{"title":"虚拟现实对脑瘫患者手臂功能改善的影响:荟萃分析综述。","authors":"Yuping Chen, Jin Xu, Ayanna Howard","doi":"10.1080/17518423.2025.2499803","DOIUrl":null,"url":null,"abstract":"<p><p>This overview was to understand the impact of virtual reality (VR) on upper-extremity function in individuals with cerebral palsy (CP). A systematic literature search was conducted using electronic databases (e.g. PubMed, Web of Science) and a manual search of the reference lists of each article. The quality of meta-analysis, average effect size, heterogeneity, and moderators were extracted and evaluated. Thirteen meta-analyses were included, with only one review (7.7%) rated High and the rest rated Critical Low (53.8%) or Low (38.5%). Immediate post-VR effect ranged from medium to large effect with an average effect of 0.69: VR showed a large effect of arm function (0.81) but a small effect of hand function (0.43). Short-term VR effect was inconsistent. Most meta-analyses showed moderate to substantial heterogeneity. VR seems to be a viable intervention to improve arm function, but further studies with vigorous design are needed.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"111-119"},"PeriodicalIF":1.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of virtual reality on improving arm function in individuals with cerebral palsy: an overview of meta-analyses.\",\"authors\":\"Yuping Chen, Jin Xu, Ayanna Howard\",\"doi\":\"10.1080/17518423.2025.2499803\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This overview was to understand the impact of virtual reality (VR) on upper-extremity function in individuals with cerebral palsy (CP). A systematic literature search was conducted using electronic databases (e.g. PubMed, Web of Science) and a manual search of the reference lists of each article. The quality of meta-analysis, average effect size, heterogeneity, and moderators were extracted and evaluated. Thirteen meta-analyses were included, with only one review (7.7%) rated High and the rest rated Critical Low (53.8%) or Low (38.5%). Immediate post-VR effect ranged from medium to large effect with an average effect of 0.69: VR showed a large effect of arm function (0.81) but a small effect of hand function (0.43). Short-term VR effect was inconsistent. Most meta-analyses showed moderate to substantial heterogeneity. VR seems to be a viable intervention to improve arm function, but further studies with vigorous design are needed.</p>\",\"PeriodicalId\":93976,\"journal\":{\"name\":\"Developmental neurorehabilitation\",\"volume\":\" \",\"pages\":\"111-119\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Developmental neurorehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/17518423.2025.2499803\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Developmental neurorehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/17518423.2025.2499803","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/7 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
本综述旨在了解虚拟现实(VR)对脑瘫(CP)患者上肢功能的影响。使用电子数据库(如PubMed、Web of Science)进行系统的文献检索,并对每篇文章的参考文献列表进行人工检索。提取并评估meta分析的质量、平均效应大小、异质性和调节因子。纳入13项荟萃分析,其中只有1项评价(7.7%)评价为高,其余评价为临界低(53.8%)或低(38.5%)。VR后即刻效应从中等到较大,平均效应为0.69,其中VR对手臂功能的影响较大(0.81),对手功能的影响较小(0.43)。短期VR效果不一致。大多数荟萃分析显示中度至实质性异质性。虚拟现实似乎是一种可行的干预措施,以改善手臂功能,但需要进一步的研究有力的设计。
Effect of virtual reality on improving arm function in individuals with cerebral palsy: an overview of meta-analyses.
This overview was to understand the impact of virtual reality (VR) on upper-extremity function in individuals with cerebral palsy (CP). A systematic literature search was conducted using electronic databases (e.g. PubMed, Web of Science) and a manual search of the reference lists of each article. The quality of meta-analysis, average effect size, heterogeneity, and moderators were extracted and evaluated. Thirteen meta-analyses were included, with only one review (7.7%) rated High and the rest rated Critical Low (53.8%) or Low (38.5%). Immediate post-VR effect ranged from medium to large effect with an average effect of 0.69: VR showed a large effect of arm function (0.81) but a small effect of hand function (0.43). Short-term VR effect was inconsistent. Most meta-analyses showed moderate to substantial heterogeneity. VR seems to be a viable intervention to improve arm function, but further studies with vigorous design are needed.