OBJECTIVE: To evaluate whether virtual reality interventions, including interactive gaming systems, are effective at improving balance in adults with impaired balance. DESIGN: Systematic review and meta-analysis of randomized control trials. METHODS: Studies were identified from electronic databases (CENTRAL, MEDLINE, EMBASE, AMED, CINAHL, PyschINFO, PyschBITE, OTseeker, Ei Compendex, and Inspec) searched to November 2011, and repeated in November 2012. Two reviewers selected studies meeting inclusion criteria and quality of included studies assessed using a Joanna Briggs Institute appraisal tool. Data was pooled and a meta-analysis completed. The systematic review was reported following guidance of the PRISMA statement. RESULTS: A total of 251 articles were screened. Eight randomized control trials were included. These studies presented the results of 239 participants, with various aetiologies, and used a variety of virtual reality systems. The number of falls was documented in only one included study. Meta-analysis was completed on data from the Berg Balance Scale, walking speed, 30 second sit-to-stand test, and Timed Up and Go Test, and favoured standard therapy when compared with standard plus virtual reality interventions. CONCLUSIONS: There was a notable inconsistency in the outcome measures, experimental, and control interventions used within the included studies. The pooled results of the studies showed no significant difference. Therefore this review cannot support nor refute the use of virtual reality interventions, rather than conventional physiotherapy, to improve balance in adults with impaired balance.
OBJECTIVE: To evaluate whether virtual reality interventions, including interactive gaming systems, are effective at improving balance in adults with impaired balance. DESIGN: Systematic review and meta-analysis of randomized control trials. METHODS: Studies were identified from electronic databases (CENTRAL, MEDLINE, EMBASE, AMED, CINAHL, PyschINFO, PyschBITE, OTseeker, Ei Compendex, and Inspec) searched to November 2011, and repeated in November 2012. Two reviewers selected studies meeting inclusion criteria and quality of included studies assessed using a Joanna Briggs Institute appraisal tool. Data was pooled and a meta-analysis completed. The systematic review was reported following guidance of the PRISMA statement. RESULTS: A total of 251 articles were screened. Eight randomized control trials were included. These studies presented the results of 239 participants, with various aetiologies, and used a variety of virtual reality systems. The number of falls was documented in only one included study. Meta-analysis was completed on data from the Berg Balance Scale, walking speed, 30 second sit-to-stand test, and Timed Up and Go Test, and favoured standard therapy when compared with standard plus virtual reality interventions. CONCLUSIONS: There was a notable inconsistency in the outcome measures, experimental, and control interventions used within the included studies. The pooled results of the studies showed no significant difference. Therefore this review cannot support nor refute the use of virtual reality interventions, rather than conventional physiotherapy, to improve balance in adults with impaired balance.
Authors: Sandy K Tatla; Navid Shirzad; Keith R Lohse; Naznin Virji-Babul; Alison M Hoens; Liisa Holsti; Linda C Li; Kimberly J Miller; Melanie Y Lam; H F Machiel Van der Loos Journal: JMIR Serious Games Date: 2015-03-10 Impact factor: 4.143
Authors: Armen Yuri Gasparyan; Marlen Yessirkepov; Alexander A Voronov; Vladimir I Trukhachev; Elena I Kostyukova; Alexey N Gerasimov; George D Kitas Journal: J Korean Med Sci Date: 2016-02-23 Impact factor: 2.153
Authors: Leanne Hassett; Maayken van den Berg; Richard I Lindley; Maria Crotty; Annie McCluskey; Hidde P van der Ploeg; Stuart T Smith; Karl Schurr; Maggie Killington; Bert Bongers; Kirsten Howard; Stephane Heritier; Leanne Togher; Maree Hackett; Daniel Treacy; Simone Dorsch; Siobhan Wong; Katharine Scrivener; Sakina Chagpar; Heather Weber; Ross Pearson; Catherine Sherrington Journal: BMJ Open Date: 2016-06-06 Impact factor: 2.692