TABLE 3.
Overall and subgroup analysis results regarding the effects of VRT on balance and functional mobility.
Outcomes | Overall and Subgroup analysis | Number of studies | WMD (95% CI) | P-value | Test of heterogeneity |
||
χ2 | P-value | I2(%) | |||||
TUG | Overall | 15 | −0.31 (−0.57, −0.05) | 0.02 | 15.17 | 0.37 | 7.72 |
Immersion | |||||||
Yes | 3 | −0.52 (−0.95, 0.08) | 0.02 | 0.47 | 0.79 | 0 | |
No | 12 | −0.26 (−0.61, 0.09) | 0.14 | 13.08 | 0.29 | 15.92 | |
Frequency (times/week) | |||||||
<3 | 6 | −0.38 (−0.85, 0.08) | 0.11 | 9.81 | 0.08 | 49.02 | |
≥3 | 9 | −0.25 (−0.73, 0.24) | 0.32 | 5.34 | 0.72 | 0 | |
Length (weeks) | |||||||
<8 | 4 | −0.03 (−0.38, 0.32) | 0.89 | 1.24 | 0.74 | 0 | |
≥8 | 11 | −0.45 (−0.77, −0.13) | 0.01 | 10.54 | 0.39 | 5.17 | |
Weekly intervention time | |||||||
<120 | 9 | −0.33 (−0.80, 0.14) | 0.17 | 11.91 | 0.16 | 32.84 | |
≥120 | 6 | −0.42 (−0.79, −0.05) | 0.03 | 2.38 | 0.79 | 0 | |
Total intervention time (min) | |||||||
<800 | 9 | −0.39 (−0.89, 0.10) | 0.12 | 11.92 | 0.15 | 32.89 | |
≥800 | 6 | −0.38 (−0.75, −0.01) | 0.04 | 2.79 | 0.73 | 0 | |
Design principles | |||||||
Repetitive, varied practice of meaningful tasks | 8 | −0.33 (−0.80, 0.14) | 0.17 | 9.64 | 0.21 | 27.39 | |
The task difficulty is progressively increased according to the user’s ability | 4 | −0.17 (−0.88, 0.55) | 0.64 | 3.43 | 0.33 | 12.60 | |
Repetitive, varied practice of meaningful tasks + Sensory feedback that is related to the task is necessary | 3 | −0.52 (−0.95, 0.08) | 0.02 | 0.47 | 0.79 | 0 | |
OLS-O | Overall | 6 | 7.28 (4.36, 10.20) | 0.00 | 7.84 | 0.17 | 36.22 |
Immersion | |||||||
Yes | 2 | 6.41 (2.69, 10.12) | 0.00 | 0.77 | 0.38 | 0 | |
No | 4 | 7.48 (3.16, 11.79) | 0.00 | 5.60 | 0.13 | 46.43 | |
Frequency (times/week) | |||||||
<3 | 2 | 6.74 (−7.13, 20.62) | 0.34 | 1.84 | 0.18 | 45.55 | |
≥3 | 4 | 5.96 (3.10, 8.82) | 0.00 | 0.92 | 0.82 | 0 | |
Length (weeks) | |||||||
<8 | 3 | 8.30 (4.59, 12.01) | 0.00 | 4.08 | 0.13 | 51.00 | |
≥8 | 3 | 4.92 (0.52, 9.33) | 0.03 | 0.85 | 0.65 | 0 | |
Weekly intervention time | |||||||
<120 | 3 | 1.25 (−0.53, 3.03) | 0.17 | 18.59 | 0.00 | 89.24 | |
≥120 | 3 | 6.14 (2.76, 9.52) | 0.00 | 0.88 | 0.64 | 0 | |
Total intervention time (min) | |||||||
<800 | 3 | 7.88 (2.62, 13.15) | 0.00 | 4.47 | 0.11 | 55.31 | |
≥800 | 4 | 6.40 (2.81, 9.99) | 0.00 | 1.30 | 0.52 | 0 | |
Design principles | |||||||
Repetitive, varied practice of meaningful tasks | 2 | 9.10 (4.04, 14.15) | 0.00 | 1.74 | 0.19 | 42.69 | |
The task difficulty is progressively increased according to the user’s ability | 2 | 4.95 (−0.27, 10.17) | 0.06 | 0.85 | 0.36 | 0 | |
Repetitive, varied practice of meaningful tasks + Sensory feedback that is related to the task is necessary | 2 | 6.41 (2.69, 10.12) | 0.00 | 0.77 | 0.38 | 0 | |
FRT | Overall | 6 | −1.97 (−4.37, 0.42) | 0.11 | 38.78 | 0.00 | 87.11 |
Immersion | |||||||
Yes | 2 | −1.61 (−7.17, 3.94) | 0.57 | 16.64 | 0.00 | 93.99 | |
No | 4 | −2.13 (−4.37, 0.42) | 0.16 | 15.76 | 0.00 | 80.96 | |
Frequency (times/week) | |||||||
<3 | 4 | −1.80 (−4.52, 0.92) | 0.19 | 22.43 | 0.00 | 86.63 | |
≥3 | 2 | −2.40 (−9.74, 4.94) | 0.52 | 16.25 | 0.00 | 93.84 | |
Length (weeks) | |||||||
<8 | 2 | 0.33 (−0.91, 1.58) | 0.60 | 0.31 | 0.36 | 0 | |
≥8 | 4 | −3.65 (−5.86, −1.44) | 0.00 | 9.69 | 0.00 | 69.05 | |
Weekly intervention time | |||||||
<120 | 3 | 0.46 (−1.63, 0.72) | 0.45 | 1.17 | 0.56 | 0 | |
≥120 | 3 | −3.08 (−6.89, 0.72) | 0.11 | 20.39 | 0.00 | 90.19 | |
Total intervention time (min) | |||||||
<800 | 2 | −0.50 (−1.80, 0.80) | 0.45 | 1.16 | 0.34 | 13.66 | |
≥800 | 4 | −2.73 (−6.22, 0.76) | 0.13 | 21.14 | 0.00 | 85.81 | |
Design principles | |||||||
Repetitive, varied practice of meaningful tasks | 3 | −2.36 (−5.63, 0.91) | 0.16 | 15.65 | 0.00 | 87.22 | |
The task difficulty is progressively increased according to the user’s ability | 1 | 0.00 (−8.32, 8.32) | 1.0 | – | – | – | |
Repetitive, varied practice of meaningful tasks + Sensory feedback that is related to the task is necessary | 2 | −1.61 (−7.17, 3.94) | 0.57 | 16.64 | 0.00 | 93.99 | |
GS | Overall | 5 | −0.02 (−0.08, 0.03) | 0.44 | 6.63 | 0.16 | 39.65 |
Immersion | |||||||
Yes | 1 | 0.01 (−0.04, 0.06) | 0.68 | 0 | – | – | |
No | 4 | −0.04 (−0.12, 0.03) | 0.28 | 4.72 | 0.19 | 36.49 | |
Frequency (times/week) | |||||||
<3 | 2 | 0.05 (−0.16, 0.06) | 0.36 | 2.03 | 0.15 | 50.72 | |
≥3 | 3 | −0.01 (−0.08, 0.07) | 0.84 | 3.44 | 0.18 | 41.89 | |
Length (weeks) | |||||||
<8 | 1 | 0.01 (−0.04, 0.06) | 0.68 | 0 | – | – | |
≥8 | 4 | −0.04 (−0.12, 0.03) | 0.28 | 4.72 | 0.19 | 36.49 | |
Weekly intervention time | |||||||
<120 | 3 | −0.02 (−0.12, 0.07) | 0.64 | 3.65 | 0.16 | 45.18 | |
≥120 | 2 | −0.03 (−0.13, 0.07) | 0.57 | 2.70 | 0.10 | 62.94 | |
Total intervention time (min) | |||||||
<800 | 3 | −0.02 (−0.12, 0.07) | 0.64 | 3.65 | 0.16 | 45.18 | |
≥800 | 2 | −0.03 (−0.13, 0.07) | 0.57 | 2.70 | 0.10 | 62.94 | |
Design principles | |||||||
Repetitive, varied practice of meaningful tasks | 3 | −0.06 (−0.14, 0.01) | 0.09 | 2.57 | 0.28 | 0 | |
The task difficulty is progressively increased according to the user’s ability | 1 | 0.07 (−0.09, 0.23) | 0.40 | 0 | – | – | |
Repetitive, varied practice of meaningful tasks + Sensory feedback that is related to the task is necessary | 1 | 0.01 (−0.04, 0.06) | 0.68 | 0 | – | – |
TUG, Timed Up and Go; OLS-O, one-leg stance with open eyes; FRT, functional reach test; GS, gait speed.