Effects of Virtual Reality on Balance and Activities of Daily Living in Patients with Parkinson's Disease:A Meta-Analysis / 中国康复理论与实践

ABSTRACT

@#Objective To evaluate the effects of virtual reality on balance and activities of daily living in patients with Parkinson's dis-ease.Methods Randomized controlled trials(RCTs)about virtual reality for balance and activities of daily living in patients with Parkin-son's disease were electronically searched in PubMed,Web of Science,EBSCO,Cochrane Library,Science Direct,Wanfang Data,VIP Data-base and China National Knowledge Infrastructure (CNKI) from the date of establishment to July, 2017. Data were analyzed with Rev-Man5.3 software.Results A total of nine RCTs were included.Virtual reality significantly improved the ability of dynamic balance(WMD=1.6,95%CI[0.75,2.46],P=0.0002)and activities of daily living(SMD=0.41,95%CI[0.01,0.80],P=0.04).However,the results of sensitivi-ty organization test(SMD=-0.18,95%CI[-0.65,0.28],P=0.44)and walking ability(WMD=-1.18,95%CI[-2.38,0.02],P=0.05)were not statistically significant.Conclusion Virtual reality can improve the balance function and activities of daily living of patients with Parkin-son's disease,however,the effects on sensitivity organization and walking ability still need further study.