The use of technology to support lifestyle interventions in knee osteoarthritis: A scoping review

Hamilton, David F.; Akhtar, Shehnaz; Griffiths, Benjamin; Prior, Yeliz; Jones, Richard

doi:10.1016/j.ocarto.2023.100344

Cited by 6 publications

(3 citation statements)

References 89 publications

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“…In the last 10 years, VRBR has been as a rehabilitative tool in the recovery of TKA with promising results [70], including teaching future orthopedic surgery doctors to perform TKA [71]. The increased scientific production related to the topic has motivated previous reviews to be published [7,[35][36][37].…”

Section: Discussionmentioning

confidence: 99%

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: 99%

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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“…The prevalence of osteoarthritis in the knee affects 37% of subjects over 60 years old and causes stiffness, muscle weakness, and reduced joint range of motion [2] , [3] . Knee osteoarthritis is associated with a greater prevalence of cardiovascular diseases (heart failure and ischemic heart disease) [4] . It significantly limits a person’s ability to manage other conditions, such as diabetes, and hypertension since the related pain is associated with reduced physical activity [4] .…”

Section: Introductionmentioning

confidence: 99%

“…Knee osteoarthritis is associated with a greater prevalence of cardiovascular diseases (heart failure and ischemic heart disease) [4] . It significantly limits a person’s ability to manage other conditions, such as diabetes, and hypertension since the related pain is associated with reduced physical activity [4] . Hyaline joint cartilage is the knee structure where osteoarthritis begins [5] .…”

Section: Introductionmentioning

confidence: 99%

Mixed Reality and Artificial Intelligence: A Holistic Approach to Multimodal Visualization and Extended Interaction in Knee Osteotomy

Moglia,

Marsilio,

Rossi

et al. 2024

IEEE J. Transl. Eng. Health Med.

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Objective: Recent advancements in augmented reality led to planning and navigation systems for orthopedic surgery. However little is known about mixed reality (MR) in orthopedics. Furthermore, artificial intelligence (AI) has the potential to boost the capabilities of MR by enabling automation and personalization. The purpose of this work is to assess Holoknee prototype, based on AI and MR for multimodal data visualization and surgical planning in knee osteotomy, developed to run on the HoloLens 2 headset. Methods: Two preclinical test sessions were performed with 11 participants (eight surgeons, two residents, and one medical student) executing three times six tasks, corresponding to a number of holographic data interactions and preoperative planning steps. At the end of each session, participants answered a questionnaire on user perception and usability. Results: During the second trial, the participants were faster in all tasks than in the first one, while in the third one, the time of execution decreased only for two tasks (“Patient selection” and “Scrolling through radiograph”) with respect to the second attempt, but without statistically significant difference (respectively \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} $p$\end{document} = 0.14 and \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} $p$\end{document} = 0.13, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} $p < 0.05$\end{document} ). All subjects strongly agreed that MR can be used effectively for surgical training, whereas 10 (90.9%) strongly agreed that it can be used effectively for preoperative planning. Six (54.5%) agreed and two of them (18.2%) strongly agreed that it can be used effectively for intraoperative guidance. Discussion/Conclusion: In this work, we presented Holoknee, the first holistic application of AI and MR for surgical planning for knee osteotomy. It reported promising results on its potential translation to surgical training, preoperative planning, and surgical guidance. Clinical and Translational Impact Statement - Holoknee can be helpful to support surgeons in the preoperative planning of knee osteotomy. It has the potential to impact positively the training of the future generation of residents and aid surgeons in the intraoperative stage.

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The development of a competitive multiplayer electromyography-based biofeedback video game

Phaosing,

Sudwiset,

Aramphianlert

2023

2023 15th Biomedical Engineering International Conference (BMEiCON)

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The use of technology to support lifestyle interventions in knee osteoarthritis: A scoping review

Cited by 6 publications

References 89 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

Mixed Reality and Artificial Intelligence: A Holistic Approach to Multimodal Visualization and Extended Interaction in Knee Osteotomy

The development of a competitive multiplayer electromyography-based biofeedback video game

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