Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2022 Jul;27(3):e1952.
doi: 10.1002/pri.1952. Epub 2022 Apr 25.

The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial

Emel Mete  1 , Zübeyir Sari  2
Affiliations
Randomized Controlled Trial

The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial

Emel Mete et al. Physiother Res Int. 2022 Jul.

Abstract

Background: Exergaming, one of the most recognized virtual rehabilitation tools, has been shown to be useful for promoting physical activity and enhancing postural stability for neurologic conditions. However, studies with exergaming programs for patients with knee osteoarthritis (OA) are limited.

Aims: We aimed to investigate the effects of exergaming given by visual and auditory stimulated assisted joint training device in addition to the conventional physiotherapy program on pain intensity, range of motion (ROM), functional status, kinesiophobia, proprioceptive acuity, muscle strength, and postural stability in patients with knee OA.

Study design: Randomized controlled clinical trial.

Methods: Sixty patients (47 female, 13 male) with knee osteoarhritis aged 40-65 years (57.36 ± 7.26) who were at stage of two to three according to the Kellegren Lawrence radiological evaluation were included in the study. The patients were randomly divided into two groups as study group (conventional physiotherapy + exergaming) and control group (conventional physiotherapy). Electrotherapy and exercise program were applied to both of the groups along 5 days a week for 6 weeks but exergaming only applied to study group. ROM, pain intensity, proprioceptive acuity, kinesiophobia, muscle strength, and postural stability of the patients were evaluated at the beginning and end of the treatment.

Results: In the intra-group analyses of all the assessments of the patients, there was a significant difference in the positive direction in both groups, except for the postural stability values. In the intra-group analyses of postural stability, there was a significant increase only in the study group. In comparison between the groups, proprioceptive acuity, ROM, functional status, and postural stability scores were significantly increased in the study group according to the control group; pain and kinesiophobia decreased significantly.

Conclusion: In this study, the exergaming accompanied with conventional physiotherapy programs resulted more positive improvements on pain, ROM, postural stability, kinesiophobia, proprioceptive acuity, and functional status in patients with knee OA compared to the conventional physiotherapy program alone.

Keywords: arthritis; musculoskeletal; physiotherapy.

PubMed Disclaimer

References

REFERENCES

    1. Acar, S., Savci, S., Keskinoğlu, P., Akdeniz, B., Özpelit, E., Kahraman, B. Ö., Sevinc, C., & Sevinc, C. (2016). Tampa Scale of Kinesiophobia for Heart Turkish Version Study: Cross-cultural adaptation, exploratory factor analysis, and reliability. Journal of Pain Research, 9, 445. https://doi.org/10.2147/JPR.S105766
    1. Aydoğdu, O., Sarı, Z., Yurdalan, U. S., & Polat, G. M. (2017). The effects of an innovative technology applied as virtual rehabilitation on clinical outcomes in anterior cruciate ligament injury. CBU International Conference Proceedings, 5, 933-936. https://doi.org/10.12955/cbup.v5.1047
    1. Baert, I. A., Jonkers, I., Staes, F., Luyten, F. P., Truijen, S., & Verschueren, S. M. (2013). Gait characteristics and lower limb muscle strength in women with early and established knee osteoarthritis. Clinical Biomechanics, 28(1), 40-47. https://doi.org/10.1016/j.clinbiomech.2012.10.007
    1. Bannuru, R. R., Osani, M. C., Vaysbrot, E. E., Arden, N. K., Bennell, K., Bierma-Zeinstra, S. M. A., McAlindon, T. E., Lohmander, L. S., Abbott, J. H., Bhandari, M., Blanco, F. J., Espinosa, R., Haugen, I. K., Lin, J., Mandl, L. A., Moilanen, E., Nakamura, N., Snyder-Mackler, L., Trojian, T., … McAlindon, T. E. (2019). OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and Cartilage, 27(11), 1578-1589. https://doi.org/10.1016/j.joca.2019.06.011
    1. Bonnechère, B., Jansen, B., Omelina, L., & van Sint Jan, S. (2016). The use of commercial video games in rehabilitation: A systematic review. International Journal of Rehabilitation Research, 39(4), 277-290. https://doi.org/10.1097/MRR.0000000000000190

Publication types

LinkOut - more resources