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Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women..., 2021, Cortés-Pérez et al

Discussion in ''Conditions related to ME/CFS' news and research' started by Andy, Nov 30, 2021.

  1. Andy

    Andy Committee Member

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    17,128
    Location:
    Hampshire, UK
    Full title: Virtual Reality-Based Therapy Reduces the Disabling Impact of Fibromyalgia Syndrome in Women: Systematic Review with Meta-Analysis of Randomized Controlled Trials.

    Abstract

    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.

    Open access, https://www.mdpi.com/2075-4426/11/11/1167/htm
     
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  2. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    It says that they would like to say that a load of researchers have said that lots of patients have said they got better after having a treatment that encouraged them to say they are better.

    More proof that patients will say they are better if they are told to.
     
  3. rvallee

    rvallee Senior Member (Voting Rights)

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    The "therapies" appear to be a mish-mash of many different things with no other relation than being delivered using VR. What should it matter how a bunch of disparate stuff is delivered if they're all different? It's nonsense to say that VR therapy is a therapy anymore than it differs doing it on a boat vs on land.

    Basically it's like assessing "water-based solutions" for their effectiveness. Their substance? Irrelevant.
     
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  4. Barry

    Barry Senior Member (Voting Rights)

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    So what is the environment that is being virtualised for patients? What is it about the different environment that is deemed beneficial?
     
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  5. Ash

    Ash Senior Member (Voting Rights)

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    I am very much looking forward to the long form book version of this analysis.
     
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  6. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Well, you said it.
     
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  7. 5vforest

    5vforest Senior Member (Voting Rights)

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    So when they get sick of us taking up space in their medical offices, they'll banish us to the metaverse?
     
    Michelle, Barry, Argos and 4 others like this.
  8. alktipping

    alktipping Senior Member (Voting Rights)

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    when the medical profession wake up to the fact that multiple people are doing their best to put doctors and nurses etc out of a job . will there be an uproar marches about piss poor evidence and wilful fraud . or will they simply disappear into early retirement .
     
    Last edited by a moderator: Dec 1, 2021
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  9. Wonko

    Wonko Senior Member (Voting Rights)

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    Location:
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    In the UK standard policy is to promote them and give them ever increasing power and budgets.

    This (entrenched stupidity) is traditional and has worked fantastically in many fields in the past.

    :grumpy:
     
    EzzieD, Barry, shak8 and 1 other person like this.
  10. Barry

    Barry Senior Member (Voting Rights)

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    As has been said elsewhere in the past, obsessive career ladder climbers tend to get promoted until they reach their level of incompetence, but rarely ever get demoted back down again.
     
  11. Blueskytoo

    Blueskytoo Senior Member (Voting Rights)

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    Me too :)

    (Edited to add the forum smiley instead of my iPad one which vanished…)
     
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