Effects of Virtual Reality in TKA Patients

Kırklareli University

Status: Completed

Conditions: Knee Arthropathy

Treatments: Other: exercise; Device: virtual reality application

Study type: Interventional

Funder types: Other

Identifiers

NCT05875324

611

Details and patient eligibility

About

The goal of this clinical trial] is to investigate the effects of virtual reality (VR) in patients undergoing total knee arthroplasty (TKA). The main questions it aims to answer are:

• Does VR have effects on pain, kinesiophobia, and function during the early rehabilitation period of patients who have undergone TKA
• Does VR contribute to the success of exercise treatment after TKA

All the patients included in the study were informed about the disease, the goals of post-surgical rehabilitation, the conditions to be considered after TKA and exercises. Sitting on the side of the bed and mobilization in or out of the room with a walker were provided with the postoperative 1st day exercises. The patients were discharged 2.5 days after surgery. The patients in both groups were taught an exercise program for home practice.

In addition to the exercise program, the virtual reality application was applied before the exercises to the VR group. The second evaluation was made 3 days after the end of the treatment in both patient groups.

Researchers compared VR and exercise to see if pain, kinesiophobia, pain catastrophizing, knee range of motion, function, and quality of life had changed.

Enrollment: 21 patients

Sex: Female

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being between the ages of 50 and 70
• Being female
• Having received TKA due to being at stage III or IV according to the Kellgren-Lawrence Osteoarthritis Classification
• Having sufficient eyesight
• Having kinesiophobia and pain catastrophizing

Exclusion criteria

• Having undergone bilateral knee arthroplasty/revision knee arthroplasty
• Vertigo or motion-sensitive nausea
• Being diagnosed with an additional neurological, rheumatological, or oncological disease
• Having a Mini Mental Test score of less than 24
• Being diagnosed with severe anxiety by a specialist physician
• Inability to complete the treatment program

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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21 participants in 2 patient groups

VR Group

Experimental group

Description:

The patients in the VR group were informed about the disease, the goals of post-surgical rehabilitation, the exercises, and the circumstances to be considered following TKA. On the postoperative first day, activities included sitting on the side of the bed and mobilizing in and out of the room using a walker. Patients were discharged 2.5 days after surgery. Patients were provided an exercise program for at-home practice. In addition to the exercise program, VR glasses were used before the exercises in the VR group. The second examination was performed three days after the completion of treatment.

Treatment:

Device: virtual reality application

Other: exercise

Exercise Group

Active Comparator group

Description:

Exercise group were informed about the disease, the goals of post-surgical rehabilitation, the exercises, and the circumstances to be considered following TKA. On the postoperative first day, activities included sitting on the side of the bed and mobilizing in and out of the room using a walker. Patients were discharged 2.5 days after surgery. Patients in the exercise group were provided an exercise program for at-home practice. The second examination was performed three days after the completion of treatment.

Treatment:

Other: exercise