The Effects of Interactive Virtual Reality in Patients with Chronic Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Kantha, Phunsuk; Lin, Jiu-Jenq; Hsu, Wei-Li

doi:10.1089/g4h.2022.0088

Cited by 16 publications

(9 citation statements)

References 39 publications

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“…VRBR induces distraction in these patients. It allows the patients to perform active and rehabilitative exercises due to reduced cognitive attention in pain and avoidance behaviors [73,74]. Distraction induced by VRBR and the regulation of the autonomic system and emotions in the limbic system and hippocampus could be the explanation that supports the fact that patients who performed VRBR increased their pain tolerance in comparison to CT [75].…”

Section: Discussionmentioning

confidence: 96%

Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

et al. 2023

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Virtual reality-based rehabilitation (VRBR) is being used in rehabilitation after total knee arthroplasty (TKA). This meta-analysis assesses the effect of immediate and/or maintained effect of VRBR (alone or in combination with conventional therapy (CT) in TKA recovery. To perform this meta-analysis, we searched in PubMed, SCOPUS, WOS, CINAHL, and PEDro until 5 February 2023. We included randomized controlled trials that assessed the effect of VRBR in improving knee pain and function, dynamic balance, range of motion (ROM), and strength, among others, after TKA. The pooled effect was calculated with Cohen’s standardized mean difference (SMD) with a 95% confidence interval (95% CI). Twelve studies, providing data from 997 participants (69.9 ± 8.1 years old), were included. At post-immediate assessment, VRBR is effective in improving knee pain (SMD = −0.36; 95% CI −0.56 to −0.17), knee function (SMD = −0.51; 95% CI −0.75 to −0.27), dynamic balance (SMD = −0.59; 95% CI −1.02 to −0.15), knee flexion ROM (SMD = 0.4; 95% CI 0.17 to 0.62), and extension strength (SMD = 0.43; 95% CI 0.19 to 0.68). Our findings showed that immersive and non-immersive VRBR is effective to be used after TKA, and the effect on knee pain and function may be maintained over 3 or 6 months. A high level of satisfaction and adherence to VRBR was reported.

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Section: Discussionmentioning

confidence: 96%

Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

et al. 2023

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“…Musculoskeletal rehabilitation (MSR) combines various therapeutic modalities in an interdisciplinary setting to help the individual to return to normal function or to improve his/her disabilities. Musculoskeletal disorders affect 20-30% of the world's population, being the second leading cause of disability [1]. Rehabilitation can be structured in inpatient or outpatient settings, according to the severity and the type of diagnosis, deficiencies, handicap, and objectives.…”

Section: Introductionmentioning

confidence: 99%

“…Usually, the more chronic the musculoskeletal disease is, the longer the treatment lasts. Chronic musculoskeletal disorders are typically characterised by chronic pain and functional disability [1]. Furthermore, patients suffering from such kinds of disorders are exposed to psychological stress and can develop behaviours characterized by kinesiophobia and avoidance [1].…”

Section: Introductionmentioning

confidence: 99%

Clinical Applications of Virtual Reality in Musculoskeletal Rehabilitation: A Scoping Review

Chaplin,

Karatzios,

Benaim

2023

Healthcare

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(1) Background: VR is based on a virtual world that creates sounds effects and videos that replace the real environment. Arising literature shows VR efficacy in the field of neurological rehabilitation (NR) and that its use is also taking a place in musculoskeletal rehabilitation (MSR), as a treatment of various disorders that cause disability and chronic pain. (2) Aim: We discuss the role of VR in MSR, presenting its use and development on acute and chronic musculoskeletal disorders, based on the most recent literature. (3) Design and Methods: Literature searches were conducted in the databases Pubmed and Medline up to 30 September 2023. The PRISMA-Scr Checklist was followed. (4) Results: A total of 51 records were included. The analysed studies were conducted within a variety of populations, musculoskeletal disorders, settings, and VR technologies. Only a few studies could statistically affirm the efficacy of VR in MSR, as mentioned for the rehabilitation of the upper limb. Nevertheless, the observed trend is an improvement of the global perceived effect compared to traditional rehabilitation. (5) Conclusion: VR allows for the personalisation of treatment with an adaptable treatment platform, which may improve the participation of the patient and increase acceptability and adherence to long-term rehabilitation programs. We provide recommendations and suggestions for future research and use of VR in musculoskeletal rehabilitation.

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“…For instance, they have been shown to be effective in joint arthroplasty rehabilitation [ 20 , 21 , 22 , 23 ], as well as in the treatment of chronic neck pain and shoulder impingement syndrome [ 24 ]. Furthermore, pain reductions have been reported in patients with acute burns [ 25 , 26 ], and in patients with chronic musculoskeletal disorders [ 27 , 28 ]. Encouraging results were also obtained regarding sport injury prevention [ 29 ].…”

mentioning

confidence: 99%

“…Serious games is an emerging field and further assessment of more completed solutions on larger populations will be needed to be more specific on the advantages and drawbacks. For example, multiple studies reported no significant differences in clinical outcomes between serious games and traditional exercises, but nonetheless considered the instrumentation to be beneficial [ 21 , 24 , 25 , 28 ]. In these cases, the conclusions were mostly driven by the increase in the sense of engagement [ 3 ] and the possibility to deliver high-quality care at lower costs, contributing to more accessible and efficient healthcare [ 4 ].…”

mentioning

confidence: 99%

Rehabilitation for Musculoskeletal Disorders: The Emergence of Serious Games and the Promise of Personalized Versions Using Artificial Intelligence

Favre,

Cantaloube,

Jolles

2023

JCM

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The Effects of Interactive Virtual Reality in Patients with Chronic Musculoskeletal Disorders: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 39 publications

Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

Clinical Applications of Virtual Reality in Musculoskeletal Rehabilitation: A Scoping Review

Rehabilitation for Musculoskeletal Disorders: The Emergence of Serious Games and the Promise of Personalized Versions Using Artificial Intelligence

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