摘要
Abstract
Objective To report outcomes of virtual reality technology(VR)based vestibular rehabilitation therapy(VRT)in patients with vestibular dysfunction,to help improve clinical practice.Methods The SinoMed,WanFang Data,CNKI,VIP,Web of Science,PubMed,Embase,Scopus,Ovid and Cochrane Library were searched for randomized controlled trial(RCT)studies on the effect of virtual reality vestibular rehabilitation in patients with vestibular dysfunction from inception to January 1st,2024.Two researchers conducted independent literature screening,data extraction and the Cochrane Risk of Bias Assessment Tool was used to evaluate the risk of bias of the included literatures,while the Physiotherapy Evidence Database(PEDro)scale was used to evaluate their quality.The collected data were quantitatively analyzed using the RevMan 5.4 software.Results Twelve studies were included(total 791 patients)with PEDro scores ranging from 4 to 8.Meta-analysis showed that,compared with conventional vestibular rehabilitation,virtual reality vestibular rehabilitation better improved balance ability(MOL:MD=-34.07[95%CI-37.90,-30.25],P<0.01;EA:MD=-192.34[95%CI-208.88,-175.80],P<0.01),with less vertigo disability(MD=-6.71[95%CI-9.31,-4.10],P<0.01)and better daily quality of life(MD=-1.47[95%CI-1.69,-1.24],P<0.01).Immersive virtual reality technology also improved gait balance and reduced fall risk(MD=5.04[95%CI 4.21,5.88],P<0.01).Other measures showed no statistically significant differences.Conclusion The application of virtual reality technology in vestibular rehabilitation therapy can improve patient balance ability and daily quality of life,although there lacks strong evidence in improving patient psychology and compliance,probably limited by the number and quality of the included studies.This conclusions needs to be verified with long-term,large-scale and high-quality studies.关键词
虚拟现实技术/前庭康复/前庭功能障碍/Meta分析/循证医学Key words
virtual reality/vestibular rehabilitation therapy/vestibular dysfunction/meta-analysis/evidence-based medicine
