Knee Osteoarthritis, Pain, Quality of Life
Conditions
Keywords
Knee Osteoarthritis, virtual reaility, pain, Quality of Life
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
Interventions
VR-based exercise program will be applied in addition to the conventional rehabilitation program, 5 days a week for a total of 3 weeks.
The conventional exercise program will include 20 minutes(Transcutaneous Electrical Nerve Stimulation) TENS with conventional method, 4 minutes continue ultrason, 20 minutes hot pack.
Sponsors
Study design
Masking description
Investigator and Outcomes Assessor will be different persons.
Intervention model description
Randomised controlled
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | 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. |
| The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | 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. |
| Biodex Balance System | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short Form 36 (SF36) | Baseline | In the study, quality of life will be evaluated using Short Form-36 (SF-36). SF-36 is not specific to any disease group. This scale consists of 36 questions; There are 8 subgroups: general health, physical function, physical role difficulty, pain, energy, social function, emotional role difficulty, and mental health. A high score is an indicator of good health. |
Countries
Turkey (Türkiye)
Contacts
Kirsehir Ahi Evran Universitesi