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Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial

BACKGROUND: Virtual reality (VR)-based rehabilitation is a promising approach for improving recovery in many conditions to optimize functional results, enhancing the clinical and social benefits of surgery. OBJECTIVE: To assess the efficacy of an early rehabilitation performed by the VR-based rehabi...

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Autores principales: Gianola, Silvia, Stucovitz, Elena, Castellini, Greta, Mascali, Mariangela, Vanni, Francesco, Tramacere, Irene, Banfi, Giuseppe, Tornese, Davide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035049/
https://www.ncbi.nlm.nih.gov/pubmed/32049833
http://dx.doi.org/10.1097/MD.0000000000019136
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author Gianola, Silvia
Stucovitz, Elena
Castellini, Greta
Mascali, Mariangela
Vanni, Francesco
Tramacere, Irene
Banfi, Giuseppe
Tornese, Davide
author_facet Gianola, Silvia
Stucovitz, Elena
Castellini, Greta
Mascali, Mariangela
Vanni, Francesco
Tramacere, Irene
Banfi, Giuseppe
Tornese, Davide
author_sort Gianola, Silvia
collection PubMed
description BACKGROUND: Virtual reality (VR)-based rehabilitation is a promising approach for improving recovery in many conditions to optimize functional results, enhancing the clinical and social benefits of surgery. OBJECTIVE: To assess the efficacy of an early rehabilitation performed by the VR-based rehabilitation versus the traditional rehabilitation provided by physical therapists after primary total knee arthroplasty (TKA). METHODS: In this randomized controlled clinical trial, 85 subjects met the inclusion criteria and were randomized 3 to 4 days after TKA to an inpatient VR-based rehabilitation and a traditional rehabilitation. Participants in both groups received 60 minutes/day sessions until discharge (around 10 days after surgery). The primary outcome was the pain intensity. The secondary outcomes were: the disability knee, the health related quality of life, the global perceived effect, the functional independent measure, the drugs assumption, the isometric strength of quadriceps and hamstrings, the flexion range of motion, and the ability to perform proprioception exercises. Outcomes were assessed at baseline (3–4 days after TKA) and at discharge. RESULTS: VR-based or traditional rehabilitation, with 13% of dropout rate, shown no statistically significant pain reduction between groups (P = .2660) as well as in all other outcomes, whereas a statistically significant improvement was present in the global proprioception (P = .0020), in favor of the VR-based rehabilitation group. CONCLUSIONS: VR-based rehabilitation is not superior to traditional rehabilitation in terms of pain relief, drugs assumptions and other functional outcomes but seems to improve the global proprioception for patients received TKA. LEVEL OF EVIDENCE: : Therapy, level 1b. CONSORT-compliant. TRIAL REGISTRATION: : http://www.clinicaltrials.gov, ClinicalTrials.gov, NCT02413996.
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spelling pubmed-70350492020-03-10 Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial Gianola, Silvia Stucovitz, Elena Castellini, Greta Mascali, Mariangela Vanni, Francesco Tramacere, Irene Banfi, Giuseppe Tornese, Davide Medicine (Baltimore) 7000 BACKGROUND: Virtual reality (VR)-based rehabilitation is a promising approach for improving recovery in many conditions to optimize functional results, enhancing the clinical and social benefits of surgery. OBJECTIVE: To assess the efficacy of an early rehabilitation performed by the VR-based rehabilitation versus the traditional rehabilitation provided by physical therapists after primary total knee arthroplasty (TKA). METHODS: In this randomized controlled clinical trial, 85 subjects met the inclusion criteria and were randomized 3 to 4 days after TKA to an inpatient VR-based rehabilitation and a traditional rehabilitation. Participants in both groups received 60 minutes/day sessions until discharge (around 10 days after surgery). The primary outcome was the pain intensity. The secondary outcomes were: the disability knee, the health related quality of life, the global perceived effect, the functional independent measure, the drugs assumption, the isometric strength of quadriceps and hamstrings, the flexion range of motion, and the ability to perform proprioception exercises. Outcomes were assessed at baseline (3–4 days after TKA) and at discharge. RESULTS: VR-based or traditional rehabilitation, with 13% of dropout rate, shown no statistically significant pain reduction between groups (P = .2660) as well as in all other outcomes, whereas a statistically significant improvement was present in the global proprioception (P = .0020), in favor of the VR-based rehabilitation group. CONCLUSIONS: VR-based rehabilitation is not superior to traditional rehabilitation in terms of pain relief, drugs assumptions and other functional outcomes but seems to improve the global proprioception for patients received TKA. LEVEL OF EVIDENCE: : Therapy, level 1b. CONSORT-compliant. TRIAL REGISTRATION: : http://www.clinicaltrials.gov, ClinicalTrials.gov, NCT02413996. Wolters Kluwer Health 2020-02-14 /pmc/articles/PMC7035049/ /pubmed/32049833 http://dx.doi.org/10.1097/MD.0000000000019136 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 7000
Gianola, Silvia
Stucovitz, Elena
Castellini, Greta
Mascali, Mariangela
Vanni, Francesco
Tramacere, Irene
Banfi, Giuseppe
Tornese, Davide
Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial
title Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial
title_full Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial
title_fullStr Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial
title_full_unstemmed Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial
title_short Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: A randomized controlled trial
title_sort effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: a randomized controlled trial
topic 7000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035049/
https://www.ncbi.nlm.nih.gov/pubmed/32049833
http://dx.doi.org/10.1097/MD.0000000000019136
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