{"title":"虚拟现实和步行冥想对膝关节骨性关节炎患者本体感觉和平衡的影响：一项随机临床试验。","authors":"Prashansa Kulkarni, Aarti Welling, Peeyoosha Gurudut, Vijay Kage","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (OA) is a progressive degenerative disorder of the articular cartilage, affecting 28.7% of the population in India. Proprioception and balance deficits are common in individuals with knee OA, which can lead to falls and further joint damage. Full Immersion Virtual Reality (FIVR) provides simulated real-world experience with auditory, visual, and proprioceptive feedback. Walking meditation (WM) includes gentle physical activity like slow walking in combination with mindfulness practice.</p><p><strong>Primary study objective: </strong>To determine and compare the effectiveness of VR and WM in knee OA.</p><p><strong>Methods/design: </strong>A randomized clinical trial was conducted using simple random sampling for enrolling individuals diagnosed with knee OA.</p><p><strong>Setting: </strong>The source of data was a tertiary care hospital, Belagavi.</p><p><strong>Participants: </strong>The study included participants diagnosed with knee OA. The study had no dropouts and no reported adverse events.</p><p><strong>Intervention: </strong>Thirty-two (n = 32) participants were included and randomly assigned into 2 groups. Group A received VR with conventional physiotherapy intervention, and Group B received WM with conventional physiotherapy intervention. Both groups received intervention 3 times/week for 4 weeks.</p><p><strong>Primary outcome measures: </strong>The measures assessed include knee proprioception angle at 300, 450, 600, balance using functional reach test (FRT), pain intensity (VAS), and functional abilities (WOMAC) on day 1 and day 28 of intervention.</p><p><strong>Results: </strong>Within-group analysis demonstrated significant improvement in all the post-intervention measures (P = .0001). Between-group analysis of proprioception angle at 300 (P = .8318), 450 (P = .9761), 600 (P = .8393), FRT (P = .7885), VAS (P = .7609), and WOMAC (P = 1.0000) indicated no statistically significant difference between Group A and Group B.</p><p><strong>Conclusion: </strong>The present study concludes that both VR and WM are effective in improving proprioception, balance, reducing pain intensity, and enhancing functional abilities in knee OA patients.</p><p><strong>Keywords: </strong>Osteoarthritis, Knee joint, Pain, Visual analog scale.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of Virtual Reality and Walking Meditation on Proprioception and Balance in Individuals With Knee Osteoarthritis: A Randomized Clinical Trial.\",\"authors\":\"Prashansa Kulkarni, Aarti Welling, Peeyoosha Gurudut, Vijay Kage\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Knee osteoarthritis (OA) is a progressive degenerative disorder of the articular cartilage, affecting 28.7% of the population in India. Proprioception and balance deficits are common in individuals with knee OA, which can lead to falls and further joint damage. Full Immersion Virtual Reality (FIVR) provides simulated real-world experience with auditory, visual, and proprioceptive feedback. Walking meditation (WM) includes gentle physical activity like slow walking in combination with mindfulness practice.</p><p><strong>Primary study objective: </strong>To determine and compare the effectiveness of VR and WM in knee OA.</p><p><strong>Methods/design: </strong>A randomized clinical trial was conducted using simple random sampling for enrolling individuals diagnosed with knee OA.</p><p><strong>Setting: </strong>The source of data was a tertiary care hospital, Belagavi.</p><p><strong>Participants: </strong>The study included participants diagnosed with knee OA. The study had no dropouts and no reported adverse events.</p><p><strong>Intervention: </strong>Thirty-two (n = 32) participants were included and randomly assigned into 2 groups. Group A received VR with conventional physiotherapy intervention, and Group B received WM with conventional physiotherapy intervention. Both groups received intervention 3 times/week for 4 weeks.</p><p><strong>Primary outcome measures: </strong>The measures assessed include knee proprioception angle at 300, 450, 600, balance using functional reach test (FRT), pain intensity (VAS), and functional abilities (WOMAC) on day 1 and day 28 of intervention.</p><p><strong>Results: </strong>Within-group analysis demonstrated significant improvement in all the post-intervention measures (P = .0001). Between-group analysis of proprioception angle at 300 (P = .8318), 450 (P = .9761), 600 (P = .8393), FRT (P = .7885), VAS (P = .7609), and WOMAC (P = 1.0000) indicated no statistically significant difference between Group A and Group B.</p><p><strong>Conclusion: </strong>The present study concludes that both VR and WM are effective in improving proprioception, balance, reducing pain intensity, and enhancing functional abilities in knee OA patients.</p><p><strong>Keywords: </strong>Osteoarthritis, Knee joint, Pain, Visual analog scale.</p>\",\"PeriodicalId\":7571,\"journal\":{\"name\":\"Alternative therapies in health and medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alternative therapies in health and medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Impact of Virtual Reality and Walking Meditation on Proprioception and Balance in Individuals With Knee Osteoarthritis: A Randomized Clinical Trial.
Background: Knee osteoarthritis (OA) is a progressive degenerative disorder of the articular cartilage, affecting 28.7% of the population in India. Proprioception and balance deficits are common in individuals with knee OA, which can lead to falls and further joint damage. Full Immersion Virtual Reality (FIVR) provides simulated real-world experience with auditory, visual, and proprioceptive feedback. Walking meditation (WM) includes gentle physical activity like slow walking in combination with mindfulness practice.
Primary study objective: To determine and compare the effectiveness of VR and WM in knee OA.
Methods/design: A randomized clinical trial was conducted using simple random sampling for enrolling individuals diagnosed with knee OA.
Setting: The source of data was a tertiary care hospital, Belagavi.
Participants: The study included participants diagnosed with knee OA. The study had no dropouts and no reported adverse events.
Intervention: Thirty-two (n = 32) participants were included and randomly assigned into 2 groups. Group A received VR with conventional physiotherapy intervention, and Group B received WM with conventional physiotherapy intervention. Both groups received intervention 3 times/week for 4 weeks.
Primary outcome measures: The measures assessed include knee proprioception angle at 300, 450, 600, balance using functional reach test (FRT), pain intensity (VAS), and functional abilities (WOMAC) on day 1 and day 28 of intervention.
Results: Within-group analysis demonstrated significant improvement in all the post-intervention measures (P = .0001). Between-group analysis of proprioception angle at 300 (P = .8318), 450 (P = .9761), 600 (P = .8393), FRT (P = .7885), VAS (P = .7609), and WOMAC (P = 1.0000) indicated no statistically significant difference between Group A and Group B.
Conclusion: The present study concludes that both VR and WM are effective in improving proprioception, balance, reducing pain intensity, and enhancing functional abilities in knee OA patients.
Keywords: Osteoarthritis, Knee joint, Pain, Visual analog scale.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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