Virtual Reality-Assisted Rehabilitation for Patients Undergoing Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.

IF 2.2 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-02 DOI:10.1097/PHM.0000000000002747

Hsuan-Wei Liu, Shin-Da Lee

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引用次数: 0

Abstract

Objective: To assess the effectiveness of virtual reality-assisted rehabilitation (VRehab) in postoperative rehabilitation following total knee arthroplasty (TKA).

Design: Systematic review and meta-analysis of randomized controlled trials evaluating VRehab in patients who have undergone TKA. The literature search included multiple databases, including PubMed, Embase, Web of Science, Cochrane, Scopus, PsycINFO, PEDro, CNKI, and Wanfang, with the final search date being May 20, 2024.

Results: VRehab for patients undergoing TKA showed lower Visual Analog Scale pain scores, better Western Ontario and McMaster Universities Osteoarthritis Index scores, improved Hospital for Special Surgery scores, shorter Timed Up and Go times, higher Berg Balance Scale scores, and greater knee range of motion than those of the control group.

Conclusions: VRehab effectively reduced postsurgical pain and enhanced the recovery of function, mobility, balance, and range of motion in patients undergoing TKA. Integrating VRehab into standard rehabilitation programs can optimize the outcomes of patients undergoing TKA.

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全膝关节置换术患者的虚拟现实辅助康复：系统回顾和荟萃分析。

目的：评价虚拟现实辅助康复技术（VRehab）在全膝关节置换术（TKA）术后康复中的应用效果。设计：对随机对照试验进行系统回顾和荟萃分析，评估TKA患者的VRehab。文献检索包括PubMed、Embase、Web of Science、Cochrane、Scopus、PsycINFO、PEDro、CNKI、万方等多个数据库，最终检索日期为2024年5月20日。结果：与对照组相比，接受TKA患者的VRehab表现出较低的视觉模拟量表疼痛评分，较好的Western Ontario和McMaster university骨关节炎指数评分，较好的Hospital for Special Surgery评分，较短的Timed Up和Go时间，较高的Berg Balance Scale评分，较大的膝关节活动范围。结论：VRehab能有效减轻TKA患者术后疼痛，促进TKA患者功能、活动能力、平衡能力和活动范围的恢复。将VRehab纳入标准康复方案可以优化TKA患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).