【論文摘要】The Effect of a Virtual Reality Based Exercise on Cognitive and Physical Function in Older Adults With Cognitive Impairment: A Systematic Review and Meta-Analysis

【論文摘要】以虛擬實境運動訓練對認知功能障礙老年人其認知與身體功能之效果：統合分析

張詩旻(Shih-Min Chang) ； 謝智仱(Chih-Chin Hsieh) ； 林佩欣(Pay-Shin Lin)

《物理治療》 46卷4期 (2021/12) Pp. 290-290

https://doi.org/10.6215/FJPT.202112.O14

摘要

Background and Purpose: Emerging evidence has shown that exercise and physical activity might have positive effects on cognitive and physical function for older adults with cognitive impairment or dementia. However, older adults rarely doing exercise regularly. To enhance motivation, the use of virtual reality (VR) has been applied recently. This study explores the cognitive and physical effects of combining VR exercise as an exercise program for older adults with cognitive impairment. Methods: In this study, a systematic review and meta-analysis were conducted to summarize the effect of using VR exercise among older adults with cognitive impairment. Medline, PubMed, Scopus, Web of Science, CINAHL, and Embase were systematically searched from 1966 until March 2021. Studies that used VR exercise and met inclusion criteria were included. Quality of studies were assessed with the Physiotherapy Evidence Database Scale (PEDro). Results: Fourteen studies had been included in the analysis, there was a significant benefit of VR exercise for global cognition (Hedge's g = 0.79, [95% CI = 0.42, 1.16]) and learning and memory (Hedge's g = 0.40, [95% CI = 0.20, 0.61]); however, for motor function, muscle strength, physical activity, and walking ability were not significant. Conclusion: VR exercise significantly improved global cognition and learning and memory in elders with cognitive impairment. VR exercise with specific exercise types might be effective to improve a cognitive impaired patient's cognition and physical function. Clinical Relevance: The result of this study can be applied in the clinical and community situations to improve cognitive and specific physical function for elders with cognitive impairment by VR exercise with fun and better motivation.