《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2020, Vol. 26 ›› Issue (3): 278-284.doi: 10.3969/j.issn.1006-9771.2020.03.003
Previous Articles Next Articles
LIANG Ming1a,WEI Zhen1b,XIE Rong1a(),XU Yi-peng1a,HOU Tian1a,TAO Jing1a,WANG Bao-xia1a,FANG Rui1a
Received:
2019-02-11
Revised:
2019-03-04
Published:
2020-03-25
Online:
2020-04-01
Contact:
XIE Rong
E-mail:wszsydxs@163.com
CLC Number:
LIANG Ming,WEI Zhen,XIE Rong,XU Yi-peng,HOU Tian,TAO Jing,WANG Bao-xia,FANG Rui. Virtual Reality Training for Balance Function for Old Adults: A Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(3): 278-284.
"
纳入研究 | 地区 | 样本量(n) | 平均年龄(岁) | 实验方案 | 结局指标 | 改良Jadad 质量评分 | |||
---|---|---|---|---|---|---|---|---|---|
实验组 | 对照组 | 实验组 | 对照组 | 实验组 | 对照组 | ||||
Daniel | 美国 | 8 | 7 | 80.0 | 72.6 | VR每次45 min,每周3次,共15周 | 常规康复每次45 min,每周3次,共15周 | TUGT | 4 |
Yeşilyaprak等 | 土耳其 | 7 | 11 | 70.1 | 73.1 | VR每次40 min,每周3次,共6周 | 常规康复每次40 min,每周3次,共6周 | BBS、TUGT | 5 |
Hagedorn等 | 美国 | 15 | 12 | 81.5 | 81.1 | VR每次90 min,每周2次,共12周 | 常规康复每次90 min,每周2次,共12周 | BBS、TUGT | 4 |
Williams等 | 苏格兰 | 15 | 6 | 76.8 | 76.5 | VR每周2次,共12周 | 常规康复每周2次,共12周 | BBS | 3 |
Laver等 | 澳大利亚 | 22 | 22 | 85.2 | 84.6 | VR每次25 min,每周5次 | 常规康复每次25 min,每周5次 | TUGT | 7 |
Lai等 | 台湾 | 15 | 15 | 70.6 | 74.8 | VR每次30 min,每周3次,共6周 | 常规康复每次30 min,每周3次,共6周 | BBS、TUGT | 6 |
Schwenk等 | 美国 | 17 | 16 | 84.3 | 84.9 | VR每次45 min,每周2次,共4周 | 常规康复每次45 min,每周2次,共4周 | TUGT | 5 |
Ku等 | 韩国 | 18 | 16 | 64.7 | 65.0 | VR每次30 min,每周3次,共4周 | 常规康复每次30 min,每周3次,共4周 | BBS、TUGT | 5 |
Lee等 | 韩国 | 21 | 19 | 76.15 | 75.71 | VR每次60 min,每周2次,共6周 | 常规康复每次60 min,每周2次,共6周 | BBS、TUGT | 5 |
Singh等 | 新加坡 | 18 | 18 | 61.12 | 64.00 | VR每次40 min,每周2次,共6周 | 常规康复每次40 min,每周2次,共6周 | TUGT | 4 |
Delbroek等 | 比利时 | 10 | 10 | 86.9 | 87.5 | VR每次18~30 min,每周2次,共6周 | 常规康复每次18~30 min,每周2次,共6周 | TUGT | 7 |
Franco等 | 美国 | 11 | 10 | 79.8 | 76.9 | VR每次10~15 min,每周2次,共3周 | 常规康复每次10~15 min,每周2次,共3周 | BBS | 4 |
Jung等 | 韩国 | 8 | 8 | 74.3 | 73.6 | VR每次30 min,每周2次,共8周 | 常规康复每次30 min,每周2次,共8周 | BBS、TUGT | 4 |
Jorgensen等 | 丹麦 | 28 | 30 | 75.9 | 73.7 | VR每次35 min,每周2次,共10周 | 常规康复每次35 min,每周2次,共10周 | TUGT | 6 |
Pluchino等 | 美国 | 12 | 14 | 70.72 | 76.00 | VR每次60 min,每周2次,共8周 | 常规康复每次60 min,每周2次,共8周 | TUGT | 4 |
Tsang等 | 香港 | 39 | 40 | 82.3 | 82.0 | VR每次60 min,每周3次,共6周 | 常规康复每次60 min,每周3次,共6周 | BBS、TUGT | 6 |
Park等 | 韩国 | 12 | 12 | 66.5 | 65.2 | VR每次30 min,每周3次,共8周 | 常规康复每次30 min,每周3次,共8周 | TUGT | 4 |
Schoene等 | 澳大利亚 | 15 | 17 | 77.5 | 78.4 | VR每次90 min,每周2~3次,共8周 | 常规康复每次90 min,每周2~3次,共8周 | TUGT | 4 |
Merriman等 | 爱尔兰 | 17 | 17 | 74.06 | 73.41 | VR每次30 min,每周2次,共5周 | 常规康复每次30 min,每周2次,共5周 | BBS | 4 |
Hsieh等 | 台湾 | 31 | 29 | 76.4 | 80.0 | VR每次60 min,每周2次,共24周 | 常规康复每次60 min,每周2次,共24周 | TUGT | 3 |
"
纳入研究 | 随机序列生成 | 分配隐藏 | 参与盲法 | 评定者盲法 | 数据完整性 | 选择性报告 | 其他偏倚 | 证据质量 |
---|---|---|---|---|---|---|---|---|
Daniel | 是 | 否 | 否 | 否 | 是 | 不清楚 | 是 | B |
Yeşilyaprak等 | 是 | 是 | 否 | 否 | 是 | 是 | 是 | B |
Hagedorn等 | 否 | 否 | 否 | 否 | 是 | 是 | 不清楚 | B |
Williams等 | 否 | 否 | 否 | 否 | 否 | 是 | 不清楚 | B |
Laver等 | 是 | 是 | 是 | 是 | 是 | 是 | 是 | A |
Lai等 | 是 | 是 | 是 | 否 | 是 | 是 | 不清楚 | B |
Schwenk等 | 是 | 是 | 否 | 否 | 是 | 不清楚 | 不清楚 | B |
Ku等 | 是 | 是 | 否 | 否 | 是 | 是 | 不清楚 | B |
Lee等 | 是 | 是 | 否 | 否 | 是 | 是 | 是 | B |
Singh等 | 是 | 否 | 否 | 否 | 是 | 是 | 不清楚 | B |
Delbroek等 | 是 | 是 | 是 | 是 | 是 | 是 | 是 | A |
Franco等 | 是 | 否 | 否 | 否 | 是 | 不清楚 | 不清楚 | B |
Jung等 | 是 | 否 | 否 | 否 | 是 | 不清楚 | 不清楚 | B |
Jorgensen等 | 是 | 是 | 是 | 否 | 是 | 是 | 是 | B |
Pluchino等 | 是 | 否 | 否 | 否 | 是 | 不清楚 | 不清楚 | B |
Tsang等 | 是 | 是 | 是 | 否 | 是 | 是 | 是 | B |
Park等 | 是 | 否 | 否 | 否 | 是 | 是 | 是 | B |
Schoene等 | 是 | 否 | 否 | 否 | 是 | 不清楚 | 是 | B |
Merriman等 | 是 | 否 | 否 | 否 | 是 | 不清楚 | 不清楚 | B |
Hsieh等 | 不清楚 | 否 | 否 | 否 | 是 | 不清楚 | 是 | B |
[1] | 刘元标, 励建安. 老年人跌倒与平衡及步态异常[J]. 中国康复理论与实践, 2012, 18(1):5-8. |
[2] | 王秀阳, 王伟, 许莉敏, 等. 老年人身体平衡能力的影响因素及改善方法[J]. 中国康复医学杂志, 2015, 30(6):631-634. |
[3] |
Delbroek T, Vermeylen W, Spildooren J. The effect of cognitive-motor dual task training with the biorescue force platform on cognition, balance and dual task performance in institutionalized older adults: a randomized controlled trial[J]. J Phys Ther Sci, 2017, 29(7):1137-1143.
doi: 10.1589/jpts.29.1137 pmid: 28744033 |
[4] | 梁明, 窦祖林, 王清辉, 等. 虚拟现实技术对不同类型脑卒中患者偏瘫上肢功能的影响[J]. 中华物理医学与康复杂志, 2014, 36(8):592-595. |
[5] |
Daniel K. Wii-hab for pre-frail older adults[J]. Rehabil Nurs, 2012, 37(4):195-201.
doi: 10.1002/rnj.25 |
[6] |
Yeşilyaprak S S, Yıldırım M Ş, Tomruk M, et al. Comparison of the effects of virtual reality-based balance exercises and conventional exercises on balance and fall risk in older adults living in nursing homes in Turkey[J]. Physiother Theory Pract, 2016, 32(3):191-201.
doi: 10.3109/09593985.2015.1138009 |
[7] | Hagedorn D K, Holm E. Effects of traditional physical training and visual computer feedback training in frail elderly patients. A randomized intervention study[J]. Eur J Phys Rehabil Med, 2010, 46(2):159-168. |
[8] |
Williams M A, Soiza R L, Jenkinson A M, et al. Exercising with Computers in Later Life (EXCELL) - pilot and feasibility study of the acceptability of the Nintendo® WiiFit in community-dwelling fallers[J]. BMC Res Notes, 2010, 13(3):238.
doi: 10.1186/s13104-020-05062-w |
[9] |
Laver K, George S, Ratcliffe J, et al. Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: a feasibility trial[J]. Disabil Rehabil, 2012, 34(21):1802-1808.
doi: 10.3109/09638288.2012.662570 pmid: 22409245 |
[10] |
Lai C H, Peng C W, Chen Y L, et al. Effects of interactive video-game based system exercise on the balance of the elderly[J]. Gait Posture, 2013, 37(4):511-515.
doi: 10.1016/j.gaitpost.2012.09.003 |
[11] | Schwenk M, Grewal G S, Honarvar B, et al. Interactive balance training integrating sensor-based visual feedback of movement performance: a pilot study in older adults[J]. J Neuroeng Rehabil, 2014, 13(11):164. |
[12] |
Ku J, Kim Y J, Cho S, et al. Three-dimensional augmented reality system for balance and mobility rehabilitation in the elderly: a randomized controlled trial[J]. Cyberpsychol Behav Soc Netw, 2019, 22(2):132-141.
doi: 10.1089/cyber.2018.0261 |
[13] | Lee Y, Choi W, Lee K, et al. Virtual reality training with three-dimensional video games improves postural balance and lower extremity strength in community-dwelling older adults[J]. J Aging Phys Act, 2017, 25(4):621-627. |
[14] |
Singh D K, Rajaratnam B S, Palaniswamy V, et al. Effects of balance-focused interactive games compared to therapeutic balance classes for older women[J]. Climacteric, 2013, 16(1):141-146.
doi: 10.3109/13697137.2012.664832 pmid: 22640573 |
[15] |
Franco J R, Jacobs K, Inzerillo C, et al. The effect of the Nintendo Wii Fit and exercise in improving balance and quality of life in community dwelling elders[J]. Technol Health Care, 2012, 20(2):95-115.
doi: 10.3233/THC-2011-0661 |
[16] |
Jung D I, Ko D S, Jeong M A. Kinematic effect of Nintendo Wii (TM) sports program exercise on obstacle gait in elderly women with falling risk[J]. J Phys Ther Sci, 2015, 27(5):1397-1400.
doi: 10.1589/jpts.27.1397 |
[17] |
Jorgensen M G, Laessoe U, Hendriksen C, et al. Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: a randomized controlled trial[J]. J Gerontol A Biol Sci Med Sci, 2013, 68(7):845-852.
doi: 10.1093/gerona/gls222 pmid: 23114461 |
[18] |
Pluchino A, Lee S Y, Asfour S, et al. Pilot study comparing changes in postural control after training using a video game balance board program and 2 standard activity-based balance intervention programs[J]. Arch Phys Med Rehabil, 2012, 93(7):1138-1146.
doi: 10.1016/j.apmr.2012.01.023 |
[19] | Tsang W W, Fu A S. Virtual reality exercise to improve balance control in older adults at risk of falling[J]. Hong Kong Med J, 2016, 22(2):19-22. |
[20] |
Park E C, Kim S G, Lee C W. The effects of virtual reality game exercise on balance and gait of the elderly[J]. J Phys Ther Sci, 2015, 27(4):1157-1159.
doi: 10.1589/jpts.27.1157 |
[21] |
Schoene D, Lord S R, Delbaere K, et al. A randomized controlled pilot study of home-based step training in older people using videogame technology[J]. PLoS One, 2013, 8(3):e57734.
doi: 10.1371/journal.pone.0057734 |
[22] |
Merriman N A, Whyatt C, Setti A, et al. Successful balance training is associated with improved multisensory function in fall-prone older adults[J]. Computers Human Behav, 2015, 45:192-203.
doi: 10.1016/j.chb.2014.12.017 |
[23] |
Hsieh C C, Lin P S, Hsu W C, et al. The effectiveness of a virtual reality-based Tai Chi exercise on cognitive and physical function in older adults with cognitive impairment[J]. Dement Geriatr Cogn Disord, 2018; 46(5-6):358-370.
doi: 10.1159/000494659 |
[24] | Higgins J P T, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version5.1 [EB/OL]. ( 2011- 04- 10) [2015- 07- 05]. http://www.cochrane handbook.org. |
[25] |
Jadad A R, Moore R A, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary?[J]. Control Clin Trials, 1996, 17(1):1-12.
pmid: 8721797 |
[26] | 梁明, 窦祖林, 邱雅贤. 虚拟现实技术在脑损伤后运动障碍康复中的应用[J]. 中华脑科疾病与康复杂志(电子版), 2012, 2(4):33-38. |
[27] | 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. |
[1] | LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110. |
[2] | WANG Zihao, LI Xinhua, JIANG Huiping, GUO Sainan, LIANG Qiuman, SHI Tingqi. Short-term knee function after total knee arthroplasty and related factors [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 111-118. |
[3] | LIN Na, GAO Hanlu, LU Huiping, CHEN Yanqing, ZHENG Junfan, CHEN Shurong. Effect of virtual reality on upper limb function after stroke: a study of diffusion tensor imaging [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 61-67. |
[4] | WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73. |
[5] | CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80. |
[6] | WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056. |
[7] | SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064. |
[8] | CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109. |
[9] | YANG Ya'nan, MU Liping, XING Fengmei, XUE Xinhong, WANG Xiaoguang, TAO Yangyu, SUN Zhumei, ZHANG Xiaoli. Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 869-874. |
[10] | SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881. |
[11] | MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889. |
[12] | WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895. |
[13] | LIU Yang, ZHANG Peng, HUANG Ying, CHEN Han, XU Chen, LI Min. Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 954-960. |
[14] | YI Qifeng, HUANG Zhuoer, YANG Guoli, XIE Lihua, XIE Shengfeng, WU Xiaoxia, YAN Jin. Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 985-992. |
[15] | LI Ziyi, SONG Weiqun, DU Jubao, CAO Guanglei, ZHANG Yanming, LI Ran. Effect of motor imagery on knee function after unicompartmental knee arthroplasty [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 745-749. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|