中国康复理论与实践2026，Vol.32Issue(9)：1003-1015,13.DOI:10.3969/j.issn.1006-9771.2026.09.002
虚拟现实运动游戏对认知功能障碍人群多维结局的影响:基于ICF框架的三水平Meta分析
Effect of virtual reality-based exergaming on multidimensional outcomes in individuals with cognitive impair-ment:a three-level meta-analysis based on the ICF framework
摘要
Abstract
Objective To systematically quantify the multidimensional effect of virtual reality-based exergaming(VREG)on health outcomes among individuals with cognitive impairment under the framework of the International Classification of Functioning,Disability and Health(ICF). Methods Meta-analysis was conducted in accordance with the PRISMA statement.PubMed,Cochrane Library,Embase,Scopus,Web of Science,CNKI,Wanfang Data and VIP were researched for randomized controlled trials(RCTs)investigating VREG for cognitive impairment,with the search deadline set on February 1,2026.The Cochrane Risk of Bias 2.0 tool was adopted to evaluate the methodological quality of included studies.A three-level meta-analytic model was implemented with R 4.4.2.The GRADE framework was further used to rate the certainty of pooled evidence. Results A total of 22 RCTs were included.VREG might improve global cognitive function(SMD=0.69,95%CI 0.11 to 1.28,P=0.022),memory(SMD=0.47,95%CI 0.07 to 0.87,P=0.023),attention(SMD=0.62,95%CI 0.23 to 1.01,P=0.004),executive function(SMD=0.42,95%CI 0.09 to 0.75,P=0.013),balance(SMD=0.54,95%CI 0.07 to 1.00,P=0.027),muscle strength(SMD=0.63,95%CI 0.37 to 0.88,P=0.001),mobility(SMD=0.29,95%CI 0.04 to 0.54,P=0.024)and quality of life(SMD=0.29,95%CI 0.03 to 0.56,P=0.029).No significant effect was observed for depressive symptoms,comprehensive physical fitness and fall risk(all P>0.05).Sub-group and meta-regression analyses indicated that session duration<45 minutes produced the largest improve-ment in attention(SMD=0.95,95%CI 0.55 to 1.34,P<0.001);intervention cycles of twelve to 24 weeks were optimal for mobility(SMD=0.85,95%CI 0.44 to 1.25,P<0.001);age negatively correlated to balance improve-ment(β=-0.11,95%CI-0.20 to-0.02,P=0.020),suggesting less intervention benefits among older partici-pants. Conclusion VREG is an effective non-pharmacological intervention to improve multidimensional physical and mental health in people with cognitive impairment.Protocols featuring short single sessions with long-term duration should be prioritized.关键词
运动游戏/虚拟现实/运动干预/认知功能障碍/执行功能/国际功能、残疾和健康分类/Meta分析Key words
exergaming/virtual reality/exercise intervention/cognitive impairment/executive function/International Classification of Functioning,Disability and Health/meta-analysis分类
医药卫生引用本文复制引用
蒋阳,彭皓,尹兴晓,李艳琪,宋艳萍,姚娜,申震,陈奇刚..虚拟现实运动游戏对认知功能障碍人群多维结局的影响:基于ICF框架的三水平Meta分析[J].中国康复理论与实践,2026,32(9):1003-1015,13.基金项目
1.国家自然科学基金项目(No.82360943) （No.82360943）
2.云南省科技计划项目(No.202401AZ070001-060) （No.202401AZ070001-060）
3.云南省中医联合专项青年项目(No.202301AZ070001-154) Supported by National Natural Science Foundation of China(No.82360943),Yunnan Provincial Science and Technology Program(No.202401AZ070001-060),and Yunnan Provincial Joint Special Project of Traditional Chinese Medicine(Youth)(No.202301AZ070001-154) （No.202301AZ070001-154）
