《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (9): 1048-1058.doi: 10.3969/j.issn.1006-9771.2021.09.008

• 综述 • 上一篇    下一篇

虚拟现实技术对帕金森病患者综合平衡能力改善的Meta分析

刘阳1,张孝权1(),王恒1,齐莉萍2   

  1. 1.大连理工大学(盘锦校区)体育与健康学院,辽宁盘锦市 124221
    2.大连理工大学生物医学工程学院,辽宁大连市 116024
  • 收稿日期:2020-11-25 修回日期:2021-07-30 出版日期:2021-09-25 发布日期:2021-10-09
  • 通讯作者: 张孝权 E-mail:xiaoquanzhang@dlut.edu.cn
  • 作者简介:刘阳(1995-),男,汉族,河南信阳市人,硕士研究生,主要研究方向:运动生物力学。
  • 基金资助:
    国家自然科学基金项目(31600797)

Effects of Virtual Reality on Balance for Patients with Parkinson's Disease: A Meta-analysis

LIU Yang1,ZHANG Xiao-quan1(),WANG Heng1,QI Li-ping2   

  1. 1. School of Kinesiology and Health Promotion, Dalian University of Technology, Panjin, Liaoning 124221, China
    2. School of Biomedical Engineering, Dalian University of Technology, Dalian, Liaoning 116024, China
  • Received:2020-11-25 Revised:2021-07-30 Published:2021-09-25 Online:2021-10-09
  • Contact: ZHANG Xiao-quan E-mail:xiaoquanzhang@dlut.edu.cn
  • Supported by:
    National Natural Science Foundation of China(31600797)

摘要:

目的 综合评价虚拟现实技术(VR)对帕金森病患者综合平衡能力改善的效果。方法 计算机检索Web of Science、PubMed、Cochrane Library、EMBASE、Scopus、维普数据库、万方数据库、中国知网(CNKI)数据库,搜集VR对帕金森病患者干预的随机对照研究,时间范围自建库至2020年11月。由2名研究者独立筛选文献、提取资料并评价文献质量后,采用Review Manager 5.3软件进行Meta分析。结果 共纳入24篇文献,与对照组相比,结果显示VR干预能显著改善帕金森病患者的静态平衡能力(SMD = -0.49, 95%CI -0.64~-0.35, P < 0.001),单一VR干预显著改善帕金森病患者的Berg平衡量表评分(SMD = 0.83, 95%CI 0.43~1.23, P < 0.001),联合VR干预显著改善帕金森病患者的Berg平衡量表评分(SMD = 0.75, 95%CI 0.53~0.96, P < 0.001)和计时起立-行走测试时间(SMD = -0.87, 95%CI -1.52~-0.22, P = 0.008),单一VR干预计时起立-行走测试时间与对照组无显著性差异(SMD = -0.36, 95%CI -0.74~0.03, P = 0.07)。结论 VR可以改善帕金森病患者的综合平衡能力,建议与常规康复或平衡训练联合进行。

关键词: 帕金森病, 虚拟现实, 平衡, Meta分析

Abstract:

Objective To evaluate the effect of virtual reality (VR) on comprehensive balance for patients with Parkinson's disease (PD).Methods The databases of Web of Science, PubMed, Cochrane Library, EMBASE, Scopus, VIP, Wanfang Data and CNKI were retrieved to collect randomized controlled trials about VR intervention for PD patients, from establishment to November, 2020. Two researchers independently screened the literature, extracted the data and evaluated the quality of the literature, and then used Review Manager 5.3 software for meta-analysis.Results A total of 24 documents were included. Compared with the control group, VR intervention might improve the static balance (SMD = -0.49, 95%CI -0.64 to -0.35, P < 0.001) of PD patients. Simple VR intervention might improve the Berg Balance Scale score (SMD = 0.83, 95%CI 0.43 to 1.23, P < 0.001) for PD patients, while combination of VR intervention might improve the Berg Balance Scale score (SMD = 0.75, 95%CI 0.53 to 0.96, P < 0.001) and Timed 'Up and Go' Test time (SMD = -0.87, 95%CI -1.52 to -0.22, P = 0.008) for PD patients; however, simple VR intervention might do little in improving Timed 'Up and Go' Test time (SMD = -0.36, 95%CI -0.74 to 0.03, P = 0.07).Conclusions VR can improve the comprehensive balance for PD patients, especially combine with conventional or balance training.

Key words: Parkinson's disease, virtual reality, balance, meta-analysis