文章摘要
韩晶,梁明,谢荣.虚拟现实技术对脑瘫患儿下肢功能康复疗效的系统评价[J].中国康复,2020,35(10):541-546
虚拟现实技术对脑瘫患儿下肢功能康复疗效的系统评价
Meta analysis for effectiveness of virtual reality training on improving lower extremity function of children with cerebral palsy
  
DOI:
中文关键词: 脑瘫  虚拟现实  下肢功能  Meta分析
英文关键词: cerebral palsy  virtual reality  lower extremity function  Meta analysis
基金项目:
作者单位
韩晶 新疆维吾尔自治区人民医院乌鲁木齐 830001 
梁明 新疆维吾尔自治区人民医院乌鲁木齐 830001 
谢荣 新疆维吾尔自治区人民医院乌鲁木齐 830001 
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中文摘要:
      目的:系统评价虚拟现实技术结合常规康复训练对脑瘫患儿下肢运动康复的有效性。方法:检索Web of Science、PubMed、Clinical Science、Embase、Science Direct、Medline、Cochrane library对照实验中心注册数据库及谷歌学术、维普数据库、中国期刊全文数据库、中国生物医学文献数据库、万方数据库关于虚拟现实下肢康复训练结合常规康复训练与常规康复训练对比治疗脑瘫患儿下肢运动障碍的临床随机对照试验。运用RevMan 5.2版软件对资料进行Meta分析。结果:最终纳入14篇文献,8篇文献比较粗大运动功能评定量表(GMFM)评分,观察组GMFM评分高于对照组,Meta分析结果显示,加权均数差(WMD)=5.55,95%CI为[3.48,7.61];6篇文献比较儿科平衡量表(PBS)评分,观察组PBS评分高于对照组,Meta分析结果显示,WMD=2.57,95%CI为[1.75,3.38];4篇文献比较10米步行速度测试(10MWT),观察组10MWT高于对照组,Meta分析结果显示,WMD=0.16,95%CI为[0.04,0.27]。结论:虚拟现实康复训练结合常规康复训练能有效地促进脑瘫患儿下肢运动功能的康复,并比单纯常规康复训练更加有效。
英文摘要:
      Objective: To systematically review the virtual reality (VR) training combined with traditional therapy on improving lower extremity function of children with cerebral palsy. Methods: The registration databases of Web of Science, PubMed, Clinical Science, Embase, Science Direct, Medline, Cochrane library control experiment center, Google academic, VIP, Chinese journal full text, Chinese biomedical literature and Wanfang were searched. All literatures of VR rehabilitation combined with conventional rehabilitation comparing with single conventional rehabilitation in the treatment of lower limb dyskinesia with cerebral palsy were collected. RevMan version 5.2 software was used to make meta analysis. Results: Ultimately 14 randomized controlled trials were included, and the Gross Motor Function Rating Scale (GMFM) scores were compared in 8 papers. The GMFM score in the treatment group was higher than in the control group [WMD=5.55, 95% CI (3.48, 7.61)]. The pediatric balance scale (PBS) scores were compared in 6 papers. The scores of PBS in treatment group were higher than in the control group [WMD=2.57, 95% CI (1.75, 3.38)]. The 10 meter walking speed test (10MWT) was done in 4 papers. The 10MWT in the treatment group was higher than in the control group [WMD=0.16, 95% CI (0.04, 0.27)]. Conclusions: VR training combined with traditional therapy may be more effective on lower extremity rehabilitation than traditional therapy alone in children with cerebral palsy.
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