Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

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...

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Bibliographic Details
Published in:Applied sciences 2023-04, Vol.13 (7), p.4597
Main Authors: García-Sánchez, Manuel, García-Robles, Paloma, Osuna-Pérez, María Catalina, Lomas-Vega, Rafael, Obrero-Gaitán, Esteban, Cortés-Pérez, Irene
Format: Article
Language:eng
Subjects:
Analysis
Arthroplasty (knee)
Clinical trials
Computer applications
Drug therapy
Exercise
Handbooks
Immersive virtual reality
Intervention
Joint replacement surgery
Knee
knee function
knee pain
Meta-analysis
Pain
Patients
Physical therapy
Quality of life
Rehabilitation
Systematic review
total knee arthroplasty
total knee replacement
videogames
Virtual reality
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Description
Summary: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.
ISSN:2076-3417
2076-3417