Effectiveness of interactive augmented reality-based telerehabilitation in patients with adhesive capsulitis: protocol for a multi-center randomized controlled trial

Yeo, Seung Mi; Lim, Ji Young; Geol, Jong; Lim, Jae Young; Lee, Jong In; Hwang, Ji Hye

doi:10.1186/s12891-021-04261-1

Cited by 17 publications

(4 citation statements)

References 27 publications

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“…We found few studies with considerable heterogeneity and few physiotherapy plots. A difference found with respect to this previous review is that AR is now being used in telerehabilitation [8,34,76,78], although more research is needed.…”

Section: Comparison With Prior Workmentioning

confidence: 69%

Augmented Reality in Physical Therapy: Systematic Review and Meta-analysis

Vinolo-Gil¹,

González-Medina²,

Lucena-Antón³

et al. 2021

JMIR Serious Games

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Background Augmented reality (AR) is a rapidly expanding technology; it comprises the generation of new images from digital information in the real physical environment of a person, which simulates an environment where the artificial and real are mixed. The use of AR in physiotherapy has shown benefits in certain areas of patient health. However, these benefits have not been studied as a whole. Objective This study aims to ascertain the current scientific evidence on AR therapy as a complement to physiotherapy and to determine the areas in which it has been used the most and which variables and methods have been most effective. Methods A systematic review registered in PROSPERO (International Prospective Register of Systematic Reviews) was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) recommendations. The search was conducted from July to August 2021 in the PubMed, PEDro, Web of Science, Scopus, and Cochrane Library scientific databases using the keywords augmented reality, physiotherapy, physical therapy, exercise therapy, rehabilitation, physical medicine, fitness, and occupational therapy. The methodological quality was evaluated using the PEDro scale and the Scottish Intercollegiate Guidelines Network scale to determine the degree of recommendation. The Cochrane Collaboration tool was used to evaluate the risk of bias. Results In total, 11 articles were included in the systematic review. Of the 11 articles, 4 (36%) contributed information to the meta-analysis. Overall, 64% (7/11) obtained a good level of evidence, and most had a B degree of recommendation of evidence. A total of 308 participants were analyzed. Favorable results were found for the Berg Balance Scale (standardized mean change 0.473, 95% CI −0.0877 to 1.0338; z=1.65; P=.10) and the Timed Up and Go test (standardized mean change −1.211, 95% CI −3.2005 to 0.7768; z=−1.194; P=.23). Conclusions AR, in combination with conventional therapy, has been used for the treatment of balance and fall prevention in geriatrics, lower and upper limb functionality in stroke, pain in phantom pain syndrome, and turning in place in patients with Parkinson disease with freezing of gait. AR is effective for the improvement of balance; however, given the small size of the samples and the high heterogeneity of the studies, the results were not conclusive. Future studies using larger sample sizes and with greater homogeneity in terms of the devices used and the frequency and intensity of the interventions are needed. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020180766; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=180766

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Section: Comparison With Prior Workmentioning

confidence: 69%

Augmented Reality in Physical Therapy: Systematic Review and Meta-analysis

Vinolo-Gil¹,

González-Medina²,

Lucena-Antón³

et al. 2021

JMIR Serious Games

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“…In a small number of studies, the home-based rehabilitation in the form of novel telerehabilitation have been used for patients undergoing surgical procedures, such as total hip replacement, total knee arthroplasty, and total knee replacement, as a postrecovery treatment measure [59][60][61][62]. Mirror therapy for patients with phantom limb pain and physiotherapy treatment for patients with chronic body pain have incorporated this model of remote teletherapy [63][64][65][66][67][68]. This field has also been applied in physical rehabilitation for musculoskeletal disorders, provision of vestibular rehabilitation therapy in patients with a balance disorder, and kinesiotherapy for older adults at risk of falls [2,69,70].…”

Section: Digital Reality Platform Via Telehealthmentioning

confidence: 99%

Mixed Reality Platforms in Telehealth Delivery: Scoping Review

Worlikar¹,

Coleman²,

Kelly³

et al. 2023

JMIR Biomed Eng

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Background The distinctive features of the digital reality platforms, namely augmented reality (AR), virtual reality (VR), and mixed reality (MR) have extended to medical education, training, simulation, and patient care. Furthermore, this digital reality technology seamlessly merges with information and communication technology creating an enriched telehealth ecosystem. This review provides a composite overview of the prospects of telehealth delivered using the MR platform in clinical settings. Objective This review identifies various clinical applications of high-fidelity digital display technology, namely AR, VR, and MR, delivered using telehealth capabilities. Next, the review focuses on the technical characteristics, hardware, and software technologies used in the composition of AR, VR, and MR in telehealth. Methods We conducted a scoping review using the methodological framework and reporting design using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Full-length articles in English were obtained from the Embase, PubMed, and Web of Science databases. The search protocol was based on the following keywords and Medical Subject Headings to obtain relevant results: “augmented reality,” “virtual reality,” “mixed-reality,” “telemedicine,” “telehealth,” and “digital health.” A predefined inclusion-exclusion criterion was developed in filtering the obtained results and the final selection of the articles, followed by data extraction and construction of the review. Results We identified 4407 articles, of which 320 were eligible for full-text screening. A total of 134 full-text articles were included in the review. Telerehabilitation, telementoring, teleconsultation, telemonitoring, telepsychiatry, telesurgery, and telediagnosis were the segments of the telehealth division that explored the use of AR, VR, and MR platforms. Telerehabilitation using VR was the most commonly recurring segment in the included studies. AR and MR has been mainly used for telementoring and teleconsultation. The most important technical features of digital reality technology to emerge with telehealth were virtual environment, exergaming, 3D avatars, telepresence, anchoring annotations, and first-person viewpoint. Different arrangements of technology—3D modeling and viewing tools, communication and streaming platforms, file transfer and sharing platforms, sensors, high-fidelity displays, and controllers—formed the basis of most systems. Conclusions This review constitutes a recent overview of the evolving digital AR and VR in various clinical applications using the telehealth setup. This combination of telehealth with AR, VR, and MR allows for remote facilitation of clinical expertise and further development of home-based treatment. This review explores the rapidly growing suite of technologies available to users within the digital health sector and examines the opportunities and challenges they present.

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“…Augmented reality (AR) has been recently applied to several surgical specialties, aiming at improving the surgeons’ practice and performance 36 as well as educating patients and integrating them more actively and effectively in the rehabilitation plan. 41 In shoulder arthroplasty in particular, AR has been used as a new tool to enhance proper positioning of the implants, and potentially increase patients’ functional outcomes. 24 , 26 This new addition could be used by shoulder surgeons to help them in several shoulder surgical procedures as well as in nonoperative shoulder-related entities.…”

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confidence: 99%