中国康复理论与实践Issue(8)：710-721,12.DOI:10.3969/j.issn.1006-9771.2013.08.002
虚拟现实技术对脑卒中患者上下肢运动功能康复效果的系统评价①
Effect of Virtual Reality on Motor Function in Patients with Stroke:A Systematic Review of Randomaized Controlled Trials
摘要
Abstract
Objective To evaluate the effect of virtual reality on motor function in patients with stroke. Methods PubMed, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals and Wanfang Data were searched for the randomized controlled trials (RCTs) of virtual reality on motor function in patients with stroke from the date of establishment to January 2013. The included studies were evaluated according to the method recommended by the Co-chrane Collaboration. RevMan 5.0 software was used to analyze the extracted data. Results 20 trials were included (13 trials about the upper extremity function and 7 trials about the lower extremity function). Compared with conventional training, the virtual reality training signifi-cantly increased the score of Fugl-Meyer assessment (FMA) (WMD=4.27, 95%CI:2.47~6.06, Z=4.67, P<0.00001) and Box and Block Test (BBT) (WMD=9.29, 95%CI: 5.24~13.34, Z=4.50, P<0.00001). However, the results of Berg balance scale (BBS) (WMD=1.63, 95%CI:-0.83~4.09, Z=1.30, P=0.20) and walking speed (WMD=0.01, 95%CI:-0.14~0.17, Z=0.18, P=0.86) were not statistically significance for the lower extremity function. According to the Jadad Score of included studies, 16 of them were of low quality and only 4 of them were of high quality. Conclusion The virtual reality training could improve the upper extremity function in patients with stroke, but not for the lower extremity function.关键词
脑卒中/虚拟现实/运动功能/随机对照试验/系统评价/Meta分析Key words
stroke/virtual reality/motor function/randomized controlled trials/systematic review/Meta-analysis分类
医药卫生引用本文复制引用
杨雨洁,岳雨珊,郭佳宝,张文毅,谢斌,潘桦飞,朱毅..虚拟现实技术对脑卒中患者上下肢运动功能康复效果的系统评价①[J].中国康复理论与实践,2013,(8):710-721,12.基金项目
1.2012年度江苏省高校“青蓝工程”培养对象；2.江苏省科技计划项目(No. SBL201220091)；3.“十二五”国家科技支撑计划项目(No.2013BAI10B00)；4.江苏省高等学校大学生实践创新训练计划项目(No.201302)。 （No. SBL201220091）
