Isolated effects of virtual reality training on upper limb motor function in patients with stroke: systematic review and meta-analysis.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-07-11 DOI:10.1080/09638288.2025.2527953

Iván José Fuentes-Abolafio, Rodrigo Martín-San Agustín, Juan Manuel Henriquez-Jurado, Luis Suso-Martí, Adrian Escriche-Escuder

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引用次数: 0

Abstract

Purpose: To synthesize evidence on the effects of virtual reality (VR) as monotherapy on upper motor function in stroke patients.

Methods: PubMed, PEDro, CINAHL, and WOS were searched from inception to December 2024.

Results: Nineteen studies were included (637 stroke patients, mean age 59.93 ± 6.52 years). The meta-analysis showed large effects sizes in VR interventions for upper extremity motor function and joint pain assessed with the Fugl-Meyer test (Cohen's d = 1.03, p < 0.001; Cohen's d = 1.49), being also superior when compared to a control group (Cohen's d = 0.68, p < 0.05, Cohen's d = 1.07). In contrast, these are not statistically significant when the analyses for motor function are done considering immersive or non-immersive VR. Non-immersive RV showed a large effect size on the Motor Activity Log Amount of Use (Cohen's d = 1.20) and Motor Activity Log Quality of Movement (Cohen's d = 1.35). RV also showed a medium effect size on the Action Research Arm Test (Cohen's d = 0.61). These results were not significant when compared to a control group.

Conclusion: VR as monotherapy improves upper limb motor function, being superior to other therapies in those functions assessed with the Fugl-Meyer scale. It is inconclusive if one VR modality is superior to another for improvements on upper limb motor function.

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虚拟现实训练对中风患者上肢运动功能的孤立影响：系统回顾和荟萃分析。

目的：综合研究虚拟现实（VR）单药治疗对脑卒中患者上肢运动功能的影响。方法：检索PubMed、PEDro、CINAHL和WOS，检索时间为建站至2024年12月。结果：纳入19项研究（637例脑卒中患者，平均年龄59.93±6.52岁）。meta分析显示，通过Fugl-Meyer检验评估，VR干预对上肢运动功能和关节疼痛的影响很大（Cohen’s d = 1.03, p d = 1.49），与对照组相比也更优越（Cohen’s d = 0.68, p d = 1.07）。相比之下，当考虑沉浸式或非沉浸式VR进行运动功能分析时，这些数据在统计上并不显著。非沉浸式RV对运动活动日志使用量（Cohen’s d = 1.20）和运动活动日志质量（Cohen’s d = 1.35）的影响较大。RV在行动研究臂检验中也显示中等效应量（Cohen’s d = 0.61）。与对照组相比，这些结果并不显著。结论：VR作为单一疗法可改善上肢运动功能，在Fugl-Meyer量表评估的功能方面优于其他疗法。在改善上肢运动功能方面，一种VR方式是否优于另一种方式尚无定论。

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

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.