Gamification in Knee Replacement Rehabilitation (BEE-RCT)

University of Jyväskylä

Status

Completed

Conditions

Knee Osteoarthritis

Treatments

Other: Control

Other: Exergame

Study type

Interventional

Funder types

Other

Identifiers

NCT03717727

T226/2018

Details and patient eligibility

About

After total knee arthroplasty (TKA), knee is usually swollen, painful, and stiff. The main goal of post-operative physical rehabilitation is to achieve full extension and flexion of the knee to avoid contractures and stiffness. Also strengthening of quadriceps muscle and balance to help activities of daily living and overall mobility are important. The post-operative knee replacement rehabilitation includes the standard protocol in hospital phase and the standard home exercise instructions. Computer based exercising games (exergames) may be new method to increase training adherence and volume after TKA and thus improve results and effectiveness of the rehabilitation. However, evidence of effectiveness of rehabilitative exergaming on physical functioning is sparse and more research is needed to conduct evidence-based rehabilitation practices.

Therefore the present study examines the effectiveness of a 16-week gamified physiotherapy on physical functioning, life satisfaction and pain for patients after TKA compared to treatment as usual home exercise. The second objective is to validate the psychometric properties of WHODAS 2.0 (WHO Disability Assessment Schedule) and brief ICF (International classification of functioning, disability and health) core set of osteoarthritis questionnaire. Other objectives are to find out, what kind of understanding and experiences the participants have about the rehabilitation with exergames and to evaluate the usability and user experience of exergames.

Enrollment

52 patients

Sex

All

Ages

60 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

first primary (M17.0, M17.1) unilateral TKA
mechanical axis of the limb in varus
model of the TKA is posterior stabilizing (PS) or cruciate retaining (CR) prosthesis
normal vision with or without eyeglasses

Exclusion criteria

fractures, rheumatoid arthritis, or other biomechanical disruptions in affected lower limb within one year before operation
diagnosed memory disorder or cognitive impairment
neurological condition as Parkinson's disease, multiple sclerosis or stroke