تاثیر واقعیت مجازی در توانبخشیِ اندام فوقانیِ بیماران سکته ی مغزی: مرور نظام‌مند و فراتحلیل

نوع مقاله : مقاله مروری

نویسندگان

1 کارشناس ارشد مهندسی فناوری اطلاعات پزشکی، گروه مهندسی فناوری اطلاعات پزشکی، دانشکده مهندسی پزشکی، دانشگاه صنعتی امیرکبیر، تهران، ایران

2 استادیار و عضو هیئت علمی گروه بیوالکتریک، گروه بیوالکتریک، دانشکده مهندسی پزشکی، دانشگاه صنعتی امیرکبیر، تهران، ایران

چکیده

مقدمه و اهداف
بسیاری از مردم بعد از سکته مغزی غالبا در فعالیت های روزانه ی خود مثل نوشتن، رانندگی و غیره دچار مشکل می شوند. واقعیت مجازی و بازی های ویدئویی نوع جدیدی از درمان می باشد که برای افراد دچار سکته ی مغزی ارائه شده است. مطالعه حاضر با هدف مقایسه اثربخشی "توانبخشی اندام فوقانی با استفاده از واقعیت مجازی"در مقایسه با مداخله های دیگر یا عدم مداخله انجام شد.
مواد و روش ها
مطالعه حاضر یک مرور نظام مند به همراه فراتحلیل می باشد. جستجو در پایگاه های Cochrane Library، Science Direct، PED، REHABDATA،(Medline (PubMed به روی مقالاتی که تاثیر استفاده از واقعیت مجازی در توانبخشیِ اندام فوقانی را بررسی کرده بودند، انجام گرفت. جهت تحلیل داده ها و فراتحلیل از نرم افزار Comprehensive Meta Analysis استفاده شد.
یافته ها
تعداد 21 مقاله که شامل 1005 شرکت کننده بود، انتخاب شد. اندازه نمونه مطالعات عموما کوچک بوده و مداخله های متفاوتی در آنها استفاده شده بود. کیفیتِ روش مقاله های انتخاب شده با معیار PEDro تایید شد. در مطالعاتِ انتخاب شده، روش های مداخله در جهت بهبود عملکرد حرکتی طراحی شده بود. گروه های کنترل تحت توانبخشی متداول قرار گرفته بودند یا هیچ مداخله‌ای دریافت نکرده بودند.
نتیجه گیری
استفاده از واقعیت مجازی، در بهبود عملکردِ اندام فوقانی و انجام فعالیت های روزانه سودمند می باشد. هم چنین استفاده از واقعیت مجازی به عنوان مکملی در کنار توانبخشی معمول باعث بهبود عملکرد دست می شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effects of virtual reality therapy on stroke rehabilitation in upper limbs: Systematic Review and Meta-analysis

نویسندگان [English]

  • Rana Faal 1
  • Farnaz Ghassemi 2
1 MSc in medical informatics engineering, Department of Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran
2 Ph.D, Assistant Professor, Department of Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran
چکیده [English]

Back ground and Aim: People after a stroke have many problems in daily activities such as writing and driving. Virtual reality and interactive video gaming have emerged as recent treatment approaches in stroke rehabilitation. Present study compares the effects of virtual
Materials and Methods: This study is a systematic review with meta-analysis. Five scientific databases were systematically searched through their online search engines on articles using virtual reality in upper limb rehabilitation; these databases were Cochrane Library, sience direct, PED, Rehabdata and medline (Pubmad).
Results: We included 21 trials that involved 1005 participants. Study sample sizes were generally small and interventions varied. The methodological quality of the chosen RCTs was evaluated using the PEDro scale. Intervention approaches in the included studies were predominantly designed to improve motor function or activity performance. Control groups received no intervention or therapy based on a standard care approach.
Conclusion: Using virtual reality improves the upper extremity function and performance of daily activities. Also the use of virtual reality as a supplement in addition to the conventional rehabilitation improves the function of the hand.

کلیدواژه‌ها [English]

  • Virtual reality
  • upper limb rehabilitation
  • Stroke
  • Systematic Review And Meta-analysis
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