Exploring balance control mechanisms in people with multiple sclerosis in virtual reality environment: a systematic review.

IF 5.2 2区医学 Q1 ENGINEERING, BIOMEDICAL

Journal of NeuroEngineering and Rehabilitation Pub Date : 2025-04-07 DOI:10.1186/s12984-025-01612-0

Badriah Alayidi, Emad Al-Yahya, Donal McNally, Stephen P Morgan

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引用次数: 0

Abstract

Background: Multiple sclerosis (MS) impairs balance control, affecting mobility and quality of life. Virtual reality (VR) offers a novel way to study balance mechanisms and potential rehabilitation. This review examines balance control in MS patients using VR, comparing responses in VR and non-VR settings with those of healthy controls.

Methods: This systematic review adhered to PRISMA guidelines. Comprehensive searches were conducted across databases including PubMed, Web of Science, Scopus, CINAHL, and ScienceDirect. Studies involving individuals with MS were analyzed to explore population characteristics and types of VR environments employed. Data extraction focused on participant demographics, clinical profiles, VR configurations, and reported outcomes.

Results: The potential value of VR training in this population was explored via systematic review. 23 studies highlighted the potential of VR environments to explore balance mechanisms in MS. Diverse VR types, ranging from immersive to semi-immersive systems, were used to assess postural control, functional balance outcomes, gait, and mobility. Despite variability in methodologies and reported outcomes, changes in functional measures such as gait and balance were frequently observed. This variability underscores the need for standardized protocols to enhance the comparability and application of VR in MS rehabilitation.

Conclusion: This systematic review highlights the variability in assessed balance response outcomes in PwMS.

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在虚拟现实环境中探索多发性硬化症患者的平衡控制机制：一项系统综述。

背景：多发性硬化症（MS）损害平衡控制，影响活动能力和生活质量。虚拟现实（VR）为研究平衡机制和潜在康复提供了一种新的途径。本综述研究了使用VR的MS患者的平衡控制，比较了VR和非VR设置与健康对照的反应。方法：本系统综述遵循PRISMA指南。在PubMed、Web of Science、Scopus、CINAHL和ScienceDirect等数据库中进行了全面的搜索。对涉及多发性硬化症患者的研究进行分析，以探索所采用的虚拟现实环境的人群特征和类型。数据提取侧重于参与者人口统计、临床概况、VR配置和报告结果。结果：通过系统回顾探讨了VR训练在该人群中的潜在价值。23项研究强调了VR环境在探索ms平衡机制方面的潜力。不同类型的VR，从沉浸式到半沉浸式系统，被用于评估姿势控制、功能平衡结果、步态和移动性。尽管方法和报告的结果存在差异，但经常观察到步态和平衡等功能测量的变化。这种可变性强调了标准化方案的必要性，以增强VR在MS康复中的可比性和应用。结论：本系统综述强调了PwMS评估平衡反应结果的可变性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of NeuroEngineering and Rehabilitation 工程技术-工程：生物医学

CiteScore

9.60

自引率

3.90%

发文量

122

审稿时长

24 months

期刊介绍： Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.