Effectiveness of virtual reality games in improving physical function, balance and reducing falls in balance-impaired older adults: A systematic review and meta-analysis

Ren, Yuanyuan; Lin, Chih‐Sheng; Zhou, Qin; Yingyuan, Zhang; Wang, Guodong; Lu, Aming

doi:10.1016/j.archger.2023.104924

Cited by 31 publications

(16 citation statements)

References 43 publications

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“…This is in line with previous findings that balance and muscle strength were enhanced by VR-based training in older patients. 17,44 However, there were no differences in the effect of VR-based training on Gait Speed and Timed Up and Go test score between groups. VR-based rehabilitation training was shown to have positive effects on Timed Up and Go test score in some randomized controlled studies, 24,26,29,36 and others have found that it could influence gait ability.…”

Section: Discussionmentioning

confidence: 81%

“…9–11 VR in rehabilitation is further classified as immersive, which involves more complex graphics systems 12 such as head-mounted displays, 13 and non-immersive, which consists of a two-dimensional environment provided by computer screens or similar devices. 14,15 The benefits of VR-based rehabilitation training on cognitive function in patients with mild cognitive impairment and dementia have been previously reported 16 but there is no consensus on its effectiveness in improving motor function and daily functioning because of variability in intervention methods and schedules 17 and quality 18 across studies. The present study aimed to evaluate the effectiveness of different types and schedules of VR-based rehabilitation training on overall cognition, motor function, and daily functioning in patients with mild cognitive impairment and dementia.…”

Section: Introductionmentioning

confidence: 99%

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Effects of immersive and non-immersive virtual reality-based rehabilitation training on cognition, motor function, and daily functioning in patients with mild cognitive impairment or dementia: A systematic review and meta-analysis

Ren,

Wang,

Liu

et al. 2023

Clin Rehabil

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Objective To examine the effectiveness of virtual reality (VR)-based rehabilitation training in improving cognition, motor function, and daily functioning in patients with mild cognitive impairment and dementia. Data sources A systematic review of published literature was conducted using PubMed, Web of Science, Elsevier, Embase, Cochrane, CNKI, Networked Digital Library of Theses and Dissertations. Methods The search period was from inception to 7 October 2023. Eligible studies were randomized controlled trials evaluating the efficacy of VR-based rehabilitation training in patients with mild cognitive impairment or dementia versus control subjects. Methodologic quality was assessed with the Cochrane risk of bias tool, and outcomes were calculated as the standard mean difference between participant groups with 95% confidence interval. Results A total of 21 randomized controlled trials with 1138 patients were included. The meta-analysis showed that VR-based rehabilitation training had significant effects on Montreal Cognitive Assessment (SMD: 0.50; 95%CI: 0.05 to 0.95; P = 0.030), Trail-making test A (SMD: −0.38; 95%CI: −0.61 to −0.14; P = 0.002), and Berg Balance Scale scores (SMD: 0.79; 95%CI: 0.13 to 1.45; P = 0.020). A subgroup analysis revealed that the type of VR, and duration and frequency of interventions had statistically significant effects on cognition and motor function. Conclusion VR-based rehabilitation training is a beneficial nonpharmacologic approach for managing mild cognitive impairment or dementia. Immersive VR-based training had greater effects on cognition and motor function than non-immersive VR-based training, but non-immersive VR-based training was more convenient for patients with limitations imposed by their disease. Also, an intervention lasting 5–8 weeks and for >30 min at a frequency of ≥3 times/week achieved the best results. It indicated that a longer intervention cycle may not achieve the best intervention effect and training duration and schedule should be carefully considered when managing patients.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Effects of immersive and non-immersive virtual reality-based rehabilitation training on cognition, motor function, and daily functioning in patients with mild cognitive impairment or dementia: A systematic review and meta-analysis

Ren,

Wang,

Liu

et al. 2023

Clin Rehabil

Self Cite

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“…Although the use of VR is still quite experimental, according to many studies, it is proving to be beneficial in a wide range. If we limit ourselves to the elderly, we can name, for example, publications dealing with keeping seniors active (Suchomelova et al, 2021;Niki et al, 2021), fall prevention (Karnadipa et al, 2022Ren et al, 2023), use for rehabilitation (Gumaa & Youseff, 2019;Djawas et al, 2022), and in palliative care (Letizia Perna et al 2021;Martin et al, 2022). Unfortunately, most of the experiments are conducted using available VR applications that do not provide appropriate support to control the experience/experiment.…”

Section: Virtual Reality (Vr)mentioning

confidence: 99%

Ageing 2023: Proceedings of 6th Gerontological Interdisciplinary Conference

2023

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“…Virtual reality has a wide range of application in medical, military and entertainment industries. In the medical practice, VR currently proven to have satisfying effects in reducing pain [9,[11][12][13], alleviating anxiety and depression [9,10,14], promoting rehabilitation [10,[15][16][17],…”

Section: Introductionmentioning

confidence: 99%

Experience of breast cancer patients participating in a virtual reality psychological rehabilitation: a qualitative study

Chen,

Wu,

Xie

et al. 2024

Preprint

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Objective Breast cancer is the most common type of cancer in China and worldwide. Apart from cancer, a majority of breast cancer patients suffer from various psychological disorders concurrently. The purpose of this study is to understand the actual experience of breast cancer patients participating in Virtual Reality (VR) for psychological intervention, and to provide a theoretical basis for the development of VR psychological rehabilitation in China. Methods Twenty-three breast cancer patients who met the inclusion criteria were selected for qualitative study by purposive sampling method. Semi-structured interviews were conducted with patients involved in VR psychological rehabilitation. Data were analyzed, summarized, and generalized through Colaizzi analysis. Results The results of the interviews were consistent with the PAC structural analysis. Three themes and six sub-themes captured how patients felt about adopting VR for their psychological rehabilitation, including: parent ego state (the feeling of loss when expectations are not met, improvement of sleep), adult ego state (relief of psychological stress, optimization and recommendations for VR therapy), and child ego state (novel and fun immersive experience, contagiousness of variable emotions). Conclusion Breast cancer patients participating in the virtual reality psychological rehabilitation had a favorable experience. To maximize the benefit of VR psychological rehabilitation, healthcare professionals should comprehensively assess the psychological status of breast cancer, optimize VR technology, and enable patients to enter the adult ego state. The new model of VR psychological rehabilitation needs to be further explored.

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Effectiveness of virtual reality games in improving physical function, balance and reducing falls in balance-impaired older adults: A systematic review and meta-analysis

Cited by 31 publications

References 43 publications

Effects of immersive and non-immersive virtual reality-based rehabilitation training on cognition, motor function, and daily functioning in patients with mild cognitive impairment or dementia: A systematic review and meta-analysis

Effects of immersive and non-immersive virtual reality-based rehabilitation training on cognition, motor function, and daily functioning in patients with mild cognitive impairment or dementia: A systematic review and meta-analysis

Ageing 2023: Proceedings of 6th Gerontological Interdisciplinary Conference

Experience of breast cancer patients participating in a virtual reality psychological rehabilitation: a qualitative study

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