J 2022

Virtual reality intervention as a support method during wound care and rehabilitation after burns: A systematic review and meta-analysis

CZECH, Oliver, Adam WRZECIONO, Ladislav BAŤALÍK, Joanna SZCZEPANSKA-GIERACHA, Iwona MALICKA et. al.

Basic information

Original name

Virtual reality intervention as a support method during wound care and rehabilitation after burns: A systematic review and meta-analysis

Authors

CZECH, Oliver, Adam WRZECIONO, Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution), Joanna SZCZEPANSKA-GIERACHA, Iwona MALICKA and Sebastian RUTKOWSKI (guarantor)

Edition

COMPLEMENTARY THERAPIES IN MEDICINE, EDINBURGH, CHURCHILL LIVINGSTONE, 2022, 0965-2299

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.600

RIV identification code

RIV/00216224:14110/22:00126031

Organization unit

Faculty of Medicine

DOI

UT WoS

000799157000003

Keywords in English

Burns; Virtual technology; Pain management; Physiotherapy

Tags

Tags

International impact, Reviewed
Změněno: 16/1/2023 14:24, Mgr. Tereza Miškechová

Abstract

V originále

Objective: This systematic review and meta-analysis aimed to analyze and synthesize the evidence on the effectiveness of virtual reality (VR) interventions in the prevention of pain, fear and anxiety during burn wound care procedures. Methods: In September and October 2021, PubMed, Scopus, Cochrane Library and Web of Science were searched for relevant randomized controlled and crossover studies. Two independent authors described the following inclusion criteria for the search: patients undergoing burn wound care with applied VR treatment compared to any other or non-VR intervention. From a total of 1171 records, 25 met the inclusion criteria. After full-text screening, seven publications were excluded. The risk of bias was assessed for 18 studies by two independent authors. RevMan 5.4 was used for the statistical analysis, meta-analysis and visual presentation of the results. Results: The meta-analysis showed a significant difference between VR treatment and standard care when analyzing pain outcome during wound care procedures (SMD = -0.49; 95% CI [-0.78, -0.15]; I2 = 41%) and in subgroup analysis when immersive VR was incorporated (SMD = -0.71; 95% CI [-1.07, -0.36]; I2 = 0%). No significant differences were found between VR treatment and standard care for range of motion outcome (SMD = 0.44; 95% CI [-0.23, 1.11]; I2 = 50%). Conclusions: VR seems to be an effective therapeutic support in burn wound care procedures for reducing pain. However, this systematic review and meta-analysis highlights the need for more research into the use of VR as a distraction method. Studies on larger groups using similar conditions can provide unequivocal evidence of the effectiveness of VR and enable the inclusion of such intervention in standard medical procedures.