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首页> 外文期刊>Brazilian Journal of Physical Therapy >Walking training associated with virtual reality-based training increases walking speed of individuals with chronic stroke: systematic review with meta-analysis
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Walking training associated with virtual reality-based training increases walking speed of individuals with chronic stroke: systematic review with meta-analysis

机译：与基于虚拟现实的训练相关的步行训练可提高慢性卒中患者的步行速度：荟萃分析的系统评价

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OBJECTIVE: To systematically review the available evidence on the efficacy of walking training associated with virtual reality-based training in patients with stroke. The specific questions were: Is walking training associated with virtual reality-based training effective in increasing walking speed after stroke? Is this type of intervention more effective in increasing walking speed, than non-virtual reality-based walking interventions? METHOD: A systematic review with meta-analysis of randomized clinical trials was conducted. Participants were adults with chronic stroke and the experimental intervention was walking training associated with virtual reality-based training to increase walking speed. The outcome data regarding walking speed were extracted from the eligible trials and were combined using a meta-analysis approach. RESULTS: Seven trials representing eight comparisons were included in this systematic review. Overall, the virtual reality-based training increased walking speed by 0.17 m/s (IC 95% 0.08 to 0.26), compared with placeboothing or non-walking interventions. In addition, the virtual reality-based training increased walking speed by 0.15 m/s (IC 95% 0.05 to 0.24), compared with non-virtual reality walking interventions. CONCLUSIONS: This review provided evidence that walking training associated with virtual reality-based training was effective in increasing walking speed after stroke, and resulted in better results than non-virtual reality interventions.
机译：目的：系统地复习有关步行训练与基于虚拟现实的训练对脑卒中患者的疗效的现有证据。具体问题是：将步行训练与基于虚拟现实的训练相关联是否有效提高中风后的步行速度？与非基于虚拟现实的步行干预相比，这种干预在提高步行速度方面是否更有效？方法：对随机临床试验的荟萃分析进行系统评价。参与者是患有中风的成年人，实验干预是与基于虚拟现实的训练相关的步行训练，以提高步行速度。从符合条件的试验中提取有关步行速度的结果数据，并使用荟萃分析方法进行合并。结果：该系统评价包括代表8个比较的7个试验。总体而言，与安慰剂/不干预或不步行的干预相比，基于虚拟现实的训练将步行速度提高了0.17 m / s（IC 95％0.08至0.26）。此外，与非虚拟现实步行干预相比，基于虚拟现实的训练将步行速度提高了0.15 m / s（IC 95％0.05至0.24）。结论：这项综述提供了证据，表明与基于虚拟现实的训练相关的步行训练可有效提高卒中后的步行速度，并且比非虚拟现实干预产生更好的结果。

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