《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (9): 1048-1058.doi: 10.3969/j.issn.1006-9771.2021.09.008
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LIU Yang1,ZHANG Xiao-quan1(),WANG Heng1,QI Li-ping2
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:
LIU Yang,ZHANG Xiao-quan,WANG Heng,QI Li-ping. Effects of Virtual Reality on Balance for Patients with Parkinson's Disease: A Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1048-1058.
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文献 | 国家或地区 | 样本量 (女性数) | 年龄(岁) | 患病程度 | 干预措施 | 干预剂量 | 结局指标 | |
---|---|---|---|---|---|---|---|---|
T | C | |||||||
Yuan (2020)[ | 中国台湾 | T = 12(10) C = 12(3) | 67.8±5.5 66.5±8.8 | H&Y T: 1期4例,2期5例,3期3例 C: 1期3例,2期4例,3期5例 | VR | 无干预 | 前6周,每周3次,每次30 min | ① |
Pazzaglia (2020)[ | 意大利 | T = 25(7) C = 26(9) | 72±7 70±10 | UPDRS-3 T: 23±9 C: 25±10 | C+VR | 常规康复 | 6周,每周3次,每次40 min | ① |
夏敏(2020)[ | 中国 | T = 15(4) C = 15(3) | 65.99 ±4.30 66.00±8.55 | UPDRS-3 T: 16.60±2.47 C: 18.27±3.63 | C+VR | 常规康复 | 4周,每周3次,每次40 min,T在C的基础上再VR干预15~20 min | ① |
刘静 (2020)[ | 中国 | T = 21(9) C = 21(10) | 60.9±7.20 63.90±5.82 | 病程(年) T: 7.76±3.99 C: 8.10±3.42 | C+VR | 平衡训练 | 5周,每周4次,每次30 min | ① |
Moon (2020)[ | 韩国 | T = 8(5) C = 7(5) | 63.38±5.37 62.14±5.55 | H&Y T: 2.63±0.52 C: 2.71±0.49 | C+VR | 作业疗法 | 8周,每周3次,每次30 min,T在C的基础上再VR干预30 min | ①② |
Feng (2019)[ | 中国 | T = 14(7) C = 14(6) | 67.47±4.79 66.93±4.64 | H&Y T: 3.03±0.55 C: 2.97±0.58 | VR | 常规康复 | 12周,每周5次,每次45 min | ①② |
Santos (2019)[ | 巴西 | T = 13(2) C = 14(3) | 61.7±7.3 64.5±9.8 | H&Y T: 1.4±0.6 C: 1.3±0.3 | VR | 常规康复 | 8周,每周2次,每次50 min | ①② |
T = 14(5) C = 14(3) | 66.6±8.2 64.5±9.8 | H&Y T: 1.5±0.4 C: 1.3±0.3 | C+VR | |||||
Tollár (2019)[ | 匈牙利 | T = 25(13) C = 24(11) | 70.0±4.69 67.5±4.28 | H&Y T: 2.3±0.48 C: 2.4±0.51 | VR | 健康教育 | 5周,每周5次,每次60 min | ①③ |
T = 25(13) C = 25(14) | 70.0±4.69 70.6±4.10 | H&Y T: 2.3±0.48 C: 2.4±0.51 | 自行车 | |||||
秦灵芝 (2019)[ | 中国 | T = 43(18) C = 40(16) | 65.9±4.9 66.1±6.2 | H&Y T: 2.6±0.5 C: 2.6±0.4 | C+VR | 常规康复 | 6周,每周5次,每次60 min | ① |
冯浩 (2019)[ | 中国 | T = 14(6) C = 14(5) | 67.47±4.79 66.93±4.64 | 病程(年) T: 7.07±1.44 C: 6.60±1.45 | VR | 常规康复 | 12周,每日1次,每次45 min | ② |
程元元(2019)[ | 中国 | T = 20(12) C = 20(11) | 59.2±7.3 58.6±7.5 | 病程(年) T: 6.1±1.4 C: 6.2±1.7 | C+VR | 常规康复 | 8周,每周2次,每次60 min | ①② |
Song (2018)[ | 澳大利亚 | T = 28(16) C = 25(20) | 68±7 65±7 | 病程(年) T: 7±4 C: 9±6 | 家庭VR | 无干预 | 12周,每周3次,每次不少于15 min | ② |
Ribas (2017)[ | 巴西 | T = 10(6) C = 10(6) | 61.70±6.83 60.20±11.29 | H&Y T: 1期5例,1.5期2例,2期2例,2.5期1例 C: 1期3例,1.5期4例,2期2例,2.5期1例 | C+VR | 常规康复 | 12周,每次30 min | ① |
Carpinella (2017)[ | 意大利 | T = 17(3) C = 20(11) | 73±7.1 75.6±8.2 | H&Y T: 2.7±0.7 C: 2.9±0.5 | VR | 平衡训练 | 每周3次,每次45 min,共20次 | ①②③ |
Gandolfi (2017)[ | 意大利 | T = 38(15) C = 38(10) | 67.45±7.18 69.84±9.41 | H&Y(范围) T: 2.5~2.5 C: 2.5~3.0 | 家庭VR | 平衡训练 | 7周,每周3次,每次50 min | ① |
陈思 (2017)[ | 中国 | T = 23(9) C = 23(11) | 62.09±6.11 64.65±5.06 | H&Y T: 2.52±0.51 C: 2.57±0.50 | VR | 平衡训练 | 6周,每周5次,每次50 min | ①②③ |
Yang (2016)[ | 中国台湾 | T = 11(4) C = 12(5) | 72.5±8.4 75.4±6.3 | H&Y(范围) T: 2~3 C: 2~3 | 家庭VR | 平衡训练 | 6周,每周3次,每次50 min | ①② |
Shih (2016)[ | 中国台湾 | T = 10(1) C = 10(3) | 67.5±9.96 68.8±9.67 | H&Y T: 1.6±0.84 C: 1.4±0.52 | C+VR | 平衡训练 | 8周,每周2次,每次50 min | ①② |
Özgönenel (2016)[ | 土耳其 | T = 15(10) C = 18(12) | 64 65 | H&Y T: 1期3例,2期10例,3期2例 C: 1期4例,2期6例,3期8例 | C+VR | 平衡训练 | 5周,每周3次,每次60 min | ①② |
林志诚 (2016)[ | 中国 | T = 17(6) C = 14(5) | 61.4±8.2 62.1±6.3 | H&Y T: 2.7±0.9 C: 2.9±0.7 | VR | 平衡训练 | 5周,每周3次,每次60 min | ①② |
Lee (2015)[ | 韩国 | T = 10(5) C = 10(5) | 68.4±2.9 70.1±3.3 | 无数据 | C+VR | 功能治疗 | 6周,每周2次,每次45 min | ① |
van den Heuvel (2014)[ | 荷兰 | T = 17(5) C = 16(8) | 66.3±6.39 68.8±9.68 | H&Y T: 2期6例,2.5期8例,3期3例 C: 2期5例,2.5期5例,3期6例 | VR | 平衡训练 | 5周,每周2次,每次60 min | ① |
Laio (2014)[ | 中国台湾 | T = 12(6) C = 12(7) | 67.3±7.1 64.6±8.6 | H&Y T: 1~1.5期5例,2~2.5期4例,3期3例 C: 1~1.5期5例,2~2.5期4例,3期3例 | C+VR | 跑步机 | 6周,每周2次,每次60 min | ② |
Pompeu (2012)[ | 巴西 | T = 16 C = 16 | None data | H&Y(范围) T: 1~2 C: 1~2 | VR | 平衡训练 | 7周,每周2次,每次60 min | ① |
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文献 | 随机序列生成 | 分配隐藏 | 参与者盲法 | 评定者盲法 | 数据不完整 | 选择性报告 | 其他偏倚 | 质量分数 |
---|---|---|---|---|---|---|---|---|
Yuan (2020)[ | 不清楚 | 低风险 | 低风险 | 高风险 | 低风险 | 低风险 | 不清楚 | B |
Pazzaglia (2020)[ | 低风险 | 低风险 | 低风险 | 高风险 | 低风险 | 低风险 | 不清楚 | B |
夏敏 (2020)[ | 低风险 | 不清楚 | 不清楚 | 不清楚 | 高风险 | 低风险 | 高风险 | B |
刘静 (2020)[ | 低风险 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Moon (2020)[ | 不清楚 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Feng (2019)[ | 不清楚 | 低风险 | 低风险 | 高风险 | 低风险 | 低风险 | 不清楚 | B |
Santos (2019)[ | 高风险 | 不清楚 | 低风险 | 低风险 | 低风险 | 低风险 | 低风险 | B |
Tollár (2019)[ | 低风险 | 低风险 | 低风险 | 高风险 | 低风险 | 低风险 | 不清楚 | B |
秦灵芝 (2019)[ | 低风险 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
冯浩 (2019)[ | 不清楚 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
程元元 (2019)[ | 低风险 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Song (2018)[ | 低风险 | 低风险 | 低风险 | 不清楚 | 高风险 | 低风险 | 高风险 | B |
Ribas (2017)[ | 不清楚 | 低风险 | 低风险 | 低风险 | 低风险 | 低风险 | 低风险 | B |
Carpinella (2017)[ | 低风险 | 低风险 | 低风险 | 低风险 | 低风险 | 低风险 | 低风险 | A |
Gandolfi (2017)[ | 低风险 | 低风险 | 低风险 | 高风险 | 高风险 | 低风险 | 不清楚 | B |
陈思 (2017)[ | 低风险 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Yang (2016)[ | 低风险 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Shih (2016)[ | 低风险 | 低风险 | 低风险 | 高风险 | 低风险 | 低风险 | 不清楚 | B |
Özgönenel (2016)[ | 高风险 | 高风险 | 不清楚 | 高风险 | 低风险 | 低风险 | 不清楚 | B |
林志诚 (2016)[ | 低风险 | 低风险 | 不清楚 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Lee (2015)[ | 不清楚 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 高风险 | B |
van den Heuvel (2014)[ | 不清楚 | 不清楚 | 不清楚 | 不清楚 | 低风险 | 低风险 | 低风险 | B |
Laio (2014)[ | 低风险 | 低风险 | 低风险 | 不清楚 | 低风险 | 低风险 | 不清楚 | B |
Pompeu (2012)[ | 不清楚 | 不清楚 | 低风险 | 不清楚 | 高风险 | 低风险 | 高风险 | B |
"
指标 | 分组 | 研究数 | 效应量 | 95%CI | P值 | I² | P值 |
---|---|---|---|---|---|---|---|
BBS | VR vs. 常规康复 | 7 | 4.20 | 3.11~5.29 | < 0.001 | 27% | 0.21 |
VR vs. 平衡训练 | 10 | 3.00 | 1.63~4.37 | < 0.001 | 64% | 0.003 | |
VR vs. 无特殊训练 | 2 | 5.02 | -5.36~15.41 | 0.34 | 94% | < 0.001 | |
VR vs. 特殊干预 | 2 | 1.47 | 0.60~2.34 | 0.0009 | 39% | 0.20 | |
TUGT | VR vs. 常规康复 | 5 | -0.74 | -1.36~-0.13 | 0.02 | 73% | 0.002 |
VR vs. 平衡训练 | 6 | -0.48 | -0.94~-0.03 | 0.04 | 57% | 0.04 | |
VR vs. 无特殊训练 | 1 | 0.29 | -0.25~0.83 | 0.29 | |||
VR vs. 特殊干预 | 1 | -0.69 | -1.74~0.37 | 0.20 |
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