体感互动游戏对脑卒中患者下肢功能康复效果的Meta分析

doi:10.3969/j.issn.1006-9771.2019.11.011

Abstract

Abstract: Objective To explore the effect of somatosensory interactive games on lower-limb function after stroke. Methods Randomized controlled trials (RCT) about the effectiveness of somatosensory interactive games on lower-limb function after stroke were retrieved from domestic and foreign databases, from inception to September, 2018. After literature quality evaluation, a meta-analysis was performed using RevMan5.3. Results A total of 414 patients were included in eleven articles. Compared with routine rehabilitation measures, somatosensory interactive games improved Berg Balance Scale scores (WMD = 1.75, 95%CI 0.95~2.54, P < 0.001), increased stride frequency (SMD = 1.21, 95%CI 0.03~2.38, P = 0.04), decreased the time of Timed Up and Go Test (WMD = -4.21, 95%CI -7.36~-0.89, P = 0.01), and improved the motor function of lower limbs (SMD = 0.66, 95%CI 0.15~1.17, P = 0.01), but worked less in pace (SMD = 0.05, 95%CI -0.98~1.09, P = 0.92) and 10-metre Maximum Walking Speed (WMD = 3.54, 95%CI -1.12~8.20, P = 0.14). Conclusion Compared with the routine rehabilitation, somatosensory interactive games can improve balance, walking and motor function. However, it is needed to further research on the pace and speed.

Key words: stroke, lower-limb function, somatosensory interactive game, meta-analysis

CLC Number:

R743.3

YU Hui, DONG Zhi-xia, SONG Jie, FENG Wei-jiao, HUA Jiao. Effects of Somatosensory Interactive Games on Lower-limb Function after Stroke: A Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(11): 1320-1326.

References

1 SuwanwelaN C, PoungvarinN, Asian Stroke Advisory Panel. Stroke burden and stroke care system in Asia [J]. Neurol India, 2016, 64(Suppl): S46-S51.
2 WangW, JiangB, SunH, et al. Prevalence, incidence, and mortality of stroke in China: results from a nationwide Population-Based survey of 480687 adults [J]. Circulation, 2017, 135(8): 759-771.
3 BangY S, SonK H, KimH J. Effects of virtual reality training using Nintendo Wii and treadmill walking exercise on balance and walking for stroke patients [J]. J Phys Ther Sci, 2016, 28(11): 3112-3115.
4 蔡超群,唐春妮. 脑卒中肢体功能障碍患者跌倒预防的核心稳定性康复训练[J]. 护理学杂志, 2017, 32(23): 96-98.
5 曹雅. Microsoft Kinect体感技术在神经系统疾病中的应用[J]. 医学研究生学报, 2017, 30(3): 329-332.
6 CheokG, TanD, LowA, et al. Is Nintendo Wii an effective intervention for individuals with stroke? A systematic review and meta-analysis [J]. J Am Med Dir Assoc, 2015, 16(11): 923-932.
7 LeeH C, HuangC L, HoS H, et al. The effect of a virtual reality game intervention on balance for patients with stroke: a randomized controlled trial [J]. Games Health J, 2017, 6(5): 1-9.
8 UtkanK A, BaleviB E, KaymakK G. Effectiveness of Wii-based rehabilitation in stroke? A randomized controlled study [J]. J Rehabil Med, 2018, 50: 406-412.
9 李亮,侯秋英,陶林花,等. 虚拟体感运动训练对脑卒中患者运动、平衡功能及日常生活能力的影响[J]. 中国康复, 2017, 32(6): 443-446.
10 梁明,窦祖林,王清辉,等. 虚拟现实技术对脑卒中偏瘫患者上肢功能康复疗效的meta分析[J]. 中国康复医学杂志, 2013, 28(12): 1146-1150.
11 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国脑血管疾病分类2015[J]. 中华神经科杂志, 2017, 50(3): 168-171.
12 HigginsJ P, GreenS. Cochrane Handbook for Systematic Reviews of Interventions [EB/OL]. [2017-12-01]. http://handbook.cochrane.org/.
13 BarcalaL, GreccoL A C, ColellaF, et al. Visual biofeedback balance training using Wii Fit after stroke: a randomized controlled trial [J]. J Phys Ther Sci, 2013, 25(8): 1027-1032.
14 FritzS L, PetersD M, MerloA M, et al. Active video-gaming effects on balance and mobility in individuals with chronic stroke: a randomized controlled trial [J]. Top Stroke Rehabil, 2013, 20(3): 218-225.
15 ParkY H, LeeC H, LeeB H. Clinical usefulness of the virtual reality-based postural control training on the gait ability in patients with stroke [J]. J Exerc Rehabil, 2013, 9(5): 489-494.
16 Silva RibeiroN M, FerrazD D, PedreiraE, et al. Virtual rehabilitation via Nintendo Wii? and conventional physical therapy effectively treat post-stroke hemiparetic patients [J]. Top Stroke Rehabil, 2015, 22(4): 299-305.
17 SongG B, ParkE C. Effect of virtual reality games on stroke patients’ balance, gait, depression, and interpersonal relationships [J]. J Phys Ther Sci, 2015, 27(7): 2057-2060.
18 YomC, Hwi-YoungC, ByoungheeL. Effects of virtual reality-based ankle exercise on the dynamic balance, muscle tone, and gait of stroke patients [J]. J Phys Ther Sci, 2015, 27(3): 845-849.
19 窦娜,李丹,马素慧,等. 体感交互技术对脑卒中平衡功能和步行功能训练的效果[J]. 中国康复理论与实践, 2014, 20(1): 66-69.
20 林卫,陈宁园,全雪梅,等. 体感互动游戏改善脑卒中患者运动功能的效果观察[J]. 广西医学, 2018, 40(14): 1558-1561, 1578.
21 吕慧颐,赵俊,武俊英. 康复护士延伸作业治疗对脑卒中偏瘫病人康复效果的影响[J]. 护理研究, 2017, 31(11): 4173-4175.
22 ObembeA O, OlaogunM O, AdedoyinR. Gait and balance performance of stroke survivors in South-Western Nigeria－a cross-sectional study [J]. Pan Afr Med J, 2014, 17(Suppl 1): 6.
23 RooijI J, IgV D P, MeijerJ G. The effect of virtual reality training on balance and gait ability in patients with stroke: a systematic review and meta-analysis [J]. Phys Ther, 2016, 96(12): 1-47.
24 ClarkR A, VernonS, MentiplayB F, et al. Instrumenting gait assessment using the Kinect in people living with stroke: reliability and association with balance tests [J]. J Neuroeng Rehabi, 2015, 12(15): 1-9.
25 KimT W, KimY W. Treadmill sideways gait training with visual blocking for patients with brain lesions [J]. J Phys Ther Sci, 2014, 26(9): 1415-1418.
26 WinsteinC J, SteinJ, ArenaR, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association [J]. Stroke, 2016, 47(6): e98-e169.
27 Cameir?oM S, BadiaS B, OllerE D, et al. Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation [J]. J Neuroeng Rehabi, 2010, 7(1): 1-14.
28 HebertD, LindsayM P, McintyreA, et al. Canadian stroke best practice recommendations: Stroke Rehabilitation Practice Guidelines, update 2015 [J]. Int J Stroke, 2016, 11(4): 459-484.

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Effects of Somatosensory Interactive Games on Lower-limb Function after Stroke: A Meta-analysis

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