Cargando…

Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial

The benefits of early virtual-reality-based home rehabilitation following total hip arthroplasty (THA) have not yet been assessed. The aim of this randomized controlled study was to compare the efficacy of early rehabilitation via the Virtual Reality Rehabilitation System (VRRS) versus traditional r...

Descripción completa

Detalles Bibliográficos
Autores principales: Fascio, Edoardo, Vitale, Jacopo Antonino, Sirtori, Paolo, Peretti, Giuseppe, Banfi, Giuseppe, Mangiavini, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999553/
https://www.ncbi.nlm.nih.gov/pubmed/35407373
http://dx.doi.org/10.3390/jcm11071766
_version_ 1784685213901651968
author Fascio, Edoardo
Vitale, Jacopo Antonino
Sirtori, Paolo
Peretti, Giuseppe
Banfi, Giuseppe
Mangiavini, Laura
author_facet Fascio, Edoardo
Vitale, Jacopo Antonino
Sirtori, Paolo
Peretti, Giuseppe
Banfi, Giuseppe
Mangiavini, Laura
author_sort Fascio, Edoardo
collection PubMed
description The benefits of early virtual-reality-based home rehabilitation following total hip arthroplasty (THA) have not yet been assessed. The aim of this randomized controlled study was to compare the efficacy of early rehabilitation via the Virtual Reality Rehabilitation System (VRRS) versus traditional rehabilitation in improving functional outcomes after THA. Subjects were randomized either to an experimental (VRRS; n = 21) or a control group (control; n = 22). All participants were invited to perform a daily home exercise program for rehabilitation after THA with different administration methods—namely, an illustrated booklet for the control group and a tablet with wearable sensors for the VRRS group. The primary outcome was the hip disability (HOOS JR). Secondary outcomes were the level of independence and the degree of global perceived effect of the rehabilitation program (GPE). Outcomes were measured before surgery (T0) and at the 4th (T1), 7th (T2), and 15th (T3) day after surgery. Mixed-model ANOVA showed no significant group effect but a significant effect of time for all variables (p < 0.001); no differences were observed in HOOS JR between VRRS and the control at T0, T1, T2, or T3. Further, no differences in the level of independence were found between VRRS and the control, whereas the GPE was higher at T3 in VRSS compared to the control (4.76 ± 0.43 vs. 3.96 ± 0.65; p < 0.001). Virtual-reality-based home rehabilitation resulted in similar improvements in functional outcomes with a better GPE compared to the traditional rehabilitation program following THA. The application of new technologies could offer novel possibilities for service delivery in rehabilitation.
format Online
Article
Text
id pubmed-8999553
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89995532022-04-12 Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial Fascio, Edoardo Vitale, Jacopo Antonino Sirtori, Paolo Peretti, Giuseppe Banfi, Giuseppe Mangiavini, Laura J Clin Med Article The benefits of early virtual-reality-based home rehabilitation following total hip arthroplasty (THA) have not yet been assessed. The aim of this randomized controlled study was to compare the efficacy of early rehabilitation via the Virtual Reality Rehabilitation System (VRRS) versus traditional rehabilitation in improving functional outcomes after THA. Subjects were randomized either to an experimental (VRRS; n = 21) or a control group (control; n = 22). All participants were invited to perform a daily home exercise program for rehabilitation after THA with different administration methods—namely, an illustrated booklet for the control group and a tablet with wearable sensors for the VRRS group. The primary outcome was the hip disability (HOOS JR). Secondary outcomes were the level of independence and the degree of global perceived effect of the rehabilitation program (GPE). Outcomes were measured before surgery (T0) and at the 4th (T1), 7th (T2), and 15th (T3) day after surgery. Mixed-model ANOVA showed no significant group effect but a significant effect of time for all variables (p < 0.001); no differences were observed in HOOS JR between VRRS and the control at T0, T1, T2, or T3. Further, no differences in the level of independence were found between VRRS and the control, whereas the GPE was higher at T3 in VRSS compared to the control (4.76 ± 0.43 vs. 3.96 ± 0.65; p < 0.001). Virtual-reality-based home rehabilitation resulted in similar improvements in functional outcomes with a better GPE compared to the traditional rehabilitation program following THA. The application of new technologies could offer novel possibilities for service delivery in rehabilitation. MDPI 2022-03-22 /pmc/articles/PMC8999553/ /pubmed/35407373 http://dx.doi.org/10.3390/jcm11071766 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fascio, Edoardo
Vitale, Jacopo Antonino
Sirtori, Paolo
Peretti, Giuseppe
Banfi, Giuseppe
Mangiavini, Laura
Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial
title Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial
title_full Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial
title_fullStr Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial
title_full_unstemmed Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial
title_short Early Virtual-Reality-Based Home Rehabilitation after Total Hip Arthroplasty: A Randomized Controlled Trial
title_sort early virtual-reality-based home rehabilitation after total hip arthroplasty: a randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999553/
https://www.ncbi.nlm.nih.gov/pubmed/35407373
http://dx.doi.org/10.3390/jcm11071766
work_keys_str_mv AT fascioedoardo earlyvirtualrealitybasedhomerehabilitationaftertotalhiparthroplastyarandomizedcontrolledtrial
AT vitalejacopoantonino earlyvirtualrealitybasedhomerehabilitationaftertotalhiparthroplastyarandomizedcontrolledtrial
AT sirtoripaolo earlyvirtualrealitybasedhomerehabilitationaftertotalhiparthroplastyarandomizedcontrolledtrial
AT perettigiuseppe earlyvirtualrealitybasedhomerehabilitationaftertotalhiparthroplastyarandomizedcontrolledtrial
AT banfigiuseppe earlyvirtualrealitybasedhomerehabilitationaftertotalhiparthroplastyarandomizedcontrolledtrial
AT mangiavinilaura earlyvirtualrealitybasedhomerehabilitationaftertotalhiparthroplastyarandomizedcontrolledtrial