Effectiveness of Virtual Reality Systems to Improve the Activities of Daily Life in Older People
This review aims to evaluate the e ectiveness of treatments with virtual reality systems (VRSs) on the functional autonomy of older adults versus conventional treatment. (3) Methods: Systematic review and meta-analysis. An electronic data search was carried out, following the PRISMA statement, up to...
| Authors: | , , , , |
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| Format: | article |
| Publication Date: | 2020 |
| Country: | España |
| Institution: | Universidad de Castilla-La Mancha |
| Repository: | RUIdeRA. Repositorio Institucional de la UCLM |
| OAI Identifier: | oai:ruidera.uclm.es:10578/46646 |
| Online Access: | https://hdl.handle.net/10578/46646 |
| Access Level: | Open access |
| Keyword: | Exergame Functional autonomy Rehabilitation Virtual reality |
| Summary: | This review aims to evaluate the e ectiveness of treatments with virtual reality systems (VRSs) on the functional autonomy of older adults versus conventional treatment. (3) Methods: Systematic review and meta-analysis. An electronic data search was carried out, following the PRISMA statement, up to February 2020. We combined results from clinical trials using VRSs for the improvement of basic and instrumental activities of daily living. The guidelines of the Cochrane Handbook for Systematic Reviews of Interventions were followed for calculations and risk of bias. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to assess the quality of evidence. (4) Results: The final analysis included 23 studies with a population of 1595 participants. A moderate, but clinically significant, e ect was found for basic activities of daily living (BADLs), (Standard Medium Deviation, SMD 0.61; 95% CI: 0.15–1.37; P < 0.001). A small e ect was found for instrumental ADLs (Instrumental Activities of daily living, IADLs) (SMD 0.34; 95%CI: 0.82–0.15; P < 0.001). Functional ambulation was the BADL which improved the most (SMD 0.63; 95% CI: 0.86, 0.40; P < 0.001). (5) Conclusion: The use of VRSs is an innovative and feasible technique to support and improve the functional autonomy of community-dwelling older adults. Dueto the very low quality of the evidence for our main outcomes, the e ects of a VRS on the BADLs and IADLs are uncertain. Clinical trials of a higher methodological quality are necessary to increase the level of knowledge of its actual e ectiveness. |
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