虚拟现实与上肢功能性电刺激在中风后康复中的应用:系统性综述

Q1 Mathematics Applied Sciences Pub Date : 2024-09-13 DOI:10.3390/app14188248
Diana Minzatanu, Nadinne Alexandra Roman, Adina Ionelia Manaila, Ionut Cristian Cozmin Baseanu, Vlad Ionut Tuchel, Elena Bianca Basalic, Roxana Steliana Miclaus
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引用次数: 0

摘要

背景:本系统性文献综述旨在探讨康复治疗对脑卒中后患者的影响,尤其强调虚拟现实(VR)技术和功能性电刺激(FES)的作用。研究方法为确保纳入所有相关研究,我们在 PubMed 和 Web of Science 数据库中使用 "中风后"、"FES"、"功能性电刺激"、"虚拟现实 "和 "VR "等关键词进行了全面搜索。有关中风后患者通过虚拟现实和功能性电刺激康复上肢功能的研究,无论发表年份如何,均包括在内。研究必须将这种综合疗法与传统方法进行比较,并报告与上肢协调性、功能移动性和日常活动相关的结果。不符合这些标准的研究将被排除在外。筛选过程包括由四位独立审稿人筛选标题、摘要和全文。采用 PEDro 量表和 Robvis 工具对纳入研究的质量和偏倚风险进行评估。结果综述包括四项研究,涉及 135 名中风后患者。其中两篇文章探讨了虚拟现实、机器人疗法和功能性电刺激在中风后患者上肢康复中的有效性,结果显示运动功能和生活质量均有显著改善。另外两项研究探讨了使用虚拟现实技术结合功能性电刺激对中风患者上肢功能进行康复治疗的效果,结果发现联合疗法(功能性电刺激与虚拟现实技术)优于功能性电刺激或机器人疗法。讨论:本综述受限于研究数量和参与人数较少,这可能会影响结果的普遍性。不同研究的干预方案和结果测量存在差异,这给综述带来了挑战。整合这些技术会带来益处,并增加个性化和优化康复过程的潜力,提高患者的参与度和满意度,促进卒中后管理的整体方法。未来的研究应侧重于更大规模、更标准化的试验,以证实这些发现并优化干预方案。
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Virtual Reality Associated with Functional Electrical Stimulation for Upper Extremity in Post-Stroke Rehabilitation: A Systematic Review
Background: This systematic literature review aims to explore the impact of rehabilitation in post-stroke patients, particularly highlighting the roles of virtual reality (VR) technology and functional electrical stimulation (FES). Methods: To ensure all relevant studies were included, a thorough search was conducted in PubMed and Web of Science databases using keywords such as ‘post-stroke’, ‘FES’, ‘functional electrical stimulation’, ‘virtual reality’, and ‘VR’. Studies on rehabilitating upper limb function through VR and FES in post-stroke patients were included, regardless of publication year. Studies had to compare this combination therapy with conventional methods and report outcomes related to upper limb coordination, functional mobility, and daily activities. Studies not meeting these criteria were excluded. The selection process involved screening titles, abstracts, and full texts by four independent reviewers. The quality and risk of bias of the included studies were assessed using the PEDro scale and Robvis tool. Results: The review included four studies involving 135 post-stroke patients. Two articles examined the effectiveness of an approach involving virtual reality, robotic therapy, and functional electrical stimulation in rehabilitating upper limbs in post-stroke patients, showing significant improvements in motor function and quality of life. The other two studies explored the effects of rehabilitation therapy using virtual reality combined with functional electrical stimulation on upper limb function in stroke patients, finding that combined therapy (FES with VR) was superior to functional electrical stimulation or robotic therapy. Discussion: The review was limited by the small number of studies and participants, which may affect the generalizability of the results. Variations in intervention protocols and outcome measures across studies posed challenges in synthesis. Integrating these technologies brings benefits and increases the potential for personalizing and optimizing the rehabilitation process, enhancing patient engagement and satisfaction, and promoting a holistic approach to post-stroke management. Future research should focus on larger, more standardized trials to confirm these findings and optimize intervention protocols.
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来源期刊
Applied Sciences
Applied Sciences Mathematics-Applied Mathematics
CiteScore
6.40
自引率
0.00%
发文量
0
审稿时长
11 weeks
期刊介绍: APPS is an international journal. APPS covers a wide spectrum of pure and applied mathematics in science and technology, promoting especially papers presented at Carpato-Balkan meetings. The Editorial Board of APPS takes a very active role in selecting and refereeing papers, ensuring the best quality of contemporary mathematics and its applications. APPS is abstracted in Zentralblatt für Mathematik. The APPS journal uses Double blind peer review.
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