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Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study

PURPOSE: Wii Fit exergames have been less commonly used for the rehabilitation of athletes after Anterior Cruciate Ligament Reconstruction (ACLR). This study aims to investigate the effects of an expert system using Wii Fit exergames compared to conventional rehabilitation following ACLR. A forward-...

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Autores principales: Kazemnejad, Anoshirvan, Asosheh, Abbas, Moezy, Azar, Abasi, Arezoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10386671/
https://www.ncbi.nlm.nih.gov/pubmed/37516871
http://dx.doi.org/10.1186/s12891-023-06735-w
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author Kazemnejad, Anoshirvan
Asosheh, Abbas
Moezy, Azar
Abasi, Arezoo
author_facet Kazemnejad, Anoshirvan
Asosheh, Abbas
Moezy, Azar
Abasi, Arezoo
author_sort Kazemnejad, Anoshirvan
collection PubMed
description PURPOSE: Wii Fit exergames have been less commonly used for the rehabilitation of athletes after Anterior Cruciate Ligament Reconstruction (ACLR). This study aims to investigate the effects of an expert system using Wii Fit exergames compared to conventional rehabilitation following ACLR. A forward-chaining rule-based expert system was developed which proposed a rehabilitation program that included the number and type of exercise in terms of difficulty and ease and the duration of each exercise in a progressive manner according to the patient's physical condition. MATERIALS AND METHODS: Twenty eligible athletes aged 20–30 who underwent ACLR were enrolled in this study and randomly assigned to two groups; and received 12 sessions of either Wii Fit exergames as Wii group (n = 10) or conventional rehabilitation as CL group (n = 10). RESULTS: The main outcomes consisted of pain (Visual Analogue Scale (VAS)), knee effusion, knee flexion range (KFR), thigh girth (TG), single-leg hop for distance (SLHD), and for time (SLHT), static and dynamic balance tests. Both groups had considerable improvement in all outcomes, also there were significantly differences between Wii and CL groups as follows; VAS (P < 0.001), knee effusion (P < 0.001), TG (P = 0.001), KFR (P = 0.012), static balance in stable position (P < 0.001) and in unstable position (P = 0.001), dynamic balance in the anterior (P < 0.001), posteromedial (P < 0.001), posterolateral (P = 0.004) directions, symmetry index of SLHD (P < 0.001) and symmetry index of SLHT (P = 0.013). CONCLUSIONS: The findings showed that using Wii Fit exergames in post-ACLR patients reduced pain and effusion while also improving function and balance significantly. Iranian Registry of Clinical Trials registration number is IRCT20191013045090N1, and the registration date is 03-03-2020.
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spelling pubmed-103866712023-07-30 Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study Kazemnejad, Anoshirvan Asosheh, Abbas Moezy, Azar Abasi, Arezoo BMC Musculoskelet Disord Research PURPOSE: Wii Fit exergames have been less commonly used for the rehabilitation of athletes after Anterior Cruciate Ligament Reconstruction (ACLR). This study aims to investigate the effects of an expert system using Wii Fit exergames compared to conventional rehabilitation following ACLR. A forward-chaining rule-based expert system was developed which proposed a rehabilitation program that included the number and type of exercise in terms of difficulty and ease and the duration of each exercise in a progressive manner according to the patient's physical condition. MATERIALS AND METHODS: Twenty eligible athletes aged 20–30 who underwent ACLR were enrolled in this study and randomly assigned to two groups; and received 12 sessions of either Wii Fit exergames as Wii group (n = 10) or conventional rehabilitation as CL group (n = 10). RESULTS: The main outcomes consisted of pain (Visual Analogue Scale (VAS)), knee effusion, knee flexion range (KFR), thigh girth (TG), single-leg hop for distance (SLHD), and for time (SLHT), static and dynamic balance tests. Both groups had considerable improvement in all outcomes, also there were significantly differences between Wii and CL groups as follows; VAS (P < 0.001), knee effusion (P < 0.001), TG (P = 0.001), KFR (P = 0.012), static balance in stable position (P < 0.001) and in unstable position (P = 0.001), dynamic balance in the anterior (P < 0.001), posteromedial (P < 0.001), posterolateral (P = 0.004) directions, symmetry index of SLHD (P < 0.001) and symmetry index of SLHT (P = 0.013). CONCLUSIONS: The findings showed that using Wii Fit exergames in post-ACLR patients reduced pain and effusion while also improving function and balance significantly. Iranian Registry of Clinical Trials registration number is IRCT20191013045090N1, and the registration date is 03-03-2020. BioMed Central 2023-07-29 /pmc/articles/PMC10386671/ /pubmed/37516871 http://dx.doi.org/10.1186/s12891-023-06735-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kazemnejad, Anoshirvan
Asosheh, Abbas
Moezy, Azar
Abasi, Arezoo
Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
title Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
title_full Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
title_fullStr Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
title_full_unstemmed Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
title_short Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
title_sort therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10386671/
https://www.ncbi.nlm.nih.gov/pubmed/37516871
http://dx.doi.org/10.1186/s12891-023-06735-w
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