Acceptability, Feasibility, and Effectiveness of Immersive Virtual Technologies to Promote Exercise in Older Adults: A Systematic Review and Meta-Analysis

Sensors, Journal Year: 2023, Volume and Issue: 23(5), P. 2506 - 2506

Published: Feb. 24, 2023

Context: This review aimed to synthesize the literature on acceptability, feasibility, and effectiveness of immersive virtual technologies promote physical exercise in older people. Method: We performed a review, based four databases (PubMed, CINAHL, Embase, Scopus; last search: 30 January 2023). Eligible studies had use technology with participants aged 60 years over. The results regarding technology-based interventions people were extracted. standardized mean differences then computed using random model effect. Results: In total, 54 relevant (1853 participants) identified through search strategies. Concerning most reported pleasant experience desire again. average increase pre/post Simulator Sickness Questionnaire score was 0.43 healthy subjects 3.23 neurological disorders, demonstrating this technology’s feasibility. Regarding effectiveness, our meta-analysis showed positive effect reality balance (SMD = 1.05; 95% CI: 0.75–1.36; p < 0.001) gait outcomes 0.7; 0.14–0.80; 0.001). However, these suffered from inconsistency number trials dealing remains low, calling for further studies. Conclusions: Virtual seems be well accepted by its population is feasible. more are needed conclude promoting

Language: Английский

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Virtual Reality in Acute and Chronic Pain Medicine: An Updated Review

Current Pain and Headache Reports, Journal Year: 2024, Volume and Issue: 28(9), P. 893 - 928

Published: April 8, 2024

Language: Английский

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Virtual Reality–Based Training in Chronic Low Back Pain: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e45406 - e45406

Published: Feb. 26, 2024

Background Low back pain is one of the most prevalent conditions worldwide. Virtual reality–based training has been used for low as a new treatment strategy. Present evidence indicated that effectiveness virtual people with chronic inconclusive. Objective This study conducted meta-analysis to evaluate immediate- and short-term effects on pain, pain-related fear, disability in pain. Methods We searched PubMed, Embase, Web Science, PEDro, CENTRAL, CINAHL databases from inception until January 2024. Only randomized controlled trials assessing individuals were selected. The outcomes focused fear measured by Tampa Scale Kinesiophobia, Oswestry Disability Index. immediate term was defined period after intervention, short 3 6 months intervention. Cochrane Risk Bias tool GRADE (Grading Recommendations, Assessment, Development Evaluation) approach quality methodology evidence, respectively. Results In total, 20 involving 1059 patients eligible analysis. showed significant improvements (mean difference [MD] –1.43; 95% CI –1.86 –1.00; I2=95%; P<.001), using Kinesiophobia (MD –5.46; –9.40 1.52; I2=90%; P=.007), Index –11.50; –20.00 –3.01; P=.008) immediately interventions. However, there no differences observed (P=.16), (P=.10), (P=.43) term. Conclusions These findings can be effectively term, especially reduce alleviate improve disability. benefits need more high-quality demonstrated. Trial Registration PROSPERO CRD42021292633; http://tinyurl.com/25mydxpz

Language: Английский

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Effects of exercise therapy on disability, mobility, and quality of life in the elderly with chronic low back pain: a systematic review and meta-analysis of randomized controlled trials

Journal of Orthopaedic Surgery and Research, Journal Year: 2023, Volume and Issue: 18(1)

Published: July 19, 2023

Abstract Background Exercise is an effective treatment in chronic low back pain (CLBP), but there are few studies on CLBP the elderly, and intervention effect controversial. We aimed to compare efficacy of different exercises therapy CLBP, dysfunction, quality life, mobility elderly. Methods searched Web Science, MEDLINE, Cochrane Library, Chinese National Knowledge Infrastructure, EMBASE, PubMed from database inception till December 31, 2022. The publication languages were English. Randomized controlled trials (RCTs) exercise elderly (≥ 60 years) with included. Two reviewers independently extracted data evaluated them using Revised Risk Bias Tool for Trials 2 (RoB2). pooled sizes aspects outcome measures calculated. Results Sixteen articles (18 RCTs) included, comprising a total 989 participants. included was relatively high. Meta-analysis results indicated that could improve visual analog scale (VAS) (WMD = − 1.75, 95% CI 2.59, 0.92, p < 0.05), Oswestry disability index (ODI) 9.42, 15.04, 3.79, 0,005), short-form 36-item health survey physical composite summary (SF-36PCS) 7.07, 1.01, 13.14, mental (SF-36MCS) 7.88, 0.09, 15.67, timed up go test (TUG) 2.22, 0.38, 0.005). Conclusion effectively improved VAS, ODI, SF-36 indexes Based subgroup, when designing regimen, aerobics, strength, mind–body 12 weeks, ≥ 3 times/week, min) should be considered carefully, ensure safety effectiveness rehabilitation patients. More high-quality needed future confirm TUG indexes.

Language: Английский

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Virtual Reality Therapy for the Management of Chronic Spinal Pain: Systematic Review and Meta-Analysis

JMIR Serious Games, Journal Year: 2024, Volume and Issue: 12, P. e50089 - e50089

Published: Feb. 12, 2024

Background The effectiveness of virtual reality (VR) therapy in adults with chronic spinal pain (CSP) is unclear. Objective This study was conducted to compare the VR and other therapies CSP, especially patients inflammation-related pain. Methods PubMed, Web Science, Cochrane Library, Embase, CINAHL databases were searched up November 11, 2023. Randomized controlled trials (RCTs) comparing CSP receiving those included. trial registration platform as well reference lists included studies previous systematic reviews meta-analyses manually searched. Two independent reviewers performed selection, data extraction, risk-of-bias assessment, evaluation quality evidence. weighted mean difference (WMD) used effect size synthesize outcome measure. Results In total, 16 RCTs involving 800 participants this meta-analysis. pooled from 15 (94%) including 776 (97%) showed that superior improving intensity (WMD=–1.63, 95% CI –2.11 –1.16, P<.001, I2=90%) reducing inflammatory markers, C-reactive protein (WMD=–0.89, –1.07 –0.70, I2=0%), tumor necrosis factor-alpha (WMD=–6.60, –8.56 –4.64, I2=98%), interleukin-6 (WMD=–2.76, –2.98 –2.53, I2=0%). However, no significant differences found terms range motion (ROM), disability level, or fear movement. addition, 10 (63%) had a high risk bias. Conclusions may be an effective safe intervention for symptoms it shown exert analgesic effects beneficial improvements factor levels. approach not have on ROM, Notably, evidence ranged moderate low. Therefore, we recommend readers interpret results caution. Trial Registration PROSPERO CRD42022382331; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=382331

Language: Английский

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Effectiveness of pharmacological and non-pharmacological therapy on pain intensity and disability in older people with chronic nonspecific low back pain: a systematic review with meta-analysis

European Spine Journal, Journal Year: 2023, Volume and Issue: 32(9), P. 3245 - 3271

Published: July 18, 2023

Language: Английский

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The Current State of Virtual Reality in the Management of Musculoskeletal Conditions and Associated Chronic Pain: Terminology, Technology, and Associations

Applied Sciences, Journal Year: 2025, Volume and Issue: 15(5), P. 2564 - 2564

Published: Feb. 27, 2025

Virtual reality (VR) demonstrates significant potential to improve rehabilitation outcomes for musculoskeletal conditions and associated chronic pain. However, the field faces notable challenges, including inconsistent terminology, a lack of specialized/comprehensive software solutions, an overwhelming variety hardware options, which can make it difficult healthcare professionals without technical expertise identify most suitable tools clinical use. This article explores current state VR in pain, focusing on terminology discrepancies, available key professional associations shaping field. A review is essential address inconsistencies that risk perpetuating misuse facilitate clearer communication. Building this review, we propose conceptual framework understanding aligns more closely with capabilities technology. comprehensive overview assist selecting appropriate technologies practice, guide researchers designing interventions, inform developers unmet needs Furthermore, provides valuable direction those engaged virtual rehabilitation, enabling them access resources, foster collaboration, stay informed about latest advancements domain. addresses confusion regarding VR, particularly relation its classification based levels immersion. Accordingly, proposes contributes standardized approach VR. Additionally, highlights solutions tailored patients emphasizing necessity further development area.

Language: Английский

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Efficacy of serious games for chronic pain management in older adults: A systematic review and meta‐analysis

Journal of Clinical Nursing, Journal Year: 2024, Volume and Issue: 33(3), P. 1185 - 1194

Published: Jan. 30, 2024

Abstract Aims and Objectives To synthesise appraise the evidence of efficacy serious games in reducing chronic pain among older adults. Background Chronic adults generally results a substantial handicap due to decreased mobility, exercise avoidance various concerns that affect their overall quality life. While have been widely used as management approach, no reviews thoroughly examined for adult populations. Design A systematic review meta‐analysis. Methods The CINAHL, Cochrane Library, Embase, Medline, PubMed Web Science databases were comprehensively searched find articles published from inception until 17 April 2023. RoB‐2 was assess risk bias included studies. individuals investigated using pooled standardised mean differences (SMDs) reduction random effect model. Results meta‐analysis comprised nine randomised controlled trials 350 patients with pain. Serious effectively alleviated this group (pooled SMD = −0.62; 95% confidence interval: −1.15 −0.10), although pain‐related disability fear require further investigation. Conclusions tended reduce group; however, lack trials, analysis found lower effectiveness fear. Further studies are accordingly required confirm these findings. Relevance Clinical Practice findings study emphasise importance increase motivation one safe extensively strategies. characterised consisting diverse physical activities delivered through consoles, computer‐based other technologies. Patient or Public Contributions recommended being potentially useful practical

Language: Английский

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Virtual reality-based therapy for chronic low back and neck pain: a systematic review with meta-analysis

EFORT Open Reviews, Journal Year: 2024, Volume and Issue: 9(7), P. 685 - 699

Published: July 1, 2024

Purpose To compile all the scientific evidence available to date evaluate effect of virtual reality based therapy (VRBT) on reducing pain intensity, kinesiophobia, and associated disability, increasing hr-QoL in patients with chronic neck (CNP) or low back (CLBP). Methods Studies published PubMed Medline, SCOPUS, Web Science, CINAHL Complete, Physiotherapy Evidence Database (PEDro) up June 2023 were searched. All searches followed PICOS Framework. Two authors independently screened studies found searches. Any differences opinion regarding selection settled by a third author. Results Twenty-five RCTs, between 2013 2022, providing data from 1261 (20 RCTs) CLBP 261 (five CNP, included. In intensity for CLBP, meta-analyses showed that VRBT is effective just end intervention, this could be maintained 1 6 months after therapy. Conclusion was better than therapeutic exercise (TE), sham, no intervention (NI), showing major when used as complementary conventional physiotherapy (CPT). Further, an immediate immersive most adequate modality CNP patients. No non-immersive pain, CLBP.

Language: Английский

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Are changes in pain intensity related to changes in balance control in individuals with chronic non-specific low back pain? A systematic review and meta-analysis

Journal of sport and health science/Journal of Sport and Health Science, Journal Year: 2024, Volume and Issue: unknown, P. 100989 - 100989

Published: Sept. 1, 2024

The aim of this study is to summarize the evidence regarding whether pain reduction in individuals with chronic non-specific low back (CNSLBP) following conservative interventions related corresponding improvements balance control.

Language: Английский

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