Место виртуальной реальности в реабилитации пациентов с рассеянным склерозом
https://doi.org/10.14412/2074-2711-2023-1S-8-14
Аннотация
Рассеянный склероз (РС) – это хроническое аутоиммунное заболевание, вследствие которого снижается трудоспособность и активная жизнедеятельность преимущественно молодого населения. Помимо лекарственной терапии, неотъемлемой частью жизни человека с РС становится физическая активность. За последние десятилетия реабилитация пациентов с РС шагнула вперед. Однако по-прежнему актуальна проблема приверженности реабилитации. Методы реабилитации с применением виртуальной реальности (ВР) позволяют не только повысить качество тренировочного процесса, но и увеличить приверженность реабилитационному процессу.
Цель исследования – изучить имеющиеся в литературе данные об эффективности методик с применением ВР в отношении уменьшения выраженности симптомов РС и улучшения качества жизни.
Материал и методы. Был проведен обзор литературы с использованием баз данных MEDLINE (PubMed), eLibrary, Google Schcolar. В исследование включались работы, соответствующие двум критериям: исследуемая популяция – пациенты с РС; наличие хотя бы одной группы сравнения (стандартная терапия или без терапии).
Результаты. По результатам анализа были отобраны 44 статьи. Описана эффективность ВР в снижении таких проявлений РС, как усталость, нарушение равновесия, риск падений, мобильность, апраксия, нарушение функции рук, а также влияние на общее качество жизни и его составляющие.
Заключение. Методы реабилитации с применением ВР могут не только занять свое место в общей системе физической реабилитации, но и стать мощным инструментом в повышении мотивации и качества жизни на всех этапах восстановительного лечения.
Об авторах
Ю. Е. КоржоваРоссия
125367, Москва, Волоколамское шоссе, 80
А. А. Фукс
Россия
125367, Москва, Волоколамское шоссе, 80
А. С. Клочков
Россия
125367, Москва, Волоколамское шоссе, 80
А. Е. Хижникова
Россия
125367, Москва, Волоколамское шоссе, 80
Н. А. Супонева
Россия
125367, Москва, Волоколамское шоссе, 80
М. Н. Захарова
Россия
Мария Николаевна Захарова
125367, Москва, Волоколамское шоссе, 80
Список литературы
1. Faissner S, Plemel JR, Gold R, Yong VW. Progressive multiple sclerosis: from pathophysiology to therapeutic strategies. Nat Rev Drug Discov. 2019 Dec;18(12):905-22. doi: 10.1038/s41573-019-0035-2. Epub 2019 Aug 9.
2. Straudi S, Basaglia N. Neuroplasticity-Based Technologies and Interventions for Restoring Motor Functions in Multiple Sclerosis. In: Asea A, Geraci F, Kaur P (eds). Multiple Sclerosis: Bench to Bedside: Global Perspectives on a Silent Killer. Springer International Publishing; 2017. P. 171-85. doi: 10.1007/978-3-319-47861-6_11
3. Tomassini V, Matthews PM, Thompson AJ, et al. Neuroplasticity and functional recovery in multiple sclerosis. Nat Rev Neurol. 2012 Sep;8(11):635-46. doi: 10.1038/nrneurol. 2012.179
4. Rocca MA, Colombo B, Falini A, et al. Cortical adaptation in patients with MS: a cross-sectional functional MRI study of disease phenotypes. Lancet Neurol. 2005 Oct;4(10):618-26. doi: 10.1016/S1474-4422(05)70171-X
5. Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res. 2008 Feb;51(1):S225-39. doi: 10.1044/1092-4388(2008/018)
6. Shobeiri P, Karimi A, Momtazmanesh S, et al. Exercise-induced increase in blood-based brain-derived neurotrophic factor (BDNF) in people with multiple sclerosis: A systematic review and meta-analysis of exercise intervention trials. PLoS One. 2022 Mar 3;17(3):e0264557. doi: 10.1371/journal.pone.0264557
7. Briken S, Rosenkranz SC, Keminer O, et al. Effects of exercise on Irisin, BDNF and IL-6 serum levels in patients with progressive multiple sclerosis. J Neuroimmunol. 2016 Oct 15;299:53-8. doi: 10.1016/j.jneuroim.2016.08.007. Epub 2016 Aug 5.
8. Устинова КИ, Черникова ЛА, Хижникова АЕ и др. Теоретическое обоснование классических методов двигательной реабилитации в неврологии. Анналы клинической и экспериментальной неврологии. 2018;12(3):54-60. doi: 10.25692/ACEN.2018.3.7
9. Hao J, Xie H, Harp K, et al. Effects of Virtual Reality Intervention on Neural Plasticity in Stroke Rehabilitation: A Systematic Review. Arch Phys Med Rehabil. 2022 Mar;103(3):523-41. doi: 10.1016/j.apmr.2021.06.024. Epub 2021 Aug 2.
10. Naro A, Calabro RS. What Do We Know about The Use of Virtual Reality in the Rehabilitation Field? A Brief Overview. Electronics (Basel). 2021;10(9). doi: 10.3390/electronics10091042
11. Laver KE, Lange B, George S, et al. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017 Nov 20;11(11):CD008349. doi: 10.1002/14651858.CD008349.pub4
12. Tieri G, Morone G, Paolucci S, Iosa M. Virtual reality in cognitive and motor rehabilitation: facts, fiction and fallacies. Expert Rev Med Devices. 2018 Feb;15(2):107-17. doi: 10.1080/17434440.2018.1425613. Epub 2018 Jan 10.
13. Maggio MG, Russo M, Cuzzola MF, et al. Virtual reality in multiple sclerosis rehabilitation: A review on cognitive and motor outcomes. J Clin Neurosci. 2019 Jul;65:106-11. doi: 10.1016/j.jocn.2019.03.017. Epub 2019 Mar 18.
14. Dockx K, Bekkers EM, Van den Bergh V, et al. Virtual reality for rehabilitation in Parkinson's disease. Cochrane Database Syst Rev. 2016 Dec 21;12(12):CD010760. doi: 10.1002/14651858.CD010760.pub2
15. Weiss PL, Kizony R, Feintuch U, et al. Virtual reality applications in neurorehabilitation. In: Kwakkel G, Cohen LG, Selzer ME, Miller RH, Clarke S (eds). Textbook of Neural Repair and Rehabilitation. Vol. 2: Medical Neurorehabilitation. 2nd ed. Cambridge University Press; 2014. P. 198-218. doi: 10.1017/CBO9780511995590.021
16. An CM, Park YH. The effects of semiimmersive virtual reality therapy on standing balance and upright mobility function in individuals with chronic incomplete spinal cord injury: A preliminary study. J Spinal Cord Med. 2018 Mar;41(2):223-9. doi: 10.1080/10790268.2017.1369217. Epub 2017 Sep 7.
17. Maggio MG, De Luca R, Manuli A, et al. Do patients with multiple sclerosis benefit from semi-immersive virtual reality? A randomized clinical trial on cognitive and motor outcomes. Appl Neuropsychol Adult. 2022 Jan-Feb;29(1):59-65. doi: 10.1080/23279095.2019.1708364. Epub 2020 Jan 10.
18. Truijen S, Abdullahi A, Bijsterbosch D, et al. Effect of home-based virtual reality training and telerehabilitation on balance in individuals with Parkinson disease, multiple sclerosis, and stroke: a systematic review and meta-analysis. Neurol Sci. 2022 May;43(5):2995-3006. doi: 10.1007/s10072-021-05855-2. Epub 2022 Feb 17.
19. Perrochon A, Borel B, Istrate D, et al. Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis. Ann Phys Rehabil Med. 2019 Sep;62(5):366-78. doi: 10.1016/j.rehab.2019.04.004. Epub 2019 May 9.
20. Llorens R, Noe E, Colomer C, Alcaniz M. Effectiveness, usability, and cost-benefit of a virtual reality-based telerehabilitation program for balance recovery after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2015 Mar;96(3):418-425.e2. doi: 10.1016/j.apmr.2014.10.019. Epub 2014 Nov 13.
21. Webster A, Poyade M, Rooney S, Paul L. Upper limb rehabilitation interventions using virtual reality for people with multiple sclerosis: A systematic review. Mult Scler Relat Disord. 2021 Jan;47:102610. doi: 10.1016/j.msard.2020.102610. Epub 2020 Oct 31.
22. Peruzzi A, Cereatti A, Della Croce U, Mirelman A. Effects of a virtual reality and treadmill training on gait of subjects with multiple sclerosis: a pilot study. Mult Scler Relat Disord. 2016 Jan;5:91-6. doi: 10.1016/j.msard.2015.11.002. Epub 2015 Nov 6.
23. Bertoni R, Mestanza Mattos FG, Porta M, et al. Effects of immersive virtual reality on upper limb function in subjects with multiple sclerosis: A cross-over study. Mult Scler Relat Disord. 2022 Sep;65:104004. doi: 10.1016/j.msard.2022.104004. Epub 2022 Jun 30.
24. Ozdogar AT, Ertekin O, Kahraman T, et al. Effect of video-based exergaming on arm and cognitive function in persons with multiple sclerosis: A randomized controlled trial. Mult Scler Relat Disord. 2020 May;40:101966. doi: 10.1016/j.msard.2020.101966. Epub 2020 Jan 24.
25. Leonardi S, Maggio MG, Russo M, et al. Cognitive recovery in people with relapsing/remitting multiple sclerosis: A randomized clinical trial on virtual realitybased neurorehabilitation. Clin Neurol Neurosurg. 2021 Sep;208:106828. doi: 10.1016/j.clineuro.2021.106828. Epub 2021 Jul 21.
26. Khalil H, Al-Sharman A, El-Salem K, et al. The development and pilot evaluation of virtual reality balance scenarios in people with multiple sclerosis (MS): A feasibility study. NeuroRehabilitation. 2018;43(4):473-82. doi: 10.3233/NRE-182471
27. Munari D, Fonte C, Varalta V, et al. Effects of robot-assisted gait training combined with virtual reality on motor and cognitive functions in patients with multiple sclerosis: A pilot, single-blind, randomized controlled trial. Restor Neurol Neurosci. 2020;38(2):151-64. doi: 10.3233/RNN-190974
28. Russo M, Dattola V, De Cola MC, et al. The role of robotic gait training coupled with virtual reality in boosting the rehabilitative outcomes in patients with multiple sclerosis. Int J Rehabil Res. 2018 Jun;41(2):166-72. doi: 10.1097/MRR.0000000000000270
29. Norouzi E, Gerber M, Pühse U, et al. Combined virtual reality and physical training improved the bimanual coordination of women with multiple sclerosis. Neuropsychol Rehabil. 2021 May;31(4):552-69. doi: 10.1080/09602011.2020.1715231. Epub 2020 Jan 23.
30. Al-Sharman A, Khalil H, El-Salem K, et al. Motor performance improvement through virtual reality task is related to fatigue and cognition in people with multiple sclerosis. Physiother Res Int. 2019 Oct;24(4):e1782. doi: 10.1002/pri.1782. Epub 2019 May 23.
31. Brichetto G, Spallarossa P, de Carvalho ML, Battaglia MA. The effect of Nintendo® Wii® on balance in people with multiple sclerosis: a pilot randomized control study. Mult Scler. 2013 Aug;19(9):1219-21. doi: 10.1177/1352458512472747. Epub 2013 Jan 15.
32. Yazgan YZ, Tarakci E, Tarakci D, et al. Comparison of the effects of two different exergaming systems on balance, functionality, fatigue, and quality of life in people with multiple sclerosis: A randomized controlled trial. Mult Scler Relat Disord. 2020 Apr;39:101902. doi: 10.1016/j.msard.2019.101902. Epub 2019 Dec 21.
33. Lamargue D, Koubiyr I, Deloire M, et al. Effect of cognitive rehabilitation on neuropsychological and semiecological testing and on daily cognitive functioning in multiple sclerosis: The REACTIV randomized controlled study. J Neurol Sci. 2020 Aug 15;415:116929. doi: 10.1016/j.jns.2020.116929. Epub 2020 May 20.
34. Cuesta-Gomez A, Sanchez-Herrera-Baeza P, Ona-Simbana ED, et al. Effects of virtual reality associated with serious games for upper limb rehabilitation inpatients with multiple sclerosis: randomized controlled trial. J Neuroeng Rehabil. 2020 Jul 13;17(1):90. doi: 10.1186/s12984-020-00718-x
35. Ozkul C, Guclu-Gunduz A, Yazici G, et al. Effect of immersive virtual reality on balance, mobility, and fatigue in patients with multiple sclerosis: A single-blinded randomized controlled trial. Eur J Integr Med. 2020 Apr;35:101092. doi: 10.1016/j.eujim.2020.101092
36. Cortes-Perez I, Sanchez-Alcala M, Nieto-Escamez FA, et al. Virtual Reality-Based Therapy Improves Fatigue, Impact, and Quality of Life in Patients with Multiple Sclerosis. A Systematic Review with a Meta-Analysis. Sensors (Basel). 2021 Nov 6;21(21):7389. doi: 10.3390/s21217389
37. Thomas S, Fazakarley L, Thomas PW, et al. Mii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii) to increase activity levels, vitality and well-being in people with multiple sclerosis. BMJ Open. 2017 Sep 27;7(9):e016966. doi: 10.1136/bmjopen-2017-016966
38. Ware Jr. JE, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol. 1998 Nov;51(11):903-12. doi: 10.1016/S0895-4356(98)00081-X
39. Vickrey BG, Hays RD, Harooni R, et al. A health-related quality of life measure for multiple sclerosis. Qual Life Res. 1995 Jun;4(3):187-206. doi: 10.1007/BF02260859
40. Mattioli F, Stampatori C, Scarpazza C, et al. Persistence of the effects of attention and executive functions intensive rehabilitation in relapsing remitting multiple sclerosis. Mult Scler Relat Disord. 2012 Oct;1(4):168-73. doi: 10.1016/j.msard.2012.06.004. Epub 2012 Jul 21.
41. Nascimento AS, Fagundes CV, Mendes FADS, Leal JC. Effectiveness of Virtual Reality Rehabilitation in Persons with Multiple Sclerosis: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Mult Scler Relat Disord. 2021 Sep;54:103128. doi: 10.1016/j.msard.2021.103128. Epub 2021 Jul 9.
42. Galperin I, Mirelman A, Schmitz-Hübsch T, et al. Treadmill training with virtual reality to enhance gait and cognitive function among people with multiple sclerosis: a randomized controlled trial. J Neurol. 2023 Mar;270(3):1388-401. doi: 10.1007/s00415-022-11469-1. Epub 2022 Nov 11.
43. Winter C, Kern F, Gall D, et al. Immersive virtual reality during gait rehabilitation increases walking speed and motivation: a usability evaluation with healthy participants and patients with multiple sclerosis and stroke. J Neuroeng Rehabil. 2021 Apr 22;18(1):68. doi: 10.1186/s12984-021-00848-w
44. Peruzzi A, Zarbo IR, Cereatti A, et al. An innovative training program based on virtual reality and treadmill: effects on gait of persons with multiple sclerosis. Disabil Rehabil. 2017 Jul;39(15):1557-63. doi: 10.1080/09638288.2016.1224935. Epub 2016 Nov 3.
45. Calabro RS, Russo M, Naro A, et al. Robotic gait training in multiple sclerosis rehabilitation: Can virtual reality make the difference? Findings from a randomized controlled trial. J Neurol Sci. 2017 Jun 15;377:25-30. doi: 10.1016/j.jns.2017.03.047. Epub 2017 Mar 29.
46. Stratton ME, Pilutti LA, Crowell JA, et al. Virtual street-crossing performance in persons with multiple sclerosis: Feasibility and task performance characteristics. Traffic Inj Prev. 2017 Jan 2;18(1):47-55. doi: 10.1080/15389588.2016.1195494. Epub 2016 Sep 7.
47. Castellano-Aguilera A, Bivia-Roig G, Cuenca-Martinez F, et al. Effectiveness of Virtual Reality on Balance and Risk of Falls in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Oct 30;19(21):14192. doi: 10.3390/ijerph192114192
48. Eftekharsadat B, Babaei-Ghazani A, Mohammadzadeh M, et al. Effect of virtual reality-based balance training in multiple sclerosis. Neurol Res. 2015 Jun;37(6):539-44. doi: 10.1179/1743132815Y.0000000013. Epub 2015 Feb 10.
49. Casuso-Holgado MJ, Martin-Valero R, Carazo AF, et al. Effectiveness of virtual reality training for balance and gait rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis. Clin Rehabil. 2018 Sep;32(9):1220-34. doi: 10.1177/0269215518768084. Epub 2018 Apr 13.
50. Calafiore D, Invernizzi M, Ammendolia A, et al. Efficacy of Virtual Reality and Exergaming in Improving Balance in Patients With Multiple Sclerosis: A Systematic Review and Meta-Analysis. Front Neurol. 2021 Dec 10;12:773459. doi: 10.3389/fneur.2021.773459
51. Hao Z, Zhang X, Chen P. Effects of Different Exercise Therapies on Balance Function and Functional Walking Ability in Multiple Sclerosis Disease Patients – A Network Meta-Analysis of Randomized Controlled Trials. Int J Environ Res Public Health. 2022 Jun 11;19(12):7175. doi: 10.3390/ijerph19127175
52. Molhemi F, Monjezi S, Mehravar M, et al. Effects of Virtual Reality vs Conventional Balance Training on Balance and Falls in People With Multiple Sclerosis: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 Feb;102(2):290-9. doi: 10.1016/j.apmr.2020.09.395. Epub 2020 Nov 5.
53. Lozano-Quilis JA, Gil-Gomez H, Gil-Gomez JA, et al. Virtual rehabilitation for multiple sclerosis using a kinect-based system: randomized controlled trial. JMIR Serious Games. 2014 Nov 12;2(2):e12. doi: 10.2196/games.2933
54. Akkan H, Kallem Seyyar G, Aslan B, Karabulut E. The effect of virtual reality-based therapy on fear of falling in multiple sclerosis: A systematic review and meta-analysis. Mult Scler Relat Disord. 2022 Jul;63:103791. doi: 10.1016/j.msard.2022.103791. Epub 2022 Apr 10.
55. Walino-Paniagua CN, Gomez-Calero C, Jimenez-Trujillo MI, et al. Effects of a Game-Based Virtual Reality Video Capture Training Program Plus Occupational Therapy on Manual Dexterity in Patients with Multiple Sclerosis: A Randomized Controlled Trial. J Healthc Eng. 2019 Apr 22;2019:9780587. doi: 10.1155/2019/9780587
56. Pau M, Porta M, Bertoni R, et al. Effect of immersive virtual reality training on hand-tomouth task performance in people with Multiple Sclerosis: A quantitative kinematic study. Mult Scler Relat Disord. 2023 Jan;69:104455. doi: 10.1016/j.msard.2022.104455. Epub 2022 Dec 5.
57. Dogan M, Ayvat E, Kilinc M. Telerehabilitation versus virtual reality supported task-oriented circuit therapy on upper limbs and trunk functions in patients with multiple sclerosis: A randomized controlled study. Mult Scler Relat Disord. 2023 Mar;71:104558. doi: 10.1016/j.msard.2023.104558. Epub 2023 Feb 11.
58. Jonsdottir J, Perini G, Ascolese A, et al. Unilateral arm rehabilitation for persons with multiple sclerosis using serious games in a virtual reality approach: Bilateral treatment effect? Mult Scler Relat Disord. 2019 Oct;35:76-82. doi: 10.1016/j.msard.2019.07.010. Epub 2019 Jul 20.
59. Maggio MG, Stagnitti MC, Rizzo E, et al. Limb apraxia in individuals with multiple sclerosis: Is there a role of semi-immersive virtual reality in treating the Cinderella of neuropsychology? Mult Scler Relat Disord. 2023 Jan;69:104405. doi: 10.1016/j.msard.2022.104405. Epub 2022 Nov 9.
60. Motl RW, Mowry EM, Ehde DM, et al. Wellness and multiple sclerosis: The National MS Society establishes a Wellness Research Working Group and research priorities. Mult Scler. 2018 Mar;24(3):262-7. doi: 10.1177/1352458516687404. Epub 2017 Jan 12.
Рецензия
Для цитирования:
Коржова ЮЕ, Фукс АА, Клочков АС, Хижникова АЕ, Супонева НА, Захарова МН. Место виртуальной реальности в реабилитации пациентов с рассеянным склерозом. Неврология, нейропсихиатрия, психосоматика. 2023;15:8-14. https://doi.org/10.14412/2074-2711-2023-1S-8-14
For citation:
Korzhova IE, Fuks AA, Klochkov AS, Khizhnikova AE, Suponeva NA, Zakharova MN. The place of virtual reality in the rehabilitation of patients with multiple sclerosis. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2023;15:8-14. (In Russ.) https://doi.org/10.14412/2074-2711-2023-1S-8-14