A Systematic Review of the Effect of Virtual Reality Exercise on Balance, Strength, Pain, and Function in People with Functional Ankle Instability

Background: Virtual reality has been effective in treating patients with ankle functional instability (AFI). It has become a popular alternative to traditional lower limb rehabilitation. However, no systematic review (SR) has yet been conducted to investigate virtual reality effectiveness to AFI. Am...

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Bibliographic Details
Published in:Remah Review for Research and Studies 2022 (73), p.409-440
Main Authors: Al-Alshehi, Abdullah, Alyami, Abdullah, Alhasan, Hammad, Kim, Minju, Fong, Daniel T.P
Format: Article
Language:English
Subjects:
إصابات القدم
التربية الرياضية
التمارين الرياضية
الواقع الافتراضي
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Summary:Background: Virtual reality has been effective in treating patients with ankle functional instability (AFI). It has become a popular alternative to traditional lower limb rehabilitation. However, no systematic review (SR) has yet been conducted to investigate virtual reality effectiveness to AFI. Amis: To evaluate the effectiveness and significance of virtual reality for patients with AFI in comparison with any intervention or no treatment. Methods: Systematic review for Randomise Control Trail's (RCTs) and single-case report concerning virtual reality and AFI was conducted across six bibliographic databases for dates up to and including July 2020. RCT quality was assessed using the Cochrane assessment risk-of-bias tool, while Joanna Briggs Institute tool for case report. Statistical differences between the virtual reality and traditional rehabilitation or control groups were also determined. Results: Of the 2176 studies reviewed, fifteen studies were reviewed with a bias quality as followed: four RCT's (high) and ten RCT's (moderate), while single-case report (high). Most of these studies (n=12) showed significance differences in balance, strength, pain and function between virtual reality group and other intervention or control groups (P>0.05). however, three of the studies showed no significant differences. Conclusion: This review demonstrates moderate evidence that virtual reality is more effective than other interventions in treating AFI, although there are limitation and bias in the studies reviewed. Future high-quality reviews of large-sample studies are needed to investigate all of the important outcome measures together, namely balance, strength, function, and pain.
ISSN:2392-5418