Effect of virtual reality technology as intervention for people with kinesiophobia: A meta‐analysis of randomised controlled trials

Wang, Shanshan; Sun, Jiao; Yin, Xin; Li, Hongyan

doi:10.1111/jocn.16397

Cited by 17 publications

(16 citation statements)

References 58 publications

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“…In our review, the average PEDro score for the seven articles selected for qualitative analysis was 6.14, which is an acceptable value, but demonstrates the lack of high-quality research that considers the research question. The seven articles in our review generally have a low risk of bias, which suggests that VR therapy could be an effective rehabilitative tool for improving functional A previous systematic review concluded that VR has the potential to reduce kinesiophobia and facilitate recovery (Wang et al, 2022). However, their results included some RCTs that were not designed to reduce kinesiophobia, which limits the usefulness of their conclusion.…”

Section: Discussionmentioning

confidence: 94%

“…A previous systematic review concluded that VR has the potential to reduce kinesiophobia and facilitate recovery (Wang et al., 2022). However, their results included some RCTs that were not designed to reduce kinesiophobia, which limits the usefulness of their conclusion.…”

Section: Discussionmentioning

confidence: 99%

“…VR has been extensively utilized as an intervention to improve functional outcomes, and early intervention of kinesiophobia can help functional recovery (Fowler et al., 2019; Wang et al., 2022). VR is an advanced computer‐human interface with a variety of safe environments in which patients can perform real‐time tasks as part of gait and balance training.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, those conflicting reports led to a misunderstanding on the functional outcomes of VR‐based intervention for balance and gait without FES and TUG measures while considering their fear of movement. For example, a previous meta‐analysis suggested that healthcare staff should pay attention to kinesiophobia to help patients recover their health and improve the quality of nursing (Wang et al., 2022). A recent meta‐analysis concluded that the VR technology on functional mobility results was still not conclusive due to the low methodological quality of the studies (Corregidor‐Sanchez et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of virtual reality‐based balance and gait in older adults with fear of movement: A systematic review and meta‐analysis

Percy,

Phillips,

Torres

et al. 2023

Physiotherapy Res Intl

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ObjectiveTo summarize the current evidence from randomized controlled trials (RCTs) regarding the effectiveness of Virtual Reality (VR) training and functional mobility in older adults with fear of movement.TypeSystematic review and meta‐analysis of randomized clinical trials.MethodologyAn electronic search was performed using PubMed, Embase, Medline, SPORTDiscus, Scopus, and CINAHL. A data search from January 2015 to December 2022 and a manual electronic literature search were conducted to identify published RCTs. The effectiveness of VR‐based balance training for balance and gait was evaluated in older adults with a fear of movement, which was measured by the Timed Up and Go (TUG) test and the Falls Efficacy Scale (FES). Three reviewers independently performed the study selection, and the quality assessment of the included studies was performed using the Physiotherapy Evidence Database (PEDro) scale. The reporting was based on the new Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) Guidelines.SynthesisThe search product produced 345 results, from which 23 full text articles were studied. Seven RCTs of good methodological quality, including 265 participants, were included in the review. Overall, the studies reported that VR had a significant improvement on the TUG (Cohen's d = −0.91 [−1.38; −0.44], p = 0.001), while the FES was not significantly different (Cohen's d = −0.54 [−1.80; 0.71] p = 0.40). The average for PEDro scores (6.14) was good, and the risk of bias revealed that more than one‐third of the studies correctly described the random sequence generation and allocation concealment procedures.ConclusionVR‐based training is effective on balance or gait training based on the TUG; however, there were mixed results to improve FES scores following VR intervention. These inconsistent results might be limited due to variations in the studies, including heterogeneous training paradigms, sensitive outcome measures, small sample sizes, and short intervention durations, which limit the validity of our findings. Future investigations should compare different VR protocols to help establish better guidelines for clinicians.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of virtual reality‐based balance and gait in older adults with fear of movement: A systematic review and meta‐analysis

Percy,

Phillips,

Torres

et al. 2023

Physiotherapy Res Intl

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“…Evidence shows that VR may also produce positive effects on the cognitive-affective dimension of pain and may reduce kinesiophobia, pain-related fear, and anxiety [ 136 , 137 ]. The effects of BOIs on higher-level cognitive processes (perception, motor functions, executive functions, personality, and social cognition) have been proposed [ 91 ].…”

Section: Immersive Virtual Reality As a Medium For Altering Sensorimo...mentioning

confidence: 99%

Role of Immersive Virtual Reality in Motor Behaviour Decision-Making in Chronic Pain Patients

et al. 2023

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Primary chronic pain is a major contributor to disability worldwide, with an estimated prevalence of 20–33% of the world’s population. The high socio-economic impact of musculoskeletal pain justifies seeking an appropriate therapeutic strategy. Immersive virtual reality (VR) has been proposed as a first-line intervention for chronic musculoskeletal pain. However, the growing literature has not been accompanied by substantial progress in understanding how VR exerts its impact on the pain experience and what neurophysiological mechanisms might be involved in the clinical effectiveness of virtual reality interventions in chronic pain patients. The aim of this review is: (i) to establish the state of the art on the effects of VR on patients with chronic pain; (ii) to identify neuroplastic changes associated with chronic pain that may be targeted by VR intervention; and (iii) to propose a hypothesis on how immersive virtual reality could modify motor behavioral decision-making through an interactive experience in patients with chronic pain.

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Virtual reality based rehabilitation in adults with chronic neck pain: a systematic review and meta-analysis of randomized clinical trials

Brea-Gómez,

Laguna-González,

Pérez-Gisbert

et al. 2024

Virtual Reality

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Chronic neck pain is one of the most frequent musculoskeletal disorders, with high prevalence worldwide. Rehabilitation is an essential component of therapeutic strategy. Virtual reality based rehabilitation (VRBR) is a powerful distraction technique that could be beneficial for chronic neck pain patients. The objective of this systematic review was to analyse the effectiveness of VRBR in chronic neck pain treatment. We followed the PRISMA guidelines and used four databases (CINAHL, Medline (Via PubMed), Scopus and Web of Science) from their inception to August 2023. Eligibility criteria were established using PICOS. Methodological quality was evaluated with the Downs and Black scale and the risk of bias with the Revised Cochrane risk-of-bias tool. The meta-analysis was performed using the RevMan software. Six studies were included in the systematic review and the meta-analysis. We observed significant differences in favour of VRBR for pain intensity (SMD = − 0.46; 95% CI = − 0.74, − 0.19; p = 0.001), disability (MD = − 2.84; 95% CI = − 4.23, − 1.45; p < 0.0001), global perceived effect (MD = 0.49; 95% CI = 0.25, 0.72; p < 0.0001) and patient satisfaction (MD = 0.62; 95% CI = 0.38, 0.86; p < 0.00001). However, at short-term follow-up significant differences were only obtained for disability (MD = − 3.52; 95% CI = − 5.85, − 1.20; p = 0.003). VRBR can significantly improve pain intensity, disability, global perceived effect and patient satisfaction. The small number of articles included in the analysis is a limitation, even considering the good methodological quality of these studies. Investigating the effects of VRBR on mid and long-term follow-up and exploring different types of VR are needed.PROSPERO database, registration number ID: CRD42020222129.

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Effect of virtual reality technology as intervention for people with kinesiophobia: A meta‐analysis of randomised controlled trials

Cited by 17 publications

References 58 publications

Effectiveness of virtual reality‐based balance and gait in older adults with fear of movement: A systematic review and meta‐analysis

Effectiveness of virtual reality‐based balance and gait in older adults with fear of movement: A systematic review and meta‐analysis

Role of Immersive Virtual Reality in Motor Behaviour Decision-Making in Chronic Pain Patients

Virtual reality based rehabilitation in adults with chronic neck pain: a systematic review and meta-analysis of randomized clinical trials

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