The efficacy of virtual reality tools for total knee replacement rehabilitation: A systematic review

Blasco, J.M.; Camacho, Celedonia Igual; Blasco, María C.; Antón‐Antón, Virgilia; Ortiz-Llueca, Álvaro; Roig-Casasús, Sergio

doi:10.1080/09593985.2019.1641865

Cited by 28 publications

(41 citation statements)

References 29 publications

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“…Results of the current review suggest that the effectiveness of VR-based rehabilitation compared to standard physiotherapy is debatable. In others similar studies, the most promising effects of VR were observed for balance and proprioception [40,41]. Wang et al [42] also noted very limited evidence for THA.…”

Section: Discussionmentioning

confidence: 95%

“…The effectiveness of VR training focused on body balance has been demonstrated in functional improvement in patients after strokes [ 60 , 61 ], with back pain [ 62 ], as well as in gait re-education and improvement of body balance in patients after TKA [ 63 ]. Blasco et al [ 41 ] researched the efficacy of VR tools for total knee replacement and suggested that an augmented Virtual Reality Tools (VRT) physical therapy could be more effective for overcoming balance limitations than standard physical therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding primary outcomes, VR-based rehabilitation is promising in the field of pain relief [25][26][27]. This conclusion is supported by Lin et al [40] and Wang et al [42], but negated by Blasco et al [41]. Pain perception is multidimensional, which is why VR rehabilitation can be used in the conservative treatment of pain based on a change in its experience.…”

Section: Discussionmentioning

confidence: 99%

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The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Byra

Czernicki

2020

JCM

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Osteoarthritis (OA) is a common health problem leading to pain, limitation in physical function, a decrease in the quality of life and disability. OA affects 60–70% of the population above 65 years of age all over the world, and is associated with a high cost of healthcare. The main method of treatment of OA, apart from pharmacotherapy and surgery, is comprehensive rehabilitation. Advances in medical technology have resulted in the possibility of using computer-assisted interventions in rehabilitation. The present narrative review is aimed at investigating the effectiveness of virtual reality (VR) in the rehabilitation of elderly patients with knee or hip osteoarthritis, including patients after arthroplasty. This literature review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was carried out in five databases: PubMed, Medline, Web of Science, Scopus and PEDro. It includes ten randomized controlled trials focused on the application of games and biofeedback in the rehabilitation of patients with knee and hip osteoarthritis. There are no conclusive reports that interventions based on VR are more effective than standard physical therapy. Moreover, evidence regarding patients after total hip arthroplasty (THA) is very scarce. The effectiveness of VR-based rehabilitation is unclear, although interventions based on VR are promising in view of pain management, postural and proprioception training. However, this evidence is not sufficient to create clinical guidelines and further high-quality studies are needed.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Byra

Czernicki

2020

JCM

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“…[ 37 ] VR has been widely used to manage pain in a variety of settings. [ 38 ] Blasco et al [ 19 ] systematically reviewed relevant studies up to January 2018 and found that only two RCTs reported the effect of VR-based rehabilitation on pain after TKA. [ 17 , 18 ] They concluded that rehabilitation plans with VR devices failed to achieve superior outcomes in pain relief compared to rehabilitation without VR devices.…”

Section: Discussionmentioning

confidence: 99%

Virtual reality-based rehabilitation in patients following total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials

Peng

Zeng

et al. 2021

Chinese Medical Journal

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Background: Physical therapy is regarded as an essential aspect in achieving optimal outcomes following total knee arthroplasty (TKA). The coronavirus disease 2019 (COVID-19) pandemic has made face-to-face rehabilitation inaccessible. Virtual reality (VR) is increasingly regarded as a potentially effective option for offering health care interventions. This systematic review and meta-analysis investigate VR-based rehabilitation's effectiveness on outcomes following TKA. Methods: From inception to May 22, 2021, PubMed/Medline, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, Scopus, PsycINFO, Physiotherapy Evidence Database, China National Knowledge Infrastructure, and Wanfang were comprehensively searched to identify randomized controlled trials (RCTs) evaluating the effect of VR-based rehabilitation on patients following TKA according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and the Cochrane Handbook for Systematic Reviews of Interventions. Results: Eight studies were included in the systematic review, and seven studies were included in the meta-analysis. VR-based rehabilitation significantly improved visual analog scale (VAS) scores within 1 month (standardized mean difference [SMD]: −0.44; 95% confidence interval [CI]: −0.79 to −0.08, P = 0.02), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) within 1 month (SMD: −0.71; 95% CI: −1.03 to −0.40, P < 0.01), and the Hospital for Special Surgery Knee Score (HSS) within 1 month and between 2 months and 3 months (MD: 7.62; 95% CI: 5.77 to 9.47, P < 0.01; MD: 10.15; 95% CI: 8.03 to 12.27, P < 0.01; respectively) following TKA compared to conventional rehabilitation. No significant difference was found in terms of the Timed Up and Go (TUG) test. Conclusions: VR-based rehabilitation improved pain and function but not postural control following TKA compared to conventional rehabilitation. More high-quality RCTs are needed to prove the advantage of VR-based rehabilitation. As the COVID-19 pandemic continues, it is necessary to promote this rehabilitation model.

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“…[8][9][10] Advanced technologies often present an opportunity for health care practitioners, particularly physical therapists, to incorporate them into rehabilitation programs. Virtual reality exercising has recently emerged and proven its effectiveness in improving many functional parameters in various clinical settings, including neurological 11 and musculoskeletal disorders, 12 and in different age groups. 13,14 However, its effectiveness in improving functional parameters in lower limb amputees has been poorly investigated, particularly in traumatic amputations.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Adding Virtual Reality Training on Traditional Exercise Program on Balance and Gait in Unilateral, Traumatic Lower Limb Amputee

Abbas

Cooreman

Sultan

et al. 2021

Games for Health Journal

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Objective: Lower limb amputation is common in war combat and armed conflict as well as in traumatic settings and presents a challenge for health care providers. The incorporation of advanced technologies, particularly virtual reality, presents an opportunity to address the main consequences of amputation, principally balance and gait. The aim of this study was to investigate the additional effect of virtual reality with a traditional rehabilitation exercise program on balance and gait in unilateral, traumatic lower limb amputees. Materials and Methods: Thirty-two traumatic lower limb amputees, fulfilling a postfitting rehabilitation program at least 6 months ago, were recruited and randomly assigned into two identically sized groups; group C (control group) experiencing the traditional exercise program and group VR (virtual reality group) experiencing an addition of a virtual reality training. The intervention was conducted over 6 weeks at a rate of three sessions per week. Outcome measures assessed before and after 6 weeks were the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, Dynamic Gait Index (DGI), and 6-minute walk test (6 MWT). Results: Both interventions induced improvement in all measured parameters (P < 0.05); however, virtual reality demonstrated significant superior effects only on the balance markers, TUG test, DGI, and BBS (P < 0.05), but not on the 6 MWT (P > 0.05). Conclusion: Virtual reality is a promising, amusing, and safe intervention for addressing balance and gait in unilateral, traumatic lower limb amputees.

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The efficacy of virtual reality tools for total knee replacement rehabilitation: A systematic review

Cited by 28 publications

References 29 publications

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Virtual reality-based rehabilitation in patients following total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials

The Effect of Adding Virtual Reality Training on Traditional Exercise Program on Balance and Gait in Unilateral, Traumatic Lower Limb Amputee

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