Impact of Virtual Reality, Augmented Reality, and Sensor Technology in Knee Osteoarthritis Rehabilitation: A Systematic Review

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 14, 2025

Knee osteoarthritis (KOA) is a progressive degenerative joint disorder that significantly impacts mobility, pain levels, and overall quality of life. Conventional rehabilitation methods, while effective, often suffer from limitations related to patient adherence, accessibility, cost. This systematic review examines the role virtual reality (VR), augmented (AR), sensor-based technologies in KOA rehabilitation, evaluating their effectiveness reduction, functional improvement, engagement. A comprehensive literature search identified four randomized controlled trials (RCTs) comprising 405 participants, with an average Physiotherapy Evidence Database (PEDro) score 6/10, indicating moderate high methodological quality. Findings suggest VR AR interventions enhance adherence engagement, systems provide real-time biofeedback, enabling personalized therapeutic adjustments. These demonstrated significant improvements management, muscle strength, mobility. However, challenges such as costs, limited absence standardized treatment protocols remain barriers widespread clinical adoption. Further research should focus on long-term efficacy, cost-effectiveness, integration these innovations into routine practice.

Language: Английский

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The effect of adding virtual reality-based rehabilitation to conventional physiotherapy on pain, functional ability and static balance control in patients with total knee arthroplasty

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 20, 2025

Background Physiotherapy in patients with total knee arthroplasty (TKA) is necessary to reduce pain, return daily activities, and maintain balance. Today, virtual reality (VR) being used provide real-time visual feedbacks during the exercise. Hence, aim of present study was evaluate effect adding reality-based therapy comparison conventional physiotherapy on functional ability, static balance acute phase after TKA. Methods Fifty-two who underwent TKA (11male, 41 female, mean age 61.92 ± 6.91 years) were randomly assigned into two groups: a control group (n = 24) an intervention 28). The received physiotherapy, whereas participated combination VR-based physiotherapy. primary outcome assessed using Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Secondary outcomes included measured Numeric Rating Scale (NRS), balance, Wii Balance Board. Static evaluated center pressure (COP) parameters, including COP area velocity, under conditions: open eyes closed eyes. Pain ability at baseline, post-treatment, one-month follow-up. measurements taken baseline post-treatment. Results demonstrated significant improvements compared group. WOMAC scores pain levels showed greater reductions both post-treatment follow-up phases (effect size [ES] 36%, P < 0.001). parameters improved groups; however, exhibited significantly ellipse standing position (P 0.001) velocity mediolateral direction 0.001, ES 23%). Additionally, anteroposterior decreased only No changes observed eyes-closed condition. Conclusions This that exercise function, management early rehabilitation. superior group, highlighting effectiveness integrating These findings suggest this combined approach can optimize recovery improve rehabilitation following Trial registration: retrospectively registered Iranian Clinical Trials Registry number IRCT20230524058283N1.

Language: Английский

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The Current State of Virtual Reality in the Management of Musculoskeletal Conditions and Associated Chronic Pain: Terminology, Technology, and Associations

Applied Sciences, Journal Year: 2025, Volume and Issue: 15(5), P. 2564 - 2564

Published: Feb. 27, 2025

Virtual reality (VR) demonstrates significant potential to improve rehabilitation outcomes for musculoskeletal conditions and associated chronic pain. However, the field faces notable challenges, including inconsistent terminology, a lack of specialized/comprehensive software solutions, an overwhelming variety hardware options, which can make it difficult healthcare professionals without technical expertise identify most suitable tools clinical use. This article explores current state VR in pain, focusing on terminology discrepancies, available key professional associations shaping field. A review is essential address inconsistencies that risk perpetuating misuse facilitate clearer communication. Building this review, we propose conceptual framework understanding aligns more closely with capabilities technology. comprehensive overview assist selecting appropriate technologies practice, guide researchers designing interventions, inform developers unmet needs Furthermore, provides valuable direction those engaged virtual rehabilitation, enabling them access resources, foster collaboration, stay informed about latest advancements domain. addresses confusion regarding VR, particularly relation its classification based levels immersion. Accordingly, proposes contributes standardized approach VR. Additionally, highlights solutions tailored patients emphasizing necessity further development area.

Language: Английский

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Effectiveness of virtual reality technology in rehabilitation after anterior cruciate ligament reconstruction: A systematic review and meta-analysis

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(3), P. e0314766 - e0314766

Published: March 3, 2025

Anterior cruciate ligament reconstruction (ACLR) can be fully recovered with effective rehabilitation, which also lowers the risk of developing osteoarthritis in knee. Virtual reality technology (VRT) has been used for rehabilitation after ACLR. However, it is unclear how VRT compares to traditional therapy terms effectiveness. A systematic review and a meta-analysis. We hypothesised that would more treatment than post-ACLR rehabilitation. This study aimed evaluate effects on following ACLR, providing insights its application clinical settings. meta-analysis randomized controlled trials (RCTs) was performed using RevMan Stata software according PRISMA guidelines. conducted search PubMed, Web Science, Embase, The Cochrane Library, EBSCO, CNKI, CBM, VIP, Wanfang databases RCTs examining patients literature from inception database March 2024, utilizing keywords such as "anterior ligament," reconstruction," injury," "virtual reality." outcome indicators comprised knee function, walking gait muscle strength. assessed quality Risk Bias tool Jadad scale. There were total 6 included this study, involving 387 who had undergone experimental group 194 patients, while control 193 patients. findings demonstrated significantly enhanced ability, strength post-ACLR. Specifically, led improvements IKDC score (MD: 4.23; 95% CI 1.76-6.71), FAC (0.40; 0.32-0.48), Lysholm (6.36; 3.05-9.67), step length (3.99; 2.72-5.27), speed (0.13; 0.10-0.16), frequency (4.85; 0.22-9.47), extensor peak torque (12.03; 3.28-20.78), flexor (14.57; 9.52-19.63). Subgroup analysis revealed immersive VR did not improve function compared non-immersive VR. first systematically compare therapy, we found provides evidence integrating into protocols. high-quality studies large samples are needed verify findings. registered PROSPERO (No. CRD42024534918).

Language: Английский

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Virtual reality-enhanced rehabilitation for improving musculoskeletal function and recovery after trauma

Journal of Orthopaedic Surgery and Research, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 23, 2025

Orthopedic trauma remains a critical challenge in modern healthcare, often resulting severe mobility limitations, acute pain, and delayed recovery. Conventional rehabilitation techniques, though effective, fail to address the individualized, high-precision interventions needed for musculoskeletal injuries like fractures, joint instability, ligament tears, muscular atrophy. Virtual reality (VR) technologies, such as Apple Vision Pro HTC Vive Pro, offer transformative approach by enhancing diagnostic precision, effectiveness, patient engagement through interactive, immersive environments that improve clinical outcomes. These VR technologies provide real-time biomechanical data, mechanics, muscle coordination, movement patterns, allowing clinicians design personalized programs. can thus facilitate neuromuscular re-education, proprioception, enhance coordination. Studies have shown VR-based advances functional recovery, improves pain management, reduces psychological barriers associated with immobility. also facilitates telemedicine, increasing accessibility patients geographic or issues. However, while may it is important note they fall short accurate motion tracking, particularly fine motor control tasks. This scoping review follows PRISMA guidelines explore potential of orthopedic rehabilitation, analyzing its capabilities, interventions, feedback systems. Despite this, remain, including regulatory challenges, limitations haptic feedback, high cost, compliance. By presenting balanced perspective on landscape care, this paper emphasizes need rigorous validation, advancements, interdisciplinary collaboration. Ultimately, offers significantly recovery outcomes, engagement, streamline protocols, but successful integration into practice must be approached both optimism caution.

Language: Английский

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Effectiveness of Exergames on Functional Physical Performance in Older Adults with Knee/Hip Osteoarthritis: A Randomized Controlled Trial

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(9), P. 2968 - 2968

Published: April 25, 2025

Background/Objectives: Osteoarthritis (OA) is a leading cause of mobility impairment in older adults, yet few studies have explored exergames (EXGs) as complementary therapy for knee and/or hip OA (KOA/HOA). This study evaluated the effects integrating EXGs into conventional (CT) on functional mobility. Methods: Sixty participants were randomized an EXG/CT group or CT-only group. The interventions lasted 10 weeks (3 sessions/week), and selected from interactive game Ring Fit Adventure (Nintendo Switch®, Kyoto, Japan). Results: Functional (Timed Up Go test) significantly improved but not CT Additionally, lower-limb strength aerobic endurance increased No adverse events reported, adherence was high. Conclusions: These findings support EXG-based viable complement to CT. Future should design OA-specific include patient subgroups expand impact using virtual systems.

Language: Английский

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Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial

Applied Sciences, Journal Year: 2024, Volume and Issue: 15(1), P. 93 - 93

Published: Dec. 26, 2024

Background: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed evaluate the effectiveness of active video games (AVGs) as a complement conventional physical therapy (CPT) improving disability. Methods: Sixty participants were randomly assigned an experimental group (EG, n = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or control (CG, 69.0 5.5 alone. Sessions performed three times week for ten weeks. Functional disability was assessed using WOMAC index before, during, and after intervention. Secondary outcomes included Global Rating Change (GRoC), Minimal Clinically Important Difference, patient trajectories through strata. Results: The EG showed progressive improvements all scores, moderate large increases by end intervention, while CG only significant changes later stages. demonstrated greater pain GroC scale (p < 0.05), maintaining most gains at follow-up, whereas regression. Additionally, had higher proportion responders, particularly pain, predominance non-responders adverse responders. In EG, 70% improved their stratification compared 50% CG. Conclusion: Integration AVGs further improves perceived adults OA. Future research should explore these findings further.

Language: Английский

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