RT journal article T1 Effectiveness of Virtual Reality on Functional Performance after Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials A1 De Miguel-Rubio, Amaranta A1 Rubio, M. Dolores A1 Salazar Couso, Alejandro A1 Camacho, Rocío A1 Lucena Antón, David Manuel A2 Enfermería y Fisioterapia A2 Estadística e Investigación Operativa K1 virtual reality K1 neurological rehabilitation K1 spinal cord injurie K1 physical therapy K1 functional performance K1 quality of life AB A spinal cord injury (SCI) usually results in a significant limitation in the functional outcomes, implying a challenge to the performance of activities of daily living. The main aim of this study is to analyze the effectiveness of virtual reality to improve functional performance in patients with SCI. The search was performed between October and December 2019 in Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), PubMed, Scopus, Web of Science, and Embase. The methodological quality of the studies was evaluated through the PEDro scale, and the risk of bias was evaluated with the Cochrane collaboration's tool. Seven articles were included in this systematic review, and five of them in the meta-analysis. Statistical analysis showed favorable results for functional performance in control group performing conventional therapy, measured by the functional independence measure (standardized mean difference (SMD)= -0.70; 95% confidence interval: -1.25 to -0.15). Results were inconclusive for other outcomes. Most studies have not shown beneficial effects on functional performance compared with conventional physical therapy. The results obtained showed that virtual reality may not be more effective than conventional physical therapy in improving functional performance in patients with SCI. PB MDPI SN 2077-0383 YR 2020 FD 2020-07 LK http://hdl.handle.net/10498/23591 UL http://hdl.handle.net/10498/23591 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 06-nov-2026