A systematic review and meta-analysis of the effectiveness of virtual reality as an exercise intervention for individuals with a respiratory condition

被引：19

作者：

Condon C. ^{[1
]}

Lam W.T. ^{[1
]}

Mosley C. ^{[2
]}

Gough S. ^{[1
]}

机构：

[1] Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD

[2] Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester

来源：

Advances in Simulation | / 5卷 / 1期

关键词：

Augmented reality; Exercise; Exergaming; Gaming; Intervention; Mixed reality; Rehabilitation; Respiratory; Virtual reality; Virtual reality system;

D O I：

10.1186/s41077-020-00151-z

中图分类号：

学科分类号：

摘要：

Background: Respiratory diseases impose an immense health burden worldwide and affect millions of people on a global scale. Reduction of exercise tolerance poses a huge health issue affecting patients with a respiratory condition, which is caused by skeletal muscle dysfunction and weakness and by lung function impairment. Virtual reality systems are emerging technologies that have drawn scientists’ attention to its potential benefit for rehabilitation. Methods: A systematic review and meta-analysis following the PRISMA guidelines was performed to explore the effectiveness of virtual reality gaming and exergaming-based interventions on individuals with respiratory conditions. Results: Differences between the virtual reality intervention and traditional exercise rehabilitation revealed weak to insignificant effect size for mean heart rate (standardized mean difference, SMD = 0.17; p = 0.002), peak heart rate (SMD = 0.36; p = 0.27), dyspnea (SMD = 0.32; p = 0.13), and oxygen saturation SpO2 (SMD = 0.26; p = 0.096). In addition, other measures were collected, however, to the heterogeneity of reporting, could not be included in the meta-analysis. These included adherence, enjoyment, and drop-out rates. Conclusions: The use of VRS as an intervention can provide options for rehabilitation, given their moderate effect for dyspnea and equivalent to weak effect for mean and maximum peak HR and SpO2. However, the use of virtual reality systems, as an intervention, needs further study since the literature lacks standardized methods to accurately analyze the effects of virtual reality for individuals with respiratory conditions, especially for duration, virtual reality system type, adherence, adverse effects, feasibility, enjoyment, and quality of life. © 2020, The Author(s).

引用

共 46 条

[11]

Del Corral T., Percegona J., Seborga M., Rabinovich R.A., Vilaro J., Physiological response during activity programs using Wii-based video games in patients with cystic fibrosis (CF), J Cyst Fibros., 13, 6, pp. 706-711, (2014)

[12]

Rutkowski S., Rutkowska A., Jastrzebski D., Racheniuk H., Pawelczyk W., Szczegielniak J., Effect of virtual reality-based rehabilitation on physical fitness in patients with chronic obstructive pulmonary disease, J Hum Kinet, 15, pp. 117-124, (2019)

[13]

Simmich J., Deacon A.J., Russell T.G., Active video games for rehabilitation in respiratory conditions: systematic review and meta-analysis, JMIR Serious Games., 7, 1, (2019)

[14]

Chuang T.Y., Chen C.H., Chang H.A., Lee H.C., Chou C.L., Doong J.L., Virtual reality serves as a support technology in cardiopulmonary exercise testing, Presence., 12, 3, pp. 326-331, (2003)

[15]

Sanchez T.I., Salmeron M.Y., Lopez L.L., Rubio O.A., Torres R.J., Valenza M.C., Videogames in the treatment of obstructive respiratory diseases: A systematic review, Games Health J, 8, 4, pp. 237-249, (2019)

[16]

Moher D., Liberati A., Tetzlaff J., Altman D., Preferred reporting items for systematic reviews and meta-analysis: the PRISMA statement, Ann Int Med., 151, 4, pp. 264-269, (2009)

[17]

Liu W.-Y., Meijer K., Delbressine J.M., Willems P.J., Franssen F.M.E., Wouters E.F.M., Et al., Reproducibility and validity of the 6-minute walk test using the gait real-time analysis interactive lab in patients with COPD and healthy elderly, PLoS ONE., 11, 9, (2016)

[18]

Moola S., Munn Z., Tufanaru C., Aromataris E., Sears K., Sfetcu R., Currie M., Lisy K., Qureshi R., Mattis P., Mu P.

[19]

Del Corral T., Cebria I., Iranzo M.A., Lopez-de-Uralde-Villanueva I., Martinez-Alejos R., Blanco I., Vilaro J., Effectiveness of a home-based active video game programme in young cystic fibrosis patients, Respiration., 95, 2, pp. 87-97, (2018)

[20]

Sutanto Y.S., Makhabah D.N., Aphridasari J., Doewes M., Suradi, Ambrosino N. Videogame assisted exercise training in patients with chronic obstructive pulmonary disease: a preliminary study, Pulmonology., 25, 5, pp. 275-282, (2019)

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