THE EFFECTS OF AN INNOVATIVE TECHNOLOGY APPLIED AS VIRTUAL REHABILITATION ON CLINICAL OUTCOMES IN ANTERIOR CRUCIATE LIGAMENT INJURY
AbstractIn recent years, many different technologies on virtual rehabilitation have been produced and used in research. However, existing studies are limited because most of them focus on the balancing ability of the elderly or studied stroke patients with same systems. Thus, it is necessary to investigate the effects of a new virtual rehabilitation system in patients with Anterior Cruciate Ligament (ACL) Reconstruction. The purpose of this study was to investigate the effects of a virtual rehabilitation system using a MarVAJED® system which provides visual and auditory stimulus aimed at educating and controlling the joint proprioception, range of motion, pain intensity, and knee swelling in individuals with an ACL injury. A total of fifteen patients with ACL reconstruction participated in this study. In addition to conventional physiotherapy, a virtual rehabilitation treatment was applied with visual and auditory stimulus for a total of eight weeks, three sessions per week. There were statistically significant improvements in measures of proprioception, range of motion, pain intensity, and knee swelling between pre– and post – treatment (p<0.05). We concluded that this new VR system known as MarVAJED effectively treat ACL patients by improving proprioception, range of motion, and by decreasing pain intensity, and knee swelling.
Ferreira Dos Santos L, Christ O, Mate K (2016). Movement visualisation in virtual reality rehabilitation of the lower limb: a systematic review. Biomed Eng Online, 15(Suppl 3):144.
Gokeler, A, Bisschop M, Myer GD, Benjaminse A, Dijkstra PU, Keeken H, Raay J, Burgerhof J, Otten E (2016). "Immersive virtual reality improves movement patterns in patients after ACL reconstruction: implications for enhanced criteria-based return-to-sport rehabilitation." Knee Surg Sports Traumatol Arthrosc 24(7): 2280-2286.
Huskisson EC (1983). Visual analogue scales. In: Melzack R, ed. Pain measurement and assessment. New York: Raven,33-7.
Jakobsen TL, Christensen M, Christensen SS, Olsen M, Bandholm T (2010). Reliability of knee joint range of motion and circumference measurements after total knee arthroplasty: does tester experience matter? Physiother Res Int, 15(3):126-34.
Lange T, Freiberg A, Dröge P, Lützner J, Schmitt J, Kopkow C (2015). The reliability of physical examination tests for the diagnosis of anterior cruciate ligament rupture–a systematic review. Manual therapy 20(3): 402-411.
Park EC, Kim SG, Lee CW (2015). The effects of virtual reality game exercise on balance and gait of the elderly. J Phys Ther Sci, 27(4):1157-9.
Priyanka P, Nilima B, Parag S, Ashok S (2017). Effects of Lumbar Core Stability Exercise Programme on Knee Pain, Range of Motion, and Function Post Anterior Cruciate Ligament Reconstruction. Journal of Orthopaedics, Trauma and Rehabilitation, 23;39-44.
Sadeghi H, Hakim MN, Hamid TA, Amri SB, Razeghi M, Farazdaghi M, Shakoor E (2017). The effect of exergaming on knee proprioception in older men: A randomized controlled trial. Arch Gerontol Geriatr, 69:144-150.
Takata Y, Nakase J, Toratani T, Numata H, Oshima T, Kitaoka K, Tsuchiya H (2017). Conscious performance and arthroscopic findings in athletes with anterior cruciate ligament injuries treated via conservative therapy during the competitive season. J Orthop Surg (Hong Kong). Jan;25(1): 2309499016684751.
Tichonova A, Rimdeikiene I, Petruseviciene D, Lendraitiene E (2016). The relationship between pain catastrophizing, kinesiophobia and subjective knee function during rehabilitation following anterior cruciate ligament reconstruction and meniscectomy: A pilot study. Medicina 52(4): 229-237.
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