Early rehabilitation using virtual reality-based therapy can enhance hip function and self-perception of improvement following total hip arthroplasty: A systematic review and meta-analysis

Objective: To investigate the effectiveness of virtual reality-based therapy (VRBT) after total hip arthroplasty (THA). Methods: PubMed, SCOPUS, WOS, PEDro and CINAHL were consulted for results up to April 2024. Randomized controlled trials (RCTs) that assessed the effectiveness of VRBT (physical an...

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Detalhes bibliográficos
Autores: García-Sánchez, Manuel, Obrero-Gaitán, Esteban, Pinar-Lara, Marina, Osuna-Pérez, María Catalina, Díaz-Fernández, Angeles, Cortés-Pérez , Irene
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2024
País:España
Recursos:Ajuntament de Barcelona
Repositório:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:dnet:ruja________::8e66d46fad6661b574d67dbfa07787ee
Acesso em linha:https://doi.org/10.1016/j.gerinurse.2024.10.020
https://hdl.handle.net/10953/7699
Access Level:Acceso aberto
Palavra-chave:Total hip arthroplasty
Virtual reality
Exergames
Physiotherapy
Function
Disability
615.8
Descrição
Resumo:Objective: To investigate the effectiveness of virtual reality-based therapy (VRBT) after total hip arthroplasty (THA). Methods: PubMed, SCOPUS, WOS, PEDro and CINAHL were consulted for results up to April 2024. Randomized controlled trials (RCTs) that assessed the effectiveness of VRBT (physical and cognitive videogames) in patients after THA were included. Pooled effect was assessed using standardized mean difference (SMD). Results: This systematic review included 5 RCTs with 287 patients. Meta-analyses showed that VRBT, specifically non-immersive virtual reality (NIVR), combined with physiotherapy can be effective in reducing hip disability (SMD = -0.46; P = 0.018) and increasing hip function (SMD = 0.6; P = 0.002) after THA. The qualitative synthesis suggested that cognitive exercises using NIVR can improve disability, physical function, cognitive abilities and subjective perception of improvement. In contrast, passive immersive VRBT did not seem to have an impact on pain and hip function. Conclusion: Combining VRBT (mainly NIVR) with physiotherapy could be effective in early rehabilitation after THA.

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