Rehabilitation that incorporates virtual reality is more effective than standard rehabilitation for improving walking speed, balance and mobility after XXXX : a systematic review.

@entity1 @entity64 @entity601
QUESTION: In @entity1 after @entity64 , does virtual reality based rehabilitation (VRBR) improve walking speed, balance and mobility more than the same duration of standard rehabilitation? In @entity1 after @entity64 , does adding extra VRBR to standard rehabilitation improve the effects on gait, balance and mobility? DESIGN: Systematic review with meta-analysis of randomised trials. @entity1 : Adults with a clinical diagnosis of @entity64 . INTERVENTION: Eligible trials had to include one these comparisons: VRBR replacing some or all of standard rehabilitation or VRBR used as extra rehabilitation time added to a standard rehabilitation regimen. OUTCOME MEASURES: Walking speed, balance, mobility and adverse events. RESULTS: In total, 15 trials involving 341 @entity1 were included. When VRBR replaced some or all of the standard rehabilitation, there were statistically significant benefits in walking speed ( @entity601 0.15 m/s, 95% CI 0.10 to 0.19), balance ( @entity601 2.1 points on the Berg Balance Scale, 95% CI 1.8 to 2.5) and mobility ( @entity601 2.3 seconds on the Timed Up and Go test, 95% CI 1.2 to 3.4). When VRBR was added to standard rehabilitation, mobility showed a significant benefit (0.7 seconds on the Timed Up and Go test, 95% CI 0.4 to 1.1), but insufficient evidence was found to comment about walking speed (one trial) and balance (high heterogeneity). CONCLUSION: Substituting some or all of a standard rehabilitation regimen with VRBR elicits greater benefits in walking speed, balance and mobility in @entity1 with @entity64 . Although the benefits are small, the extra cost of applying virtual reality to standard rehabilitation is also small, especially when spread over many @entity1 in a clinic. Adding extra VRBR time to standard rehabilitation also has some benefits; further research is needed to determine if these benefits are clinically worthwhile. [Corbetta D, Imeri F, Gatti R (2015) Rehabilitation that incorporates virtual reality is more effective than standard rehabilitation for improving walking speed, balance and mobility after @entity64 : a systematic review.Journal of PhysiotherapyXX: XX-XX].
