Exergames to improve Rehabilitation after Anterior Cruciate Ligament Injury: Systematic review and GRADE evidence synthesis

Fernandes, Carla Sílvia; Magalhães, Bruno; Augusto, Gomes José; Santos, Célia

doi:10.1016/j.ijotn.2021.100917

Cited by 7 publications

(2 citation statements)

References 27 publications

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“…O LCA fornece suporte de estabilização para o movimento do joelho, bem como restrição passiva para translação anterior da tíbia para o fêmur e estabilidade rotacional na região frontal e planos transversais. (FERNANDES, 2022) A lesão do LCA é uma das mais prevalentes no joelho, com incidência de aproximadamente 80.000 lesões por ano. Uma das principais complicações decorrentes dessa lesão é a instabilidade articular que, no longo prazo, pode favorecer o desgaste da cartilagem do joelho, podendo gerar artrose precoce e possíveis alterações funcionais, como dificuldades durante a marcha e tarefas relativamente simples, como subir e descer escadas.…”

Section: Resultados E Discussôesunclassified

“…Os exergames incluem vários elementos essenciais: características motivacionais, resultados psicológicos e resultados resultantes de seu uso na reabilitação, atividade física e saúde exergames podem ser usados como uma intervenção autônoma ou em conjunto com outras intervenções de reabilitação. (FERNANDES, 2022) Nesse estudo mostra a importância de exercícios físicos no tratamento da lesão de LCA e com comparações do mesmo, sugerem que o exercício de caminhada na água pode levar a maiores melhorias na força muscular extensora, propriocepção e desempenho do joelho em comparação com o treinamento em terra após a reconstrução do LCA. (LI, 2022).…”

Section: Resultados E Discussôesunclassified

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Atuação Fisioterapêutica no Tratamento de Lesão do Ligamento Cruzado Anterior em Atletas de Futebol

Silva

Araújo

et al. 2022

Caminhos Das Investigações Sociais E De Saúde Na Contemporaneidade

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Section: Resultados E Discussôesunclassified

Atuação Fisioterapêutica no Tratamento de Lesão do Ligamento Cruzado Anterior em Atletas de Futebol

Silva

Araújo

et al. 2022

Caminhos Das Investigações Sociais E De Saúde Na Contemporaneidade

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Virtual reality‐based therapy after anterior cruciate ligament injury effectively reduces pain and improves knee function, movement patterns, and dynamic balance: A systematic review and meta‐analysis

Cortés‐Pérez,

Desdentado‐Guillem,

Camacho‐Delgado

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeVirtual reality‐based therapy (VRBT) may be an effective physical therapy complement employed in the rehabilitation of patients with anterior cruciate ligament (ACL) injury. This study aims to assess the effectiveness of VRBT in improving pain, knee function, strength, proprioception, flexion range of motion (ROM), and dynamic balance after ACL injury.MethodsWe conducted this systematic review with meta‐analysis following PRISMA criteria. Since inception to June 2024, we searched in PubMed Medline, WOS, SCOPUS, CINAHL and PEDro without publication date and language restrictions. Randomised controlled trials (RCTs), comprising only patients with ACL injury, that assess the effectiveness of VRBT compared to classical interventions on the outcomes of interest were included. PEDro scale was employed to analyze the methodological quality of the RCTs included. Cohen's standardised mean difference (SMD) and its 95% confidence interval (95% CI) was used to calculate the pooled effect in meta‐analyses.ResultsNine RCTs, providing data from 330 participants (26.96 ± 3.11 years, 85% males) were included. The RCTs included showed good methodological quality (PEDro scale = 6.88 points), being, performance and detection biases, the most common biases reported. Meta‐analyses showed that VRBT was more effective than classical interventions in reducing pain (SMD = −1.15; 95% CI −1.85 to −0.45; p = 0.001; I2 = 0%), and increasing knee function (SMD = 1.71; 95% CI 0.93 to 2.5; p < 0.001; I2 = 0%), strength (SMD = 0.82; 95% CI 0.4–1.23; p < 0.001; I2 = 0%) and flexion ROM (SMD = 0.7; 95% CI 0.37–1.01; p < 0.001; I2 = 0%). Additionally, VRBT improved postero‐medial (SMD = 0.46; 95% CI 0.01–0.9; p = 0.045; I2 = 15.1%) and postero‐lateral CoP excursion (SMD = 0.75; 95% CI 0.3–1.21; p = 0.001; I2 = 0%), being effective in improving dynamic balance.ConclusionVRBT is an effective physical therapy complement to be included in the ACL's rehabilitation programmes due to reduces pain and increases knee function, strength, ROM and dynamic balance after ACL injury.Level of evidenceLevel II evidence.

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The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial

Mete

Sarı

2022

Physiotherapy Res Intl

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Background: Exergaming, one of the most recognized virtual rehabilitation tools, has been shown to be useful for promoting physical activity and enhancing postural stability for neurologic conditions. However, studies with exergaming programs for patients with knee osteoarthritis (OA) are limited. Aims:We aimed to investigate the effects of exergaming given by visual and auditory stimulated assisted joint training device in addition to the conventional physiotherapy program on pain intensity, range of motion (ROM), functional status, kinesiophobia, proprioceptive acuity, muscle strength, and postural stability in patients with knee OA. Study Design: Randomized controlled clinical trial.Methods: Sixty patients (47 female, 13 male) with knee osteoarhritis aged 40-65 years (57.36 � 7.26) who were at stage of two to three according to the Kellegren Lawrence radiological evaluation were included in the study. The patients were randomly divided into two groups as study group (conventional physiotherapy + exergaming) and control group (conventional physiotherapy). Electrotherapy and exercise program were applied to both of the groups along 5 days a week for 6 weeks but exergaming only applied to study group. ROM, pain intensity, proprioceptive acuity, kinesiophobia, muscle strength, and postural stability of the patients were evaluated at the beginning and end of the treatment. Results:In the intra-group analyses of all the assessments of the patients, there was a significant difference in the positive direction in both groups, except for the postural stability values. In the intra-group analyses of postural stability, there was a significant increase only in the study group. In comparison between the groups, proprioceptive acuity, ROM, functional status, and postural stability scores were significantly increased in the study group according to the control group; pain and kinesiophobia decreased significantly. Conclusion:In this study, the exergaming accompanied with conventional physiotherapy programs resulted more positive improvements on pain, ROM, postural stability, kinesiophobia, proprioceptive acuity, and functional status in patients with knee OA compared to the conventional physiotherapy program alone.

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Exergames to improve Rehabilitation after Anterior Cruciate Ligament Injury: Systematic review and GRADE evidence synthesis

Cited by 7 publications

References 27 publications

Atuação Fisioterapêutica no Tratamento de Lesão do Ligamento Cruzado Anterior em Atletas de Futebol

Atuação Fisioterapêutica no Tratamento de Lesão do Ligamento Cruzado Anterior em Atletas de Futebol

Virtual reality‐based therapy after anterior cruciate ligament injury effectively reduces pain and improves knee function, movement patterns, and dynamic balance: A systematic review and meta‐analysis

The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial

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