Joanna S Kostka, Agnieszka Zawadzka-Fabijan, Dariusz Działa, Bogumiła Bruc, Magdalena Pruszyńska, Gabriela Figas, Rory J O'Connor, Antti Malmivaara, Jolanta E Kujawa
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引用次数: 0
摘要
目的：本研究的目的是评估沉浸式技术在非特异性颈部疼痛患者康复中的有效性，并确定其使用相关的任何潜在副作用。设计：系统回顾。受试者/患者：有非特异性颈部疼痛的个体。方法：使用Medline （PubMed）、Embase （Ovid）、Scopus、Cochrane Database of systematic Reviews、WHO、Pedro和ClinicalTrials.gov进行随机对照试验的系统文献检索。采用Cochrane偏倚风险评估工具评估偏倚风险。结果：5项研究共纳入203名受试者（129名女性，74名男性）。在大多数研究中，虚拟现实（VR）组和对照组都表现出疼痛、颈部疼痛相关功能和活动范围的改善。两个案例发现，虚拟现实组在疼痛和活动范围（某些动作）方面表现出更大的改善，但在功能方面没有改善。所分析的研究缺乏关于虚拟现实治疗适用性的大量信息。结论：这些数据是有希望的，表明VR治疗可能对非特异性颈部疼痛患者的康复有好处。关于治疗安全性和不良事件的数据不足以得出任何结论。
Effectiveness and adverse effects of immersive technologies used for rehabilitation of patients with non-specific neck pain: a systematic review.
Objective: The aim of this study is to evaluate the effectiveness of immersive technologies in the rehabilitation of patients with non-specific neck pain and identify any potential side effects associated with their use.
Design: Systematic review.
Subjects/patients: Individuals with non-specific neck pain.
Methods: A systematic literature search of randomized controlled trials was conducted using Medline (PubMed), Embase (Ovid), Scopus, Cochrane Database of Systematic Reviews, WHO, Pedro, and ClinicalTrials.gov. Risk of bias was assessed with Cochrane Risk of Bias tool.
Results: Five studies with a total of 203 participants (129 women, 74 men) were included in the review. In most studies, both the virtual reality (VR) and control groups demonstrated improvement in pain, functioning related to neck pain, and range of motion. Two cases found the virtual reality group to demonstrate greater improvements in pain and range of motion (for some movements), but not in function. The studies analysed lack much information regarding the applicability of VR therapy.
Conclusion: The data are promising and suggest that VR therapy may have benefits in the rehabilitation of patients with non-specific neck pain. Data on the safety of therapy and adverse events are insufficient to draw any conclusions.
期刊介绍：
Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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