中图分类号：
学科分类号：
摘要：
Background: Virtual Reality (VR) is an emerging technology in post stroke recovery. However, its precise role in stroke rehabilitation is not well defined. The aim of this paper is to conduct an overview of systematic reviews on the role of VR in stroke rehabilitation. Methods: A meta-review with results from a search of 7 databases from inception till 5th December 2022 with subsequent quality appraisal was conducted. The primary outcome was to produce a narrative review on the efficacy of VR versus usual or other care in stroke recovery. Data was synthesized in a descriptive fashion and high-quality systematic reviews were emphasized. The AMSTAR-2 tool was used for quality assessment of the included studies. Results: Evidence from high-quality systematic reviews suggests that there is benefit from VR in upper limb, lower limb, gait, and balance recovery particularly when additive to conventional therapy. There is also limited evidence to suggest that VR has a positive effect in those with impaired cognition. Conclusion: VR is safe and effective as an adjunct to conventional therapy for adults after stroke and should be used routinely for upper and lower limb motor recovery. Further high-quality studies that evaluate its efficacy and explore ways to increase its positive impact in areas such as cognition are required. There is also a scope for the development of stroke-specific virtual environments. (PROSPERO registration # CRD42022372926). © The Author(s) 2024.
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  • [1] Aminov A., Rogers J.M., Middleton S., Caeyenberghs K., Wilson P.H., What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes, J Neuroeng Rehabil., 15, 1, (2018)
  • [2] Ballester B.R., Nirme J., Duarte E., Cuxart A., Rodriguez S., Verschure P., Et al., The visual amplification of goal-oriented movements counteracts acquired non-use in hemiparetic stroke patients, J Neuroeng Rehabil, 12, pp. 1-11, (2015)
  • [3] Bayley M.T., Hurdowar A., Richards C.L., Korner-Bitensky N., Wood-Dauphinee S., Eng J.J., Et al., Barriers to implementation of stroke rehabilitation evidence: findings from a multi-site pilot project, Disabil Rehabil, 34, 19, pp. 1633-1638, (2012)
  • [4] Cao Y., Huang X., Zhang B., Kranz G.S., Zhang D., Li X., Et al., Effects of virtual reality in post-stroke aphasia: a systematic review and meta-analysis, Neurol Sci, 42, pp. 5249-5259, (2021)
  • [5] Casserly D., Baer G., Effectiveness of commercially available gaming devices in upper limb stroke rehabilitation (Provisional abstract), Database Abstracts Rev Effects, 2, pp. 15-23, (2014)
  • [6] Cassidy J.M., Cramer S.C., Spontaneous & therapeutic-induced mechanisms of functional recovery after stroke, Transl Stroke Res, 8, 1, pp. 33-46, (2017)
  • [7] Cavalcanti Moreira M., de Amorim Lima A.M., Ferraz K.M., Benedetti Rodrigues M.A., Use of virtual reality in gait recovery among post stroke patients – a systematic literature review, Disabil Rehabil Assist Technol, 8, 5, pp. 357-362, (2013)
  • [8] Chan K.G.F., Jiang Y., Choo W.T., Ramachandran H.J., Lin Y., Wang W., Effects of exergaming on functional outcomes in people with chronic stroke: a systematic review and meta-analysis, J Adv Nurs, 78, 4, pp. 929-946, (2022)
  • [9] Chen R., Cohen L.G., Hallett M., Nervous system reorganization following injury, Neuroscience, 111, 4, pp. 761-773, (2002)
  • [10] Chen L., Lo W.L.A., Mao Y.R., Ding M.H., Lin Q., Li H., Et al., Effect of virtual reality on postural and balance control in patients with stroke: a systematic literature review, Biomed Res Int, 2016, (2016)
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