Projekter pr. år
Objective: This systematic review focused on virtual reality-based rehabilitation of older adults (+60) in motor rehabilitation programs. The review aims to retrospectively classify previous studies according to the level of immersion, in order to get an overview of the ambiguity-phenomenon, and to utilize meta-analyses and subgroup analyses to evaluate the comparative efficacy of system immersion in VR-based rehabilitation.
Methods: Following PRISMA guidelines, we conducted a systematic search for randomized controlled trials, describing virtual rehabilitation or video games interventions for older adults (+60). Main outcomes were pain, motivation, mobility, balance, and adverse events.
Results: We identified 15 studies which included 743 patients. Only three studies utilized IVR. The rest used various NVR-equipment ranging from commercial products (e.g., Nintendo Wii), to bespoke systems that combine tracking devices, software, and displays. A random effects meta-analysis of 10 studies analyzed outcome measures of mobility, balance, and pain. Protocols and dosage varied widely, but outcome results were in favor of immersive and non-immersive interventions, however, dropout rates and adverse events were mostly in favor of the control.
Conclusions: We initialize a call-for-action, to distinguish between types of VR-technology and propose a taxonomy of virtual rehabilitation systems based on our findings. Most interventions use NVR-systems, which have demonstrably lower cybersickness-symptoms than IVR-systems. Therefore, adverse events may be under-reported in RCT-studies. An increased demand for IVR-systems highlight this challenge. Care should be given, when applying the results of existing NVR tools to new IVR-technologies. Future studies should provide more detail about their interventions, and future reviews should differentiate between NVR and IVR.
Bibliografisk noteFunding Information:
Many thanks to Professor Hanne Tønnesen and colleagues from WHO Collaborating Centre for Evidence-based Health promotion in Hospitals and Health Services, Frederiksberg for letting me attend the already full Ph.D.-Course on Systematic Review Techniques, 2018. Without that course, this review would not have happened. Funding. This systematic review was funded as a joined effort between Aalborg University and VihTek Research and Test Center for Health Technologies. The systematic review was written as part of a Ph.D. study undertaken by Emil Rosenlund Høeg, funded by the municipality of Frederiksberg.
Copyright © 2021 Høeg, Povlsen, Bruun-Pedersen, Lange, Nilsson, Haugaard, Faber, Hansen, Kimby and Serafin.
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- 1 Afsluttet
01/08/2018 → 22/04/2023
Projekter: Projekt › Forskning