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Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients’ Rehabilitation
Review

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

1
Faculty of Health Sciences, Jagiellonian University Medical College, Michalowskiego 12, 31-126 Cracow, Poland
2
Department of Rehabilitation, Lesser Poland Orthopaedic and Rehabilitation Hospital, Modrzewiowa 22, 30-224 Cracow, Poland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(8), 2639; https://doi.org/10.3390/jcm9082639
Received: 23 June 2020 / Revised: 10 August 2020 / Accepted: 12 August 2020 / Published: 14 August 2020
(This article belongs to the Special Issue Orthopaedic Diseases and Rehabilitation)
Osteoarthritis (OA) is a common health problem leading to pain, limitation in physical function, a decrease in the quality of life and disability. OA affects 60–70% of the population above 65 years of age all over the world, and is associated with a high cost of healthcare. The main method of treatment of OA, apart from pharmacotherapy and surgery, is comprehensive rehabilitation. Advances in medical technology have resulted in the possibility of using computer-assisted interventions in rehabilitation. The present narrative review is aimed at investigating the effectiveness of virtual reality (VR) in the rehabilitation of elderly patients with knee or hip osteoarthritis, including patients after arthroplasty. This literature review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was carried out in five databases: PubMed, Medline, Web of Science, Scopus and PEDro. It includes ten randomized controlled trials focused on the application of games and biofeedback in the rehabilitation of patients with knee and hip osteoarthritis. There are no conclusive reports that interventions based on VR are more effective than standard physical therapy. Moreover, evidence regarding patients after total hip arthroplasty (THA) is very scarce. The effectiveness of VR-based rehabilitation is unclear, although interventions based on VR are promising in view of pain management, postural and proprioception training. However, this evidence is not sufficient to create clinical guidelines and further high-quality studies are needed. View Full-Text
Keywords: rehabilitation; virtual reality; knee osteoarthritis; hip osteoarthritis; knee arthroplasty; hip arthroplasty; review rehabilitation; virtual reality; knee osteoarthritis; hip osteoarthritis; knee arthroplasty; hip arthroplasty; review
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MDPI and ACS Style

Byra, J.; Czernicki, K. The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis. J. Clin. Med. 2020, 9, 2639. https://doi.org/10.3390/jcm9082639

AMA Style

Byra J, Czernicki K. The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis. Journal of Clinical Medicine. 2020; 9(8):2639. https://doi.org/10.3390/jcm9082639

Chicago/Turabian Style

Byra, Joanna, and Krzysztof Czernicki. 2020. "The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis" Journal of Clinical Medicine 9, no. 8: 2639. https://doi.org/10.3390/jcm9082639

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