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© 2023 by the authors. 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/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

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Immersive and non-immersive virtual reality-based rehabilitation (VRBR) is effective in improving knee pain and function, dynamic balance, and knee flexion range of motion and extension strength after total knee arthroplasty, in comparison to conventional therapy approaches. VRBR has reported good results when it is combined with conventional therapy. Patients who performed VRBR reported large levels of satisfaction, adherence, and motivation and would recommend it in the future.

Abstract

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.

Details

Title
Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials
Author
García-Sánchez, Manuel 1 ; García-Robles, Paloma 2 ; Osuna-Pérez, María Catalina 3   VIAFID ORCID Logo  ; Lomas-Vega, Rafael 3   VIAFID ORCID Logo  ; Obrero-Gaitán, Esteban 3   VIAFID ORCID Logo  ; Cortés-Pérez, Irene 3   VIAFID ORCID Logo 

 Hospital Costa del Sol, Área Hospitalaria Costa del Sol, Autovía A7, Km 187, 29603 Marbella, Spain 
 Servicio de Fisioterapia “Fraternidad Muprespa”, C/Alfonso X El Sabio 9, 23700 Linares, Spain 
 Department of Health Sciences, University of Jaén, Campus Las Lagunillas s/n, 23071 Jaén, Spain 
First page
4597
Publication year
2023
Publication date
2023
Publisher
MDPI AG
e-ISSN
20763417
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2799592251
Copyright
© 2023 by the authors. 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/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.