Effectiveness of Virtual Reality in Patients With Symptomatic Knee Osteoarthritis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Visual Analog Scale
Study Overview
Brief Summary
One of the main challenges facing the therapist in the treatment of adhesive capsulitis is to motivate the patient throughout conventional therapy. As noted in a recent review, individuals are more interested in leisure activities rather than performing repetitive tasks during therapy. Virtual reality (VR) is a three-dimensional computer-aided programme built with a system that creates virtual reality movements and generates a high amount of visual and sensory feedback during exercise. As a result, virtual reality (VR) has been used in many medical indications and has been shown to promote adherence to treatment by increasing patient motivation.
Detailed Description
Different VR systems have been shown to be effective in individuals with kinesiophobia as well as stroke patients. Virtual reality guided exercise is a proven method already used in stroke, Parkinson's, cerebral palsy rehabilitation, vestibular rehabilitation and orthopaedic rehabilitation. However, there is limited data on its effectiveness in patients with adhesive capsulitis. This randomized controlled study will contribute to the literature by investigating the effects of VR based exercises in individuals with AC
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Masking Description
Investigator and Outcomes Assessor will be different persons.
Eligibility Criteria
- Ages
- 40 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosis of chronic (>3 months) knee osteoarthritis between the ages of 40-85
- •Kellgren and Lawrence Score ≥ 2 on knee radiograph
- •Visual Analogue scale result VAS 4-8
Exclusion Criteria
- •Orthopedic surgery performed on the lower extremity
- •Cognitive dysfunction (Mini Mental Test Score <23)
- •Having received any treatment for knee osteoarthritis in the last 6 months
- •Following any ongoing exercise program (tai chi, pilates, yoga, fitness)
- •History of ligament and ligament injury around the knee
Arms & Interventions
Experimental Group
In addition to the conventional rehabilitation program at the hospital, virtual reality exercise will be applied in 15 sessions, 5 days a week.
Intervention: Virtual reality (Other)
Experimental Group
In addition to the conventional rehabilitation program at the hospital, virtual reality exercise will be applied in 15 sessions, 5 days a week.
Intervention: conventional rehabilitation (Other)
Control group
The conventional rehabilitation program at the hospital will be implemented in 15 sessions, 5 days a week.
Intervention: conventional rehabilitation (Other)
Outcomes
Primary Outcomes
Visual Analog Scale
Time Frame: Baseline
Visual analog scale (VAS) was used for pain assessment. VAS is a 10-point Likert scale. Patients are asked to indicate their pain level, with 0 points being no pain, 5 points being moderate pain, and 10 points being unbearable pain. Increased scores indicate higher pain levels.
Visual Analog Scale
Time Frame: 3th week
Visual analog scale (VAS) was used for pain assessment. VAS is a 10-point Likert scale. Patients are asked to indicate their pain level, with 0 points being no pain, 5 points being moderate pain, and 10 points being unbearable pain. Increased scores indicate higher pain levels.
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Time Frame: Baseline
WOMAC was used to assess disability in patients with knee osteoarthritis. The WOMAC assesses pain, stiffness and physical function and consists of 24 items. Total score is between 24 and 120 points. A low score indicates mild illness, a high score indicates severe illness.
The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Time Frame: 3th week
WOMAC was used to assess disability in patients with knee osteoarthritis. The WOMAC assesses pain, stiffness and physical function and consists of 24 items. Total score is between 24 and 120 points. A low score indicates mild illness, a high score indicates severe illness.
Biodex Balance System
Time Frame: Baseline
The balance assessment of the participants will be made with the Biodex Balance Systems device. During the measurement, patients will try to stay balanced on the device whose platform stability is adjusted.
Biodex Balance System
Time Frame: 3th week
The balance assessment of the participants will be made with the Biodex Balance Systems device. During the measurement, patients will try to stay balanced on the device whose platform stability is adjusted.
Secondary Outcomes
- Short Form 36 (SF36)(Baseline)
- Short Form 36 (SF36)(3th week)
Investigators
Basak Cigdem Karacay
Principal Investigator
Kirsehir Ahi Evran Universitesi