Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials

Background: Virtual reality-based therapy (VRBT) is a novel therapeutic approach to be used in women with fibromyalgia syndrome (FMS). The aim of our study is to assess the effect of VRBT to reduce the impact of FMS in outcomes such as pain, dynamic balance, aerobic capacity, fatigue, quality of lif...

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Autores principales:	Irene Cortés-Pérez, Noelia Zagalaz-Anula, María del Rocío Ibancos-Losada, Francisco Antonio Nieto-Escámez, Esteban Obrero-Gaitán, María Catalina Osuna-Pérez
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	fibromyalgia virtual reality physiotherapy pain fatigue quality of life Medicine R
Acceso en línea:	https://doaj.org/article/232106c072854e5da1983b7db4e82fa8
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spelling	oai:doaj.org-article:232106c072854e5da1983b7db4e82fa82021-11-25T18:07:41ZVirtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials10.3390/jpm111111672075-4426https://doaj.org/article/232106c072854e5da1983b7db4e82fa82021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1167https://doaj.org/toc/2075-4426Background: Virtual reality-based therapy (VRBT) is a novel therapeutic approach to be used in women with fibromyalgia syndrome (FMS). The aim of our study is to assess the effect of VRBT to reduce the impact of FMS in outcomes such as pain, dynamic balance, aerobic capacity, fatigue, quality of life (QoL), anxiety and depression. Methods: Systematic review with meta-analysis was conducted from a bibliographic search in PubMed, Scopus, PEDro, Web of Science and CINAHL until April 2021 in accordance with PRISMA guidelines. We included randomized controlled trials (RCTs) that compare VRBT versus others to assess the mentioned outcomes in women with FMS. Effect size was calculated with standardized mean difference (SMD) and its 95% confidence interval (95% CI). Results: Eleven RCTs involving 535 women with FMS were included. Using the PEDro scale, the mean methodological quality of the included studies was moderate (6.63 ± 0.51). Our findings showed an effect of VRBT on the impact of FMS (SMD −0.62, 95% CI −0.93 to −0.31); pain (SMD −0.45, 95% CI −0.69 to −0.21); dynamic balance (SMD −0.76, 95% CI −1.12 to −0.39); aerobic capacity (SMD 0.32, 95% CI 0.004 to 0.63); fatigue (SMD −0.58, 95% CI −1.02 to −0.14); QoL (SMD 0.55, 95% CI 0.3 to 0.81); anxiety (SMD −0.47, 95% CI −0.91 to −0.03) and depression (SMD −0.46, 95% CI −0.76 to −0.16). Conclusions: VRBT is an effective therapy that reduces the impact of FMS, pain, fatigue, anxiety and depression and increases dynamic balance, aerobic capacity and quality of life in women with FMS. In addition, VRBT in combination with CTBTE showed a large effect in reducing the impact of FMS and fatigue and increasing QoL in these women.Irene Cortés-PérezNoelia Zagalaz-AnulaMaría del Rocío Ibancos-LosadaFrancisco Antonio Nieto-EscámezEsteban Obrero-GaitánMaría Catalina Osuna-PérezMDPI AGarticlefibromyalgiavirtual realityphysiotherapypainfatiguequality of lifeMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1167, p 1167 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fibromyalgia virtual reality physiotherapy pain fatigue quality of life Medicine R
spellingShingle	fibromyalgia virtual reality physiotherapy pain fatigue quality of life Medicine R Irene Cortés-Pérez Noelia Zagalaz-Anula María del Rocío Ibancos-Losada Francisco Antonio Nieto-Escámez Esteban Obrero-Gaitán María Catalina Osuna-Pérez Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials
description	Background: Virtual reality-based therapy (VRBT) is a novel therapeutic approach to be used in women with fibromyalgia syndrome (FMS). The aim of our study is to assess the effect of VRBT to reduce the impact of FMS in outcomes such as pain, dynamic balance, aerobic capacity, fatigue, quality of life (QoL), anxiety and depression. Methods: Systematic review with meta-analysis was conducted from a bibliographic search in PubMed, Scopus, PEDro, Web of Science and CINAHL until April 2021 in accordance with PRISMA guidelines. We included randomized controlled trials (RCTs) that compare VRBT versus others to assess the mentioned outcomes in women with FMS. Effect size was calculated with standardized mean difference (SMD) and its 95% confidence interval (95% CI). Results: Eleven RCTs involving 535 women with FMS were included. Using the PEDro scale, the mean methodological quality of the included studies was moderate (6.63 ± 0.51). Our findings showed an effect of VRBT on the impact of FMS (SMD −0.62, 95% CI −0.93 to −0.31); pain (SMD −0.45, 95% CI −0.69 to −0.21); dynamic balance (SMD −0.76, 95% CI −1.12 to −0.39); aerobic capacity (SMD 0.32, 95% CI 0.004 to 0.63); fatigue (SMD −0.58, 95% CI −1.02 to −0.14); QoL (SMD 0.55, 95% CI 0.3 to 0.81); anxiety (SMD −0.47, 95% CI −0.91 to −0.03) and depression (SMD −0.46, 95% CI −0.76 to −0.16). Conclusions: VRBT is an effective therapy that reduces the impact of FMS, pain, fatigue, anxiety and depression and increases dynamic balance, aerobic capacity and quality of life in women with FMS. In addition, VRBT in combination with CTBTE showed a large effect in reducing the impact of FMS and fatigue and increasing QoL in these women.
format	article
author	Irene Cortés-Pérez Noelia Zagalaz-Anula María del Rocío Ibancos-Losada Francisco Antonio Nieto-Escámez Esteban Obrero-Gaitán María Catalina Osuna-Pérez
author_facet	Irene Cortés-Pérez Noelia Zagalaz-Anula María del Rocío Ibancos-Losada Francisco Antonio Nieto-Escámez Esteban Obrero-Gaitán María Catalina Osuna-Pérez
author_sort	Irene Cortés-Pérez
title	Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials
title_short	Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials
title_full	Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials
title_fullStr	Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed	Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials
title_sort	virtual reality-based therapy reduces the disabling impact of fibromyalgia syndrome in women: systematic review with meta-analysis of randomized controlled trials
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/232106c072854e5da1983b7db4e82fa8
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Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials

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