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Convergence Effect of Virtual Reality Program on Activities of Daily Living Ability in Stroke Patients : Meta-Analysis

가상현실 프로그램이 뇌졸중 환자의 일상생활활동 능력에 미치는 융합적 효과 : 메타분석

  • Choi, Ki-Bok (Team of Rehabilitation Therapy, Chosun University Hospital) ;
  • Cho, Sung-Hyoun (Department of Physical Therapy, Nambu University)
  • 최기복 (조선대학교병원 재활치료팀) ;
  • 조성현 (남부대학교 물리치료학과)
  • Received : 2020.06.09
  • Accepted : 2020.08.20
  • Published : 2020.08.28

Abstract

This study was designed to test the convergence effectiveness of virtual reality programs for patients with stroke by using meta-analysis. Based on the PICOS criteria, we searched domestic literature and selected the final 9 studies in relation to 'stroke' and 'virtual reality programs'. Evaluation of the risk of bias in individual studies was conducted using evaluation tools according to the design of each study. The effect size of the meta-analysis was calculated using CMA program. The mediating effect analysis was conducted by sub-group analysis and meta-regression analysis. The overall effect size of the virtual reality program on the activities of daily living ability was Hedges's g=0.302(95% CI: 0.064~0.540), Therefore, virtual reality programs can increase the activities of daily living in stroke patients and have a positive impact on the medical industry that the convergence of virtual reality industry and healthcare industry.

본 연구는 뇌졸중 환자를 대상으로 가상현실 프로그램에 대한 융복합적 효과를 알아보기 위해 메타분석을 실시하였다. PICOS 기준에 따라 국내 문헌을 검색하여 '뇌졸중', '가상현실 프로그램' 관련하여 최종 9편의 연구를 선정하였다. 개별 연구물의 비뚤림 평가는 각 연구의 설계에 따른 평가 도구를 이용하여 실시하였다. CMA 프로그램을 이용하여 메타분석의 효과크기를 산출하였다. 조절효과분석은 하위그룹분석과 메타회귀분석으로 실시하였다. 가상현실 프로그램의 일상생활활동 능력에 대한 전체 효과크기는 Hedges's g=0.302(95% CI: 0.064~0.540)이었다. 따라서 가상현실 프로그램은 뇌졸중 환자의 일상생활활동 능력을 증가시켜 가상현실 산업과 의료 보건 산업을 융복합한 의료산업에 긍정적인 영향을 제공할 수 있다.

Keywords

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