Evidence map›Paper›PMID 40279163›Full record

SynthesisJournal of medical Internet research2025

The Efficacy of Virtual Reality on the Rehabilitation of Musculoskeletal Diseases: Umbrella Review.

Peiyuan Tang, Yangbin Cao, Djandan Tadum Arthur Vithran Vithran, Wenfeng Xiao, Ting Wen, Shuguang Liu, Yusheng Li

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Peiyuan TangDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0002-5075-1043
Yangbin CaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0009-0004-4881-1344
Djandan Tadum Arthur Vithran VithranDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0003-1066-7266
Wenfeng XiaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0001-9030-9922
Ting WenDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0009-0002-8028-093X
Shuguang LiuDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.ORCID https://orcid.org/0000-0003-3299-0726
Yusheng LiDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0009-0006-7414-9053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMusculoskeletal disorders cause pain, disability, and financial burdens, with rising prevalence. Virtual reality (VR) offers immersive, digital rehabilitation potential, improving motor functions and pain management.

objectiveTo evaluate the impact of VR on the rehabilitation of musculoskeletal disorders and to assess the consistency of evidence provided by existing systematic reviews and meta-analyses, this study focuses on musculoskeletal disorders, which encompass conditions affecting the locomotor system, such as arthritis, joint deformities, and injuries. VR therapy leverages immersive digital environments to enhance rehabilitation through digital exercises and simulations.

methodsThe PubMed or MEDLINE, Embase, and Cochrane Library databases were systematically searched for relevant papers published up to April 2024. Literature screening, quality assessment, and data extraction were conducted according to predefined inclusion and exclusion criteria. The methodological quality of the included meta-analyses was evaluated using the Measurement Tool to Assess Systematic Reviews 2. The Grading of Recommendations Assessment, Development, and Evaluation system was used to classify the evidence level for each outcome as high, moderate, low, or very low. Additionally, the evidence was categorized into 5 levels based on classification criteria: I (convincing), II (highly suggestive), III (suggestive), IV (weak), and nonsignificant.

resultsThis umbrella review synthesized data from 14 meta-analyses published between 2019 and 2024, involving a total of 13,184 patients. In total, 7 meta-analyses received high Measurement Tool to Assess Systematic Reviews 2 ratings, 7 were rated moderate, and the remainder were rated low. VR demonstrated promising results in musculoskeletal rehabilitation, significantly reducing knee pain (mean difference [MD] -1.38, 95% CI -2.32 to -0.44; P=.004; I

conclusionsVR demonstrates significant potential in the rehabilitation of various musculoskeletal conditions. It effectively alleviates pain, enhances psychological well-being, and facilitates the recovery of motor function in patients.

trial registrationPROSPERO CRD42024538469; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024538469.

Indexed as

Musculoskeletal DiseasesVirtual RealityHumansefficacymusculoskeletal diseasesorthopedicsumbrella reviewvirtual realityVR

Identifiers

PMID40279163
PMCPMC12064964

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.