@文章{信息:doi/10.2196/30882，作者=“吴金龙张辉陈紫艳付瑞佳杨浩曾宏发任占兵”，标题=“虚拟现实平衡训练对帕金森病患者的疗效:一项随机对照试验的系统评价、meta分析和meta回归”，期刊=“JMIR严肃游戏”，年=“2022”，月=“3”，日=“1”，卷=“10”，数=“1”，页数=“e30882”，关键词=“虚拟现实;帕金森病;平衡;系统评价;荟萃分析;多元回归;严肃游戏;虚拟现实;康复;背景:虚拟现实(VR)平衡训练越来越多地应用于生物医学研究，特别是在研究平衡能力方面。 However, existing systematic reviews have found inconsistent conclusions about the efficacy of VR in improving balance in Parkinson disease (PD) patients. Objective: The goal of the research was to evaluate the impact of VR balance training on the balance ability of patients with PD. Methods: All major databases, including Web of Science, PubMed, Scopus, China National Knowledge Infrastructure, and Wanfang, were searched to identify all relevant studies published in English or Chinese since September 15, 2010. Two researchers independently conducted document retrieval, study selection, data extraction, and methodological quality evaluation. Results: A total of 16 randomized controlled trials were analyzed (n=583 patients with PD), with the methodological quality evaluation score ranging from 5 to 8 points. A random effects model was selected to combine effect sizes. Meta-analysis showed that the balance ability of PD was significantly improved after VR training compared with the control group (standardized mean difference [SMD] 2.127, 95{\%} CI 1.202 to 3.052, P<.001, I2=95.1, df=15). It is worth noting that the intervention platform may be the main reason for heterogeneity. Meta regression analysis showed that no training program could predict the impact of VR training (P=.57 to .94) on PD balance ability. Subgroup result showed that a single training time of 0 to 20 minutes (SMD 6.446), 4 to 6 times per week (SMD 4.067), training for 3 to 5 weeks (SMD 62.478), training course reached more than 30 times (SMD 4.405), and 201 to 300 minutes per week (SMD 4.059) maybe have more benefit. Conclusions: A systematic review and meta-analysis confirmed that VR balance training is a highly effective means to improve balance performance with large effects in PD. In addition, we preliminarily extracted dose-effect relationships for training volume, informing clinicians and practitioners to design effective VR balance training for balance ability. Further research is needed to reveal optimal dose-response relationships following VR balance training. ", issn="2291-9279", doi="10.2196/30882", url="https://games.www.mybigtv.com/2022/1/e30882", url="https://doi.org/10.2196/30882", url="http://www.ncbi.nlm.nih.gov/pubmed/35230242" }