Effects of virtual reality-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: A meta-analysis

被引:3
作者
Chai, Xiuqin [1 ]
Wu, Lingyun [2 ]
He, Zhihong [1 ,3 ]
机构
[1] Wenzhou Med Univ, Quzhou Peoples Hosp, Quzhou Affiliated Hosp, Dept Pulm & Crit Care Med, Quzhou, Zhejiang, Peoples R China
[2] Zhejiang Chinese Med Univ, Sch Nursing, Hangzhou, Zhejiang, Peoples R China
[3] Med Univ, Quzhou Peoples Hosp, Quzhou 324000, Zhejiang, Peoples R China
关键词
chronic obstructive pulmonary disease; meta-analysis; pulmonary rehabilitation; virtual reality; CHRONIC RESPIRATORY-DISEASES; COPD; DEPRESSION; ANXIETY; HOME; TECHNOLOGY; SYMPTOMS;
D O I
10.1097/MD.0000000000036702
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Virtual reality (VR)-based pulmonary rehabilitation has been used in the management of chronic obstructive pulmonary disease (COPD). The efficacy of VR-based pulmonary rehabilitation for improving lung function in patients with COPD is controversial. Therefore, the aim of this meta-analysis was to evaluate the efficacy of VR combined with pulmonary rehabilitation for lung function in patients with COPD. Methods: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search was performed in the Cochrane Library, EMBASE, Web of Science, PubMed, and China National Knowledge Infrastructure databases from inception to February 1, 2023. All included studies were randomized controlled trials that assessed VR combined with pulmonary rehabilitation for COPD patients. The effect size was calculated with standardized mean difference (SMD) and its 95% confidence interval (CI). The Cochrane Collaboration tool was used to assess the risk of bias. Publication bias was assessed by Egger test. Results: A total of 11 studies met the inclusion criteria and were included in this study. The combined effect size showed that VR combined with pulmonary rehabilitation was more effective than pulmonary rehabilitation alone at improving forced expiratory volume in 1 second% (SMD: 0.51; 95% CI 0.19,0.82; P = .002), forced expiratory volume in 1 second/forced vital capacity (SMD: 0.71; 95% CI 0.49,0.93; P < .001), dyspnea (SMD: -0.44; 95% CI -0.66, -0.22; P < .001), and 6-minute walking test (SMD: 059; 95% CI 0.39, 0.79; P < .001). In addition, the VR combined with pulmonary rehabilitation improved depression (SMD: -0.34; 95% CI -0.05, -0.03; P = .033) and anxiety mood (SMD: -0.57; 95% CI -1.11, -0.04; P = .036) compared with the pulmonary rehabilitation group. Conclusion: This meta-analysis indicated that VR regimens could be used to enhance the therapeutic effect of pulmonary rehabilitation in patients with COPD. However, as a rapidly evolving field, more well-designed randomized controlled trials are needed to determine the impact of VR-based pulmonary rehabilitation on COPD patients.
引用
收藏
页数:11
相关论文
共 52 条
[1]   Affordable Personalized, Immersive VR Motor Rehabilitation System with Full Body Tracking [J].
Adolf, Jindrich ;
Dolezal, Jaromir ;
Lhotska, Lenka .
PHEALTH 2019, 2019, 261 :75-81
[2]  
Benlidayi IC, 2022, INDIAN J RHEUMATOL, V17, P414, DOI 10.4103/injr.injr_292_20
[3]   The Use of a Smartphone App and an Activity Tracker to Promote Physical Activity in the Management of Chronic Obstructive Pulmonary Disease: Randomized Controlled Feasibility Study [J].
Bentley, Claire L. ;
Powell, Lauren ;
Potter, Stephen ;
Parker, Jack ;
Mountain, Gail A. ;
Bartlett, Yvonne Kiera ;
Farwer, Jochen ;
O'Connor, Cath ;
Burns, Jennifer ;
Cresswell, Rachel L. ;
Dunn, Heather D. ;
Hawley, Mark S. .
JMIR MHEALTH AND UHEALTH, 2020, 8 (06)
[4]   Anxiety and depression following pulmonary rehabilitation [J].
Bentsen, Signe Berit ;
Wentzel-Larsen, Tore ;
Henriksen, Anne Hildur ;
Rokne, Berit ;
Wahl, Astrid Klopstad .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2013, 27 (03) :541-550
[5]   Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients' Rehabilitation [J].
Berton, Alessandra ;
Longo, Umile Giuseppe ;
Candela, Vincenzo ;
Fioravanti, Sara ;
Giannone, Lucia ;
Arcangeli, Valeria ;
Alciati, Viviana ;
Berton, Claudia ;
Facchinetti, Gabriella ;
Marchetti, Anna ;
Schena, Emiliano ;
De Marinis, Maria Grazia ;
Denaro, Vincenzo .
JOURNAL OF CLINICAL MEDICINE, 2020, 9 (08) :1-13
[6]   Tele-Rehabilitation Program in Idiopathic Pulmonary Fibrosis-A Single-Center Randomized Trial [J].
Cerdan-de-Las-Heras, Jose ;
Balbino, Fernanda ;
Lokke, Anders ;
Catalan-Matamoros, Daniel ;
Hilberg, Ole ;
Bendstrup, Elisabeth .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (19)
[7]   Developing a home-based pulmonary rehabilitation programme for patients with chronic respiratory diseases in Malaysia: A mixed-method feasibility study [J].
Chan, Soo Chin ;
Engksan, Julia Patrick ;
Nathan, Jayakayatri Jeevajothi ;
Sekhon, Jaspreet Kaur ;
Hussein, Norita ;
Suhaimi, Anwar ;
Hanafi, Nik Sherina ;
Pang, Yong Kek ;
Yatim, Saari Mohamad ;
Habib, M. Monsur ;
Pinnock, Hilary ;
RESPIRE Collaboration .
JOURNAL OF GLOBAL HEALTH, 2023, 13
[8]   Comparing the Hospital Frailty Risk Score and the Clinical Frailty Scale Among Older Adults With Chronic Obstructive Pulmonary Disease Exacerbation [J].
Chin, Melanie ;
Kendzerska, Tetyana ;
Inoue, Jiro ;
Aw, Michael ;
Mardiros, Linda ;
Pease, Christopher ;
Andrew, Melissa K. ;
Pakhale, Smita ;
Forster, Alan J. ;
Mulpuru, Sunita .
JAMA NETWORK OPEN, 2023, 6 (02) :E2253692
[9]   The Impact of Cognitive Impairment on Efficacy of Pulmonary Rehabilitation in Patients With COPD [J].
Cleutjens, Fiona A. H. M. ;
Spruit, Martijn A. ;
Ponds, Rudolf W. H. M. ;
Vanfleteren, Lowie E. G. W. ;
Franssen, Frits M. E. ;
Dijkstra, Jeanette B. ;
Gijsen, Candy ;
Wouters, Emiel F. M. ;
Janssen, Daisy J. A. .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2017, 18 (05) :420-426
[10]   Virtual reality for COPD rehabilitation: a technological perspective [J].
Colombo, V. ;
Aliverti, A. ;
Sacco, M. .
PULMONOLOGY, 2022, 28 (02) :119-133