虚拟现实技术对脑瘫患儿运动功能影响的Meta分析

Effects of Virtual Reality Technology on Motor Function of Children with Cerebral Palsy:A Meta-Analysis

目的探讨虚拟现实技术在脑瘫患儿运动功能康复护理中的效果。方法检索Web of Science、PubMed、Cochrane Library、Embase、维普、中国知网、万方、中国生物医学数据库中关于虚拟现实技术对脑瘫患儿运动功能康复护理效果的随机对照试验,检索时限为建库至2022年4月。两名研究者采用偏倚风险评估工具ROB 2对纳入文献进行质量评价,并采用RevMan 5.3软件进行分析。结果共纳入18篇文献、662例患儿。Meta分析结果显示,虚拟现实技术可改善脑瘫患儿粗大运动功能(采用GMFM-88进行评估时)[SMD=0.61,95%CI(0.07,1.14),P=0.03]、平衡功能(干预时长≥12周)[SMD=0.91,95%CI(0.51,1.31),P<0.001]、10 m步行速度[MD=0.14,95%CI(0.01,0.27),P=0.04],但对功能独立性、2 m步行速度的改善不显著(P>0.05)。结论虚拟现实技术对改善脑瘫患儿粗大运动功能、平衡功能及10 m步行速度有一定积极意义,在改善功能独立性、2 m步行速度方面效果尚不明显,未来需更多高质量研究论证。

Objective To explore the effects of virtual reality technology on motor function rehabilitation nursing for children with cerebral palsy.Methods The databases of Web of Science,PubMed,Cochrane Library,Embase,VIP,CNKI,Wanfang,and CBM were searched for randomized controlled trials about the effects of virtual reality technology on motor function rehabilitation nursing for children with cerebral palsy.The retrieval time frame was from inception to April,2022.Two researchers appraised the quality of involved literature using the risk of bias assessment tool-ROB 2.The RevMan 5.3 software was used for analysis.Results A total of 18 articles were involved,covering 662 children.The meta-analysis indicated that virtual reality technology had a positive effect on gross motor function(assessed using GMFM-88)[SMD=0.61,95%CI(0.07,1.14),P=0.03],balance function(intervention duration≥12 weeks)[SMD=0.91,95%CI(0.51,1.31),P<0.001],and 10-meter walking speed[MD=0.14,95%CI(0.01,0.27),P=0.04]among children with cerebral palsy.However,the improvements in functional independence and 2-meter walking speed were not statistically significant(P>0.05).Conclusions Virtual reality technology has positive effects on improving the gross motor function,balance function,and 10-meter walking speed of children with cerebral palsy.However,the effects on improving their functional independence and 2-meter walking speed are not yet evident.More high-quality studies are required for further verification.