Effectiveness of virtual reality–based exercise rehabilitation for enhancing functional outcomes and quality of life in adult cancer survivors: A systematic review of randomized controlled trials
A partir d'une revue systématique publiée jusqu'en novembre 2024 (8 essais randomisés, 359 patients), cette étude évalue l'efficacité des interventions de réalité virtuelle comportant des exercices physiques pour améliorer la réadaptation et les capacités physiques des adultes ayant survécu à un cancer
Purpose: This systematic review aims to synthesize randomized controlled trials (RCTs) evaluating the effectiveness and safety of virtual reality–based exercise rehabilitation (VRER) in adult cancer survivors.
Methods: Following PRISMA 2020, PubMed, Scopus, Web of Science, and Cochrane Library were searched up to November 2024. Only RCTs of VR-based exercise in adult patients with cancer were included. Risk of bias was assessed using the Cochrane ROB2 tool. Outcomes were narratively synthesized across strength/range of motion, functional status, quality of life, physical performance, and adverse events.
Results: Eight RCTs involving 359 participants with breast, prostate, brain, or combined cancer types were included. VRER increased shoulder mobility and reduced fear of movement compared with usual care. Functional status, specifically activities of daily living, showed consistent improvement. Physical performance including better balance, endurance, and activity level improved. Three trials reported quality-of-life advantages, mainly in physical and vitality domains, though heterogeneity of measures limited comparison. Safety was good with only mild, transient symptoms and no serious adverse events.
Conclusions: VRER has promising effects on mobility, daily function, physical performance, and quality of life in cancer survivors, with strong adherence and safety.
Implications for Cancer Survivors: VR-based exercise is an effective, safe adjunct to conventional rehabilitation. By improving mobility, adherence, and well-being, it offers benefits and can be integrated into survivorship care.
Journal of Cancer Survivorship , résumé, 2025