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Virtual reality therapy for upper limb rehabilitation in patients with stroke: a meta-analysis of randomized clinical trials.
Brain Injury ( IF 1.5 ) Pub Date : 2020-02-17 , DOI: 10.1080/02699052.2020.1725126
Destaw B Mekbib 1 , Jiawei Han 2 , Li Zhang 3 , Shan Fang 3 , Hongjie Jiang 2 , Junming Zhu 2 , Anna W Roe 1 , Dongrong Xu 4
Affiliation  

Background: Stroke is a major cause of life-long disability in adults, associated with poor quality of life. Virtual reality (VR)-based therapy systems are known to be helpful in improving motor functions following stroke, but recent clinical findings have not been included in the previous publications of meta-analysis studies.Aims: This meta-analysis was based on the available literature to evaluate the therapeutic potential of VR as compared to dose-matched conventional therapies (CT) in patients with stroke.Methods: We retrieved relevant articles in EMBASE, MEDLINE, PubMed, and Web of Science published between 2010 and February 2019. Peer-reviewed randomized controlled trials that compared VR with CT were included.Results: A total of 27 studies met the inclusion criteria. The analysis indicated that the VR group showed statistically significant improvement in the recovery of UL function (Fugl-Meyer Upper Extremity [FM-UE]: n = 20 studies, Mean Difference [MD] = 3.84, P = .01), activity (Box and Block Test [BBT]: n = 13, MD = 3.82, P = .04), and participation (Motor Activity Log [MAL]: n = 6, MD = 0.8, P = .0001) versus the control group.Conclusion: VR appears to be a promising therapeutic technology for UL motor rehabilitation in patients with stroke.

中文翻译:

中风患者上肢康复的虚拟现实疗法:随机临床试验的荟萃分析。

背景:中风是成年人终生残疾的主要原因,与生活质量差有关。众所周知,基于虚拟现实 (VR) 的治疗系统有助于改善中风后的运动功能,但最近的临床发现并未包含在先前发表的荟萃分析研究中。 目的:本荟萃分析基于现有的与剂量匹配的常规疗法 (CT) 相比,评估 VR 在卒中患者中的治疗潜力的文献。回顾了比较 VR 与 CT 的随机对照试验。结果:共有 27 项研究符合纳入标准。
更新日期:2020-02-17
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