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Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement

Total knee replacement (TKR) is the treatment of choice for advanced stages of osteoarthritis but it requires good postoperative rehabilitation. This study aimed to assess the effectiveness of exercises using virtual reality to improve gait parameters in patients after TKR. Fifty-nine patients 7–14...

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Autores principales: Hadamus, Anna, Błażkiewicz, Michalina, Wydra, Kamil T., Kowalska, Aleksandra J., Łukowicz, Małgorzata, Białoszewski, Dariusz, Marczyński, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9456315/
https://www.ncbi.nlm.nih.gov/pubmed/36078879
http://dx.doi.org/10.3390/jcm11174950
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author Hadamus, Anna
Błażkiewicz, Michalina
Wydra, Kamil T.
Kowalska, Aleksandra J.
Łukowicz, Małgorzata
Białoszewski, Dariusz
Marczyński, Wojciech
author_facet Hadamus, Anna
Błażkiewicz, Michalina
Wydra, Kamil T.
Kowalska, Aleksandra J.
Łukowicz, Małgorzata
Białoszewski, Dariusz
Marczyński, Wojciech
author_sort Hadamus, Anna
collection PubMed
description Total knee replacement (TKR) is the treatment of choice for advanced stages of osteoarthritis but it requires good postoperative rehabilitation. This study aimed to assess the effectiveness of exercises using virtual reality to improve gait parameters in patients after TKR. Fifty-nine patients 7–14 days after TKR surgery were divided into a study group (VRG, n = 38) and a control group (CG, n = 21). Both groups underwent the same 4-week rehabilitation protocol. The VRG group had 12 additional nonimmersive virtual reality game sessions on the Virtual Balance Clinic prototype system at 30 min each, focusing on gait and balance improvement. Spatiotemporal, force and foot plantar pressure parameters were collected on an instrumented treadmill during a 30 s walk. The most significant improvement was in the symmetry indices of forefoot force, maximum forefoot force, loading response time, and preswing time (p < 0.05) in both groups. Gait speed increased by 31.25% and 44% in the VRG and CG groups, respectively (p < 0.005). However, the extra exergaming sessions did not significantly improve rehabilitation outcomes. Therefore, additional VR training does not improve gait better than standard rehabilitation alone, but the improvement of gait, especially its symmetry, is significant within the first six weeks after surgery.
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spelling pubmed-94563152022-09-09 Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement Hadamus, Anna Błażkiewicz, Michalina Wydra, Kamil T. Kowalska, Aleksandra J. Łukowicz, Małgorzata Białoszewski, Dariusz Marczyński, Wojciech J Clin Med Article Total knee replacement (TKR) is the treatment of choice for advanced stages of osteoarthritis but it requires good postoperative rehabilitation. This study aimed to assess the effectiveness of exercises using virtual reality to improve gait parameters in patients after TKR. Fifty-nine patients 7–14 days after TKR surgery were divided into a study group (VRG, n = 38) and a control group (CG, n = 21). Both groups underwent the same 4-week rehabilitation protocol. The VRG group had 12 additional nonimmersive virtual reality game sessions on the Virtual Balance Clinic prototype system at 30 min each, focusing on gait and balance improvement. Spatiotemporal, force and foot plantar pressure parameters were collected on an instrumented treadmill during a 30 s walk. The most significant improvement was in the symmetry indices of forefoot force, maximum forefoot force, loading response time, and preswing time (p < 0.05) in both groups. Gait speed increased by 31.25% and 44% in the VRG and CG groups, respectively (p < 0.005). However, the extra exergaming sessions did not significantly improve rehabilitation outcomes. Therefore, additional VR training does not improve gait better than standard rehabilitation alone, but the improvement of gait, especially its symmetry, is significant within the first six weeks after surgery. MDPI 2022-08-23 /pmc/articles/PMC9456315/ /pubmed/36078879 http://dx.doi.org/10.3390/jcm11174950 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
Hadamus, Anna
Błażkiewicz, Michalina
Wydra, Kamil T.
Kowalska, Aleksandra J.
Łukowicz, Małgorzata
Białoszewski, Dariusz
Marczyński, Wojciech
Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement
title Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement
title_full Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement
title_fullStr Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement
title_full_unstemmed Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement
title_short Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement
title_sort effectiveness of early rehabilitation with exergaming in virtual reality on gait in patients after total knee replacement
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9456315/
https://www.ncbi.nlm.nih.gov/pubmed/36078879
http://dx.doi.org/10.3390/jcm11174950
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