X-reality for phantom limb management for amputees:A systematic review and meta-analysis  

作　　者：James Chung-Wai Cheung Daphne Sze Ki Cheung Ming Ni Kam-Wai Chen Ye-Jiao Mao Lin Feng Wing-Kai Lam Duo Wai-Chi Wong Aaron Kam-Lun Leung 

机构地区：[1]Department of Biomedical Engineering,Faculty of Engineering,The Hong Kong Polytechnic University,Hong Kong,China [2]School of Nursing,The Hong Kong Polytechnic University,Hong Kong,China [3]Department of Orthopaedics,Ruijin Hospital,Shanghai Jiao Tong University,Shanghai,China [4]Department of Prosthetics and Orthotics,Queen Mary Hospital,Hong Kong,China [5]Sports Information and External Affairs Centre,Hong Kong Sports Institute,Hong Kong,China [6]Research Institute for Sports Science and Technology,The Hong Kong Polytechnic University,Hong Kong,China [7]Department of Rehabilitation Science,The Hong Kong Polytechnic University,Hong Kong,China

出　　处：《Engineered Regeneration》2023年第2期134-151,共18页再生工程（英文）

基　　金：The work was supported by the Research Institute for Sports Science and Technology(Reference number:P0043798);Internal Fund(Ref-erence number:P0035805)of the Hong Kong Polytechnic University.

摘　　要：Phantom limb is a disabling neuropsychiatric condition among amputees resulting in pain and disturbance that impact their functions,quality of life,and autonomy.While pharmacological approaches appeared to be ineffec-tive,the emergence and integration of X-reality,including virtual reality,augmented reality,and mixed reality,might elevate the effectiveness of mirror therapy in managing phantom limb.The objective of this study is to review X-reality for managing phantom pain.A systematic search was conducted on PubMed,Scopus,Web of Science,PsycINFO,Embase,and CINAHL.Sixteen(n=16)studies containing 66 lower-limb and 53 upper-limb amputees were included for the review over the thematic framework of amputee characteristics and intervention designs,while thirteen(n=13)studies were further proceeded for the meta-analysis.We found eleven studies on virtual reality(n=11),four studies on marker-based augmented reality(n=4)and one study on mixed reality(n=1)with a total of 40 game/task themes involving,motor skills,motor control,and stimulus-sensing.Regardless,all these interventions adopted the movement representation strategies with different techniques.Overall,the X-reality interventions reduced the pain level of the amputees(mean difference:-2.30,95%CI,-3.38 to-1.22),especially the virtual reality subgroup(mean difference:-2.83,95%CI,-4.43 to-1.22).However,there were substantial heterogeneity and partially explained by the subgroup analysis on publication year.The strength of evidence was limited by case reports and case series in this review.

关 键 词：Extended reality Limb telescoping Phantom pain Phantom sensation 

分 类 号：R318[医药卫生—生物医学工程]