A multicenter randomized controlled trial comparing gamification with remote monitoring against standard rehabilitation for patients after arthroscopic shoulder surgery

Effectiveness of physical therapy given by telerehabilitation on pain and disability of individuals with shoulder pain: A systematic review

“…34 The other randomized controlled trial investigated the effects of exergames on shoulder disability. 32 Across all three randomized controlled trials, both telerehabilitation and home-exercise program groups showed statistical and clinically meaningful improvements in shoulder pain 34 and disability 30,32 with no statistically significant difference between groups. Low and very low evidence suggests that there is no difference between telerehabilitation and home-exercise program for improving shoulder pain (effect size: 0.19; 95% Confidence Interval: −0.24, 0.61) and shoulder disability (effect size: 0.43; 95% Confidence Interval: −0.97, 0.11), respectively.…”

“…Our database search identified 8881 articles. Six randomized controlled trials [29][30][31][32][33][34] fulfilled the criteria for inclusion, with a total of 368 participants. A flow chart of the search process with the main reasons for exclusion is shown in Figure 1.…”

“…Four randomized controlled trials [31][32][33][34] presented a low risk of bias, and two randomized controlled trials 29,30 presented a high risk of bias. Classification of risk of bias each study is shown in supplementary material 2.…”

“…Four randomized controlled trials 29,31,33,34 assessed shoulder pain using the Visual Analog Scale (VAS) or the Numeric Pain Rating Scale (NPRS). Five randomized controlled trials [29][30][31][32][33] assessed shoulder disability using the Shoulder Pain and Disability Index (SPADI), the Shoulder Rating Questionnaire (SRQ-S), the Surgeons Standardized Shoulder Assessment Form (ASES) or the Oxford Shoulder Score (OSS).…”

Shoulder & Elbow

“…Using exercise games (exergames) to achieve remote physiotherapy using depth sensors and software, which is known as gamification, was compared to standardized physiotherapy in a multicentre, randomized controlled trial led by researchers from Salford (UK). 6 having exergames therapy and 31 standard physiotherapy. There were no differences between the groups in baseline ROM, and no differences were demonstrated in ROM at 12 weeks' follow-up.…”