Objective

Evidence of the effectiveness of virtual reality (VR) in motor and cognitive rehabilitation for traumatic brain injury (TBI) continues to be mixed. Therefore, we conducted a systematic literature review in accordance with PRISMA guidelines to strategically evaluate the strength of evidence supporting the use of VR as a rehabilitation tool for motor function and cognition in patients with TBI.

Method

The van Tulder criteria were modified to determine the quality of the outcomes of studies deemed eligible for inclusion in the review.

Outcomes and Results

Twelve studies were considered eligible for inclusion in the systematic review. These studies utilized methods of varying quality such as case and quasi-experimental studies and found moderately positive support for the effectiveness of VR-enhanced rehabilitation for both motor skills and cognitive deficits.

Conclusions and Implications

The varying quality of the included studies provides moderate support for use of VR-enhanced rehabilitation techniques per the van Tulder criteria. This highlights the continued gap in the literature for robust studies that enable providers, policy makers, and the public to draw conclusions about the effectiveness of VR-enhanced rehabilitation for traumatic brain injury. Continued pursuit of analyses in the context of newer immersive VR-enhanced rehabilitation is recommended.

中文翻译：

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虚拟现实游戏作为成人脑损伤的神经康复工具：系统综述。

目的

在创伤性脑损伤（TBI）的运动和认知康复中，虚拟现实（VR）有效性的证据继续混杂。因此，我们根据PRISMA指南进行了系统的文献综述，从战略上评估了支持将VR用作TBI患者运动功能和认知康复工具的证据的实力。

方法

修改了van Tulder标准，以确定被认为适合纳入评价的研究结果的质量。

结果与结果

十二项研究被认为符合纳入系统评价的条件。这些研究利用了不同质量的方法，例如案例研究和准实验研究，并发现了对VR增强的运动技能和认知功能障碍康复效果的中度积极支持。

结论与启示

根据van Tulder标准，纳入研究的不同质量为使用VR增强的康复技术提供了适度的支持。这突显了在稳健研究方面文献的持续差距，这些研究使提供者，政策制定者和公众可以得出结论，关于VR增强的康复疗法对颅脑损伤的有效性。建议在新的沉浸式虚拟现实增强康复环境中继续进行分析。