Virtuelna stvarnost u liječenju odraslih osoba s kroničnim bolom u donjem dijelu leđa: Sistematski pregled i meta-analiza randomiziranih kliničkih ispitivanja.
International journal of environmental research and public health
Sažetak istraživanja
Virtuelna stvarnost (VR) može predstavljati prednosti u liječenju kroničnog bola u donjem dijelu leđa.
Cilj ovog sistematskog pregleda i meta-analize bio je da se analizira efikasnost VR kod hroničnog bola u donjem delu leđa. Ova recenzija je dizajnirana prema PRISMA-i i registrovana u PROSPERO (CRD42020222129). Četiri baze podataka (PubMed, Cinahl, Scopus, Web of Science) pretražene su do avgusta 2021. Kriterijumi za uključivanje su definisani prema preporukama PICOS-a. Metodološki kvalitet procijenjen je skalom Downs and Black, a rizik od pristrasnosti pomoću Cochrane alata za procjenu rizika od pristrasnosti. Četrnaest studija je uključeno u sistematski pregled, a jedanaest u metaanalizu. Pronađene su značajne razlike u korist VR u odnosu na nepostojanje VR u intenzitetu bola nakon intervencije (11 ispitivanja; n = 569; SMD = -1,92; 95% CI = -2,73, -1,11; p n = 240; SDM = -6,34; 95% CI = -3, n; 95% CI = -3. = -8,96; 95% CI = -17,52, -0,40; p = 0,04) i praćenje (2 ispitivanja; n = 149; MD = -12,04; 95% CI = -20,58, -3,49; p = 0,006). Nisu nađene značajne razlike u invaliditetu. Zaključno, VR može značajno smanjiti intenzitet boli i kineziofobiju kod pacijenata s kroničnim bolom u križima nakon intervencije i nakon praćenja. Međutim, postoji velika heterogenost i može uticati na konzistentnost rezultata.
Prikaži originalni naslov i sažetak na engleskom
Virtual Reality in the Treatment of Adults with Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.
Virtual reality (VR) can present advantages in the treatment of chronic low back pain. The objective of this systematic review and meta-analysis was to analyze the effectiveness of VR in chronic low back pain. This review was designed according to PRISMA and registered in PROSPERO (CRD42020222129). Four databases (PubMed, Cinahl, Scopus, Web of Science) were searched up to August 2021. Inclusion criteria were defined following PICOS recommendations. Methodological quality was assessed with the Downs and Black scale and the risk of bias with the Cochrane Risk of Bias Assessment Tool. Fourteen studies were included in the systematic review and eleven in the meta-analysis. Significant differences were found in favor of VR compared to no VR in pain intensity postintervention (11 trials; n = 569; SMD = -1.92; 95% CI = -2.73, -1.11; p n = 240; SDM = -6.34; 95% CI = -9.12, -3.56; p n = 192; MD = -8.96; 95% CI = -17.52, -0.40; p = 0.04) and followup (2 trials; n = 149; MD = -12.04; 95% CI = -20.58, -3.49; p = 0.006). No significant differences were found in disability. In conclusion, VR can significantly reduce pain intensity and kinesiophobia in patients with chronic low back pain after the intervention and at followup. However, high heterogeneity exists and can influence the consistency of the results.
Izvorni podaci
- DOI
- 10.3390/ijerph182211806
- PMID
- 34831562
- PMCID
- PMC8621053
- Provjereno
- 2026-07-26
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