A meta-analysis of the effectiveness of virtual reality training for improving balance and walking after a stroke
10.3760/cma.j.issn.0254-1424.2020.07.011
- VernacularTitle:虚拟现实技术改善脑卒中患者平衡与步行功能的系统评价
- Author:
Ming LIANG
1
;
Zhen WEI
;
Rong XIE
;
Jing HAN
;
Jing MA
;
Jing TAO
;
Baoxia WANG
;
Rui FANG
Author Information
1. 新疆维吾尔自治区人民医院康复医学科，乌鲁木齐 830001
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2020;42(7):632-639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To get a systematic overview of the utility of virtual reality (VR) training for improving the balance and walking ability of hemiplegic stroke survivors.Methods:Reports of randomized and controlled clinical trials of virtual reality′s utility for improving the balance and walking of stroke survivors were collected. Two researchers screened the reports independently, extracted data and assessed the risk of bias in the studies. The meta-analysis was performed using RevMan software.Results:Ultimately 22 randomized and controlled trials were included. According to the meta-analysis, the VR training groups had significantly greater improvements than the control groups in terms of Berg′s Balance Scale and recovery stages [Weighted mean difference (WMD)=4.09, 95%CI 2.20 to 5.97); WMD=3.31, 95%CI 2.48 to 4.14]. Moreover, there were significant differences in the average timed up & go between the VR and control groups in the recovery stage but not in the sequel stage.Conclusions:Virtual reality training can improve the effectiveness of traditional therapy in promoting the recovery of balance after a stroke. However, there is no significant improvement in terms of promoting walking ability.
