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Virtual reality and non-invasive brain stimulation for rehabilitation applications: a systematic review

机译:用于康复应用的虚拟现实和非侵入性脑刺激:系统审查

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The present article reports the results of a systematic review on the potential benefits of the combined use of virtual reality (VR) and non-invasive brain stimulation (NIBS) as a novel approach for rehabilitation. VR and NIBS are two rehabilitation techniques that have been consistently explored by health professionals, and in recent years there is strong evidence of the therapeutic benefits of their combined use. In this work, we reviewed research articles that report the combined use of VR and two common NIBS techniques, namely transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS). Relevant queries to six major bibliographic databases were performed to retrieve original research articles that reported the use of the combination VR-NIBS for rehabilitation applications. A total of 16 articles were identified and reviewed. The reviewed studies have significant differences in the goals, materials, methods, and outcomes. These differences are likely caused by the lack of guidelines and best practices on how to combine VR and NIBS techniques. Five therapeutic applications were identified: stroke, neuropathic pain, cerebral palsy, phobia and post-traumatic stress disorder, and multiple sclerosis rehabilitation. The majority of the reviewed studies reported positive effects of the use of VR-NIBS. However, further research is still needed to validate existing results on larger sample sizes and across different clinical conditions. For these reasons, in this review recommendations for future studies exploring the combined use of VR and NIBS are presented to facilitate the comparison among works.
机译:本文报告了对综合使用虚拟现实(VR)和非侵入性脑刺激(NIB)作为一种新颖的康复方法的潜在益处的结果。 VR和NIB是卫生专业人员一直贯穿的两项康复技术,近年来有强有力的证据表明其综合使用的治疗利益。在这项工作中,我们回顾了报告VR和两种常见尖端技术的联合使用的研究文章,即经颅直流刺激(TDCS)和经颅磁刺激(TMS)。执行有关六大书目数据库的相关查询,以检索原始研究文章,报告使用组合VR-NIBS进行康复应用。共识别并审查了16篇文章。审查的研究具有目标,材料,方法和结果具有显着差异。这些差异可能是由于如何结合VR和NIBS技术的指导和最佳实践而造成的。确定了五种治疗应用:中风,神经性疼痛,脑瘫,恐惧症和创伤后应激障碍,以及多发性硬化康复。大多数审查的研究报告了VR-NIBs使用的积极影响。然而,仍然需要进一步的研究来验证较大的样本大小和不同临床条件的现有结果。出于这些原因,在本次审查中,提出了探讨未来研究的建议,探讨了VR和NIBS的结合使用,以促进工作中的比较。

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