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Table 3 Summary of significant outcomes of virtual reality interventions for Parkinson’s disease

From: Efficacy of virtual reality training on motor performance, activity of daily living, and quality of life in patients with Parkinson's disease: an umbrella review comprising meta-analyses of randomized controlled trials

Study

Number of primary studies

Outcome

No. of participants

Hedges’ g (95%CI)

P random

I2

95%PI

Largest study (95%CI)

Egger's test

P value

Grade rating

AMSTAR2 rating

Significant studies

Observed

P value

Li et al.,

2021 [30]

5

ADL scale

187

0.618

(0.319 to 0.917)

5.04 × 10 − 5

0

(0.133 to 1.103)

(0.111 to 1.269)

0.579

Very low

Low

1

0.57

Li et al.,

2021 [30]

9

PDQ-39

307

 − 0.277

(− 0.505 to − 0.049)

1.71 × 10 − 2

0

(− 0.552 to − 0.002)

(− 1.3 to − 0.14)

0.193

Low

Low

1

0.255

Li et al.,

2021 [30]

15

BBS

551

0.657

(0.365 to 0.95)

1.08 × 10 − 5

62

(− 0.359 to 1.673)

(0.218 to 1.142)

0.473

Very low

Low

7

0.476

Elisabetta et al.,

2022 [27]

8

TUG

236

0.906

(0.195 to 1.617)

1.25 × 10 − 2

84.1

(− 1.556–3.368)

(2.646 to 4.636)

0.221

Very low

Moderate

4

0.86

Elisabetta et al.,

2022 [27]

8

Walking speed

279

0.107

(− 0.13 to 0.344)

0.376

0

(− 0.188 to 0.402)

(− 0.717 to 0.241)

0.0997

Very low

Moderate

0

0.747

Joseph et al.,

2020 [11]

3

UPDRS

75

 − 0.38

(− 1.455 to 0.695)

0.488

80

(− 13.219 to 12.459)

(− 1.694 to − 0.102)

0.842

Low

Moderate

2

0.0169

Zhang et al.,

2022 [29]

4

Stride length

124

 − 0.488

(− 0.845 to − 0.131)

7.43 × 10 − 3

0

(− 1.273 to 0.296)

(− 1.029 to 0.161)

0.33

Moderate

Moderate

0

0.897

Zhang et al.,

2022 [29]

3

FGA

107

0.37

(− 0.096 to 0.836)

0.12

26.6

(− 3.708 to 4.448)

(− 0.506 to 0.599)

0.317

Moderate

Moderate

1

0.311

  1. 95%CI 95% confidence interval, AMSTAR-2 A Measurement Tool to Assess Systematic Reviews, BBS Berg balance scale, FGA Functional Gait Assessment, MBI Modified Barthel Index, PDQ-39 39-item Parkinson’s Disease Questionnaire, TUG Timed Up and Go test, UPDRS Unified Parkinson’s Disease Rating Scale, SE-ADL Schwab-England ADL scale, VR-BT virtual reality–balance training