Background: As the elderly population continues to grow, so does the demand for new and innovative solutions to tackle age-related chronic diseases and disabilities. Virtual Reality (VR) has been explored as a novel therapeutic tool for numerous health-related applications. Although findings frequently favors VR, methodological shortcomings prevent clinical recommendations. Moreover, the term “VR” is frequently used ambiguously to describe e.g., video games; the distinction remains vague between immersive VR (IVR) systems and non-immersive VR (NVR). With no distinct demarcation, results of outcome measures are often pooled in meta-analyses, without accounting for the immersiveness of the system. Objective: This systematic review focused on virtual reality-based rehabilitation of older adults (+60) in motor rehabilitation programs. The review aims to retrospectively classify previous studies according to the level of immersion, in order to get an overview of the ambiguity-phenomenon, and to utilize meta-analyses and subgroup analyses to evaluate the comparative efficacy of system immersion in VR-based rehabilitation. Methods: Following PRISMA guidelines, we conducted a systematic search for randomized controlled trials, describing virtual rehabilitation or video games interventions for older adults (+60). Main outcomes were pain, motivation, mobility, balance, and adverse events. Results: We identified 15 studies which included 743 patients. Only three studies utilized IVR. The rest used various NVR-equipment ranging from commercial products (e.g., Nintendo Wii), to bespoke systems that combine tracking devices, software, and displays. A random effects meta-analysis of 10 studies analyzed outcome measures of mobility, balance, and pain. Protocols and dosage varied widely, but outcome results were in favor of immersive and non-immersive interventions, however, dropout rates and adverse events were mostly in favor of the control. Conclusions: We initialize a call-for-action, to distinguish between types of ...


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    Titel :

    System Immersion in Virtual Reality-Based Rehabilitation of Motor Function in Older Adults:A Systematic Review and Meta-Analysis



    Erscheinungsdatum :

    2021-04-12


    Anmerkungen:

    Høeg , E R , Povlsen , T M , Bruun-Pedersen , J R , Lange , B , Nilsson , N C , Haugaard , K B , Faber , S M , Hansen , S W , Kimby , C K & Serafin , S 2021 , ' System Immersion in Virtual Reality-Based Rehabilitation of Motor Function in Older Adults : A Systematic Review and Meta-Analysis ' , Frontiers in Virtual Reality , vol. 2 , 647993 . https://doi.org/10.3389/frvir.2021.647993



    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Elektronische Ressource


    Sprache :

    Englisch



    Klassifikation :

    DDC:    300 / 629



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