| 摘要 |
[Objectives] To investigate the evidence-based effect of virtual reality-based mirror therapy system (VR-MT) on upper extremity function among stroke patients. [Methods] A systematic electronic searching of the Medline, PubMed, Web of Science and CNKI was initially performed up to June 10, 2024. The risk of bias of the included studies was evaluated using RevMan 5.4 software based on the Cochrane Handbook for Systematic Reviews. The random-effects model or fixed-effects models was employed to estimate the standardized mean difference (SMD). The subgroup analyses were conducted exploring the VR-MT type (immersive or non-immersive) and comparing with MT or control group. [Results] In total 8 studies with a total of 273 stroke patients were included in this review. The pooled analysis of these trials showed a statistically significant enhancement in FMA-UE scores (6 studies, SMD=0.72, [95% CI 0.37 to 1.06]; P<0.000 1, I2=31%) and Box and Block Test (BBT) (3 studies, SMD=0.49, [95% CI 0.05 to 0.93]; P=0.03, I2=0%), rather than Manual Function Test (MFT) scores (3 studies, SMD=0.38, [95% CI -0.09 to 0.84]; P=0.11,I2=0%) following the application of reality-based mirror therapy. Additionally, the subgroup analysis results indicated that immersive VR-MT can significantly improve FMA-UE (5 studies, SMD=0.73, [95% CI 0.24 to 1.23]; P=0.004, I2=43%). In contrast, the overall effect of non-immersive VR-MT was non-significant (2 studies, SMD=0.33, [95% CI -0.69 to 1.34]; P=0.53, I2=72%). [Conclusions] In this systematic review and meta-analysis, our findings indicate that immersive VR-MT has the potential to improve upper extremity function among stroke patients. |
