Benefits from Incorporating Virtual Reality in Pulmonary Rehabilitation of COPD Patients: A Systematic Review and Meta-Analysis.

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2023-08-10 DOI:10.3390/arm91040026
Irini Patsaki, Vasiliki Avgeri, Theodora Rigoulia, Theodoros Zekis, George A Koumantakis, Eirini Grammatopoulou
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Abstract

Chronic Obstructive Pulmonary Disease (COPD) is characterized by irreversible airflow limitation. Patient participation in Pulmonary Rehabilitation (PR) programs has a beneficial effect on disease management, improving patients' functional capacity and quality of life. As an alternative to traditional programs or as a complementary activity, the inclusion of virtual reality (VR) games is proposed. The aim of this research study was to investigate the effectiveness of incorporating VR in the pulmonary rehabilitation program of patients with COPD. A systematic literature search was performed for randomized controlled trials (RCTs) in the electronic databases Google Scholar, PubMed, and Pedro from January 2014 to March 2022. The search involved screening for studies examining the effectiveness of enhancing PR with VR. The PEDro (Physiotherapy Evidence Database) scale was chosen as the tool to assess the quality of studies. A meta-analysis was performed where possible. Six studies were included in this systematic review. The PEDro scale showed five studies of good methodological quality and one of fair quality. The variables examined were: aerobic capacity for exercise, lung function, anxiety and depression, with non-significant improvement for the MRC Dyspnea scale, marginally non-significant improvement regarding 6MWT (p = 0.05) and significant improvement for FEV1 (p < 0.05). There was variability noted in the VR applications and the proposed rehabilitation that the experimental groups followed. The application of VR is recommended for COPD patients, in combination with conventional PR. VR was found to be effective in increasing therapeutic effect and should be considered as a mean of increasing accessibility to PR. Therefore, further research, as well as additional RCTs regarding the effectiveness of VR in patients with COPD, seems necessary.

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将虚拟现实技术应用于慢性阻塞性肺病患者的肺康复治疗中的益处:系统回顾与元分析》。
慢性阻塞性肺病(COPD)的特点是不可逆转的气流受限。患者参与肺康复(PR)项目对疾病管理、提高患者的功能能力和生活质量都有好处。作为传统项目的替代方案或补充活动,建议加入虚拟现实(VR)游戏。本研究旨在探讨将 VR 纳入慢性阻塞性肺病患者肺康复计划的有效性。2014年1月至2022年3月期间,我们在电子数据库谷歌学术、PubMed和Pedro中对随机对照试验(RCT)进行了系统性文献检索。该检索包括筛选考察通过 VR 增强康复效果的研究。选择了物理治疗证据数据库(PEDro)量表作为评估研究质量的工具。在可能的情况下进行荟萃分析。本系统综述共纳入了六项研究。PEDro 量表显示,五项研究的方法质量良好,一项质量一般。研究的变量包括:有氧运动能力、肺功能、焦虑和抑郁,其中 MRC 呼吸困难量表的改善不显著,6MWT 的改善略微不显著(p = 0.05),FEV1 的改善显著(p < 0.05)。实验组在应用 VR 和建议的康复治疗方面存在差异。建议慢性阻塞性肺病患者结合传统的康复治疗应用 VR。研究发现,VR 能有效提高治疗效果,应被视为提高 PR 可及性的一种手段。因此,似乎有必要就 VR 对慢性阻塞性肺病患者的疗效开展进一步研究,并进行更多的 RCT 研究。
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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
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