Virtuālās realitātes efektivitāte līdzsvara un gaitas uzlabošanā pacientiem ar Parkinsona slimību: sistemātisks literatūras apskats
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums:Virtuālās realitātes efektivitāte līdzsvara un gaitas uzlabošanā pacientiem ar Parkinsona slimību: sistemātisks literatūras pārskats.
Aktualitāte: Parkinsona slimība ir hroniska progresīva neirodeģeneratīva saslimšana, un tā ir otrā izplatītākā neirodeģeneratīvā saslimšana pasaulē. Visā pasaulē Parkinsona slimība skar septiņus līdz desmit miljonus cilvēku. Salīdzinoši jauna tehnoloģija, kas var tikt izmantota līdzsvara un gaitas uzlabošanā pacientiem ar Parkinsona slimību, ir virtuālā realitāte. Uz tehnoloģijām balstītas vingrojumu intervences, kā virtuālā realitāte, var veicināt ilgstošu pacienta ar Parkinsona slimību iesaisti terapijā jautrā, motivējošā, personalizētā un saistošā veidā.
Mērķis: Sistemātiski apkopot un analizēt pieejamos pētījumus, lai noskaidrotu, vai virtuālā realitāte ir efektīva metode līdzsvara un gaitas uzlabošanai pacientiem ar Parkinsona slimību.
Metodes: Tika veikta sistemātiska pētījumu atlase tiešsaistes datubāzēs ScienceDirect, ClinicalKey, PubMed un EBSCO, izmantojot atslēgas vārdus “virtual reality” AND “Parkinson’s disease” AND “balance” OR “postural control” AND “gait” un balstoties uz izveidotajiem iekļaušanas kritērijiem. Atlasīto pētījumu kvalitātes novērtēšanai tika izmantota PEDro skala. Tika apkopota informācija par pētījumu dalībniekiem, pielietotajiem novērtēšanas instrumentiem, terapiju un rezultātiem.
Rezultāti: Darbā tika atlasīti četri augstas kvalitātes pētījumi, kas tika novērtēti ar sešām līdz septiņām ballēm pēc PEDro skalas. Iekļautajos pētījumos kopā bija 172 dalībnieki ar vidējo vecumu 61.7 līdz 75.4 gadi. Pielietojot virtuālo realitāti, sešas līdz 12 nedēļas, divas līdz piecas reizes nedēļā, 45 līdz 50 minūtes tika uzrādīti statistiski nozīmīgi uzlabojumi gan līdzsvarā, gan gaitā pacientiem ar Parkinsona slimību. Turklāt vienā pētījumā virtuālās realitātes grupai bija būtiskāki uzlabojumi gan līdzsvarā, gan gaitā nekā konvencionālās terapijas grupai un vienā pētījumā abu šo intervenču kombinācija uzrādīja labākus rezultātus nekā intervenču atsevišķa pielietošana.
Secinājumi: Apskatītajos augstas kvalitātes pētījumos pēc PEDro skalas virtuālā realitāte ir efektīva metode līdzsvara un gaitas uzlabošanā pacientiem ar Parkinsona slimību un var tikt izmantota kā alternatīva metode, lai padarītu terapiju pacientam interesantāku un motivējošāku. Vienā no atlasītajiem pētījumiem, kombinējot virtuālo realitāti ar konvencionālo terapiju, tika panākti labāki rezultāti līdzsvara un gaitas uzlabošanā pacientiem ar Parkinsona slimību nekā pielietojot šīs terapijas atsevišķi.
Atslēgas vārdi: Virtuālā realitāte, Parkinsona slimība, līdzsvars, posturālā kontrole, gaita
Paper title: The effectiveness of virtual reality in improving balance and gait in patients with Parkinson's disease: a systematic review of literature. Theme relevance: Parkinson's disease is a chronic progressive neurodegenerative disease and is the second most common neurodegenerative disease in the world. Around the world, Parkinson's disease affects seven to ten million people. A relatively new technology that can be used to improve the balance and passage of patients with Parksinon's disease is virtual reality. Technology-based exercise interventions, such as virtual reality, can encourage the continued involvement of a patient with Parkinson’s diesease in therapy in a fun, motivating, personalized and binding way. Objective: To systematically compile and analyse available studies to see if virtual reality is an effective method for improving balance and gait in patients with Parkinson's disease. Methods: A systematic selection of studies was carried out in the online ScienceDirect, ClinicalKey, PubMed and EBSCO databases using the key words “virtual reality” AND “Parkinson's disease” AND “balance” OR “postural control” AND “gait” and based on the established inclusion criteria. The PEDro scale was used to assess the quality of the selected studies. Information was collected on study participants, evaluation tools, therapy and results applied. Results: Four high-quality studies were selected at work, scored with six to seven balls on the PEDro scale. The studies included a total of 172 subjects with an average age of 61.7 to 75.4 years. Using virtual reality for six to twelve weeks, two to five times a week, 45 to 50 minutes showed statistically significant improvements in both balance and gait in patients with Parkinson’s disease. In addition, in one study, the virtual reality group had more significant improvements in balance and passage than the conventional treatment group, and in onother study the combination of the two interventions showed better results than the individual use of interventions. Conclusions: In the high-quality studies that were examined on the PEDro scale, virtual reality is an effective method for improving balance and gait in patients with Parkinson's disease and may be used as an alternative method to make therapy more interesting and motivating for the patient. In one study, combining virtual reality with conventional therapy showed better results in improving balance and passage in patients with Parkinson’s disease than by applying these treatments separately. Key words: Virtual reality, Parkinson’s disease, balance, postural control, gait
Paper title: The effectiveness of virtual reality in improving balance and gait in patients with Parkinson's disease: a systematic review of literature. Theme relevance: Parkinson's disease is a chronic progressive neurodegenerative disease and is the second most common neurodegenerative disease in the world. Around the world, Parkinson's disease affects seven to ten million people. A relatively new technology that can be used to improve the balance and passage of patients with Parksinon's disease is virtual reality. Technology-based exercise interventions, such as virtual reality, can encourage the continued involvement of a patient with Parkinson’s diesease in therapy in a fun, motivating, personalized and binding way. Objective: To systematically compile and analyse available studies to see if virtual reality is an effective method for improving balance and gait in patients with Parkinson's disease. Methods: A systematic selection of studies was carried out in the online ScienceDirect, ClinicalKey, PubMed and EBSCO databases using the key words “virtual reality” AND “Parkinson's disease” AND “balance” OR “postural control” AND “gait” and based on the established inclusion criteria. The PEDro scale was used to assess the quality of the selected studies. Information was collected on study participants, evaluation tools, therapy and results applied. Results: Four high-quality studies were selected at work, scored with six to seven balls on the PEDro scale. The studies included a total of 172 subjects with an average age of 61.7 to 75.4 years. Using virtual reality for six to twelve weeks, two to five times a week, 45 to 50 minutes showed statistically significant improvements in both balance and gait in patients with Parkinson’s disease. In addition, in one study, the virtual reality group had more significant improvements in balance and passage than the conventional treatment group, and in onother study the combination of the two interventions showed better results than the individual use of interventions. Conclusions: In the high-quality studies that were examined on the PEDro scale, virtual reality is an effective method for improving balance and gait in patients with Parkinson's disease and may be used as an alternative method to make therapy more interesting and motivating for the patient. In one study, combining virtual reality with conventional therapy showed better results in improving balance and passage in patients with Parkinson’s disease than by applying these treatments separately. Key words: Virtual reality, Parkinson’s disease, balance, postural control, gait
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
Virtuālā realitāte, Parkinsona slimība, līdzsvars, posturālā kontrole, gaita, Virtual reality, Parkinson’s disease, balance, postural control, gait