Edgar Vásquez-Carrasco , Jordan Hernandez-Martinez , María Sepúlveda-Ramírez , Florencia Carmine , Cristian Sandoval , Hadi Nobari , Pablo Valdés-Badilla
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引用次数: 0
摘要
本系统综述旨在评估和综合虚拟现实(VR)干预对老年阿尔茨海默病(AD)患者生活质量、认知功能和身体功能的科学证据。到2025年3月,使用七个通用数据库进行系统综述检索:PubMed, EBSCOhost, CINAHL Complete, Cochrane, ProQuest, Scopus和Web of Science。使用PRISMA、RoB 2和GRADEpro工具评估方法学质量、偏倚风险和证据的确定性。该协议在PROSPERO数据库中注册,编号为CRD42024629853。在数据库中确定的3347条记录中,有7项研究使用PICOS格式进行了分析。本综述纳入517例老年AD患者(平均年龄76.5岁;57.5%的女性)。由于评估工具的异质性,不能进行荟萃分析。虽然在实验组和对照组之间没有发现一致的显著差异,但一些单独的研究报告了改善。具体来说,有两项研究表明生活质量和认知功能得到改善,而三项研究表明身体功能得到改善。干预措施包括沉浸式认知训练、运动游戏、基于kinect的系统和Physiomat平台,持续时间从4到16周不等,频率为每周2到5次。对回顾研究的分析表明,虚拟现实干预可能有益于老年AD患者的认知功能、身体功能,并在较小程度上改善生活质量。
Effectiveness of virtual reality interventions on quality of life, cognitive function and physical function in older people with Alzheimer's disease: A systematic review
This systematic review aimed to evaluate and synthesize the scientific evidence of virtual reality (VR) interventions on quality of life, cognitive function, and physical function in older people with Alzheimer's disease (AD). A systematic review search until March 2025 using seven generic databases: PubMed, EBSCOhost, CINAHL Complete, Cochrane, ProQuest, Scopus, and Web of Science. The PRISMA, RoB 2, and GRADEpro tools were used to assess the methodological quality, risk of bias, and certainty of the evidence.The protocol was registered in PROSPERO database, CRD42024629853. Of 3347 records identified across the databases, seven studies were analyzed using the PICOS format. This review included 517 older people with AD (mean age 76.5 years; 57.5 % female). Due to the heterogeneity of the assessment tools, a meta-analysis could not be performed. Although no consistent significant differences were found between the experimental and control groups, several individual studies reported improvements. Specifically, two studies showed improvements in quality of life and cognitive function, while three reported enhancements in physical function. The interventions included immersive cognitive training, exergaming, Kinect-based systems, and Physiomat platforms, with durations ranging from 4 to 16 weeks and frequencies of 2–5 sessions per week. Analysis of the reviewed studies suggests that VR interventions may benefit cognitive function, physical function, and, to a lesser extent, quality of life in older people with AD.
期刊介绍:
With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends.
ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research.
The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.