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Review
. 2023 Feb 7:12:11795727231151636.
doi: 10.1177/11795727231151636. eCollection 2023 Jan-Dec.

The Efficacy of Virtual Reality Training in the Rehabilitation of Orthopedic Ankle Injuries: A Systematic Review and Meta-analysis

Abd El Rahman Elaraby  1   2 , Mostafa Shahien  1   2 , Alhadi M Jahan  2   3   4 , Mohammad Etoom  5 , Amira Hassan Bekhet  1   2   6
Affiliations
Review

The Efficacy of Virtual Reality Training in the Rehabilitation of Orthopedic Ankle Injuries: A Systematic Review and Meta-analysis

Abd El Rahman Elaraby et al. Adv Rehabil Sci Pract. .

Abstract

Introduction: Orthopedic ankle injuries are considered among the most common musculoskeletal injuries. A wide variety of modalities and techniques have been used for the management of these injuries, and virtual reality (VR) is one modality that has been examined in ankle injuries rehabilitation.

Purpose: This study aims to systemically review previous studies evaluating the effect of virtual reality in rehabilitating orthopedic ankle injuries.

Methods: We searched six online databases: PubMed, Web of Science (WOS), Scopus, the Physiotherapy Evidence Database (PEDro), Virtual Health Library (VHL), and Cochrane Central Register of Controlled Trials (CENTRAL).

Results: Ten randomized clinical trials met the inclusion criteria. Our results showed that VR had a significant effect on overall balance compared to conventional physiotherapy (SMD = 0.359, 0.009-0.710 P = 0.04), [I 2= 17%, P = 0.30]. Compared with conventional physiotherapy, VR programs significantly improved gait parameters such as speed and cadence, muscle power, and perceived ankle instability; however, no significant difference was detected in the foot and ankle ability measure (FAAM). Additionally, significant improvements in static balance and perceived ankle instability were reported after the use of VR balance and strengthening programs. Finally, only two articles were deemed to have good quality, and the other studies' quality ranged from poor to fair.

Conclusion: VR rehabilitation programs can be used to rehabilitate ankle injuries, as they are regarded as safe interventions and have promising effects. However, there is a need for studies with high quality since most included studies' quality varied from poor to fair.

Keywords: Ankle; ankle sprain; balance; functional ankle instability (FAI); rehabilitation; virtual reality.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA flow diagram of the screening and study selection process.
Figure 2.
Figure 2.
Forest plots of mean difference comparing the efficacy of VR compared to conventional physiotherapy or no treatment regarding dynamic and static balance.
See this image and copyright information in PMC

References

    1. Schiftan GS, Ross LA, Hahne AJ. The effectiveness of proprioceptive training in preventing ankle sprains in sporting populations: a systematic review and meta-analysis. J Sci Med Sport. 2015;18:238-244. - PubMed
    1. Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont PJ. The epidemiology of ankle sprains in the United States. J Bone Joint Surg. 2010;92:2279-2284. - PubMed
    1. Cooke MW. A survey of current consultant practice of treatment of severe ankle sprains in emergency departments in the United Kingdom. Emerg Med J. 2003;20:505-507. - PMC - PubMed
    1. Hung YJ. Neuromuscular control and rehabilitation of the unstable ankle. World J Orthop. 2015;6:434-438. - PMC - PubMed
    1. Thompson C, Schabrun S, Romero R, Bialocerkowski A, van Dieen J, Marshall P. Factors contributing to chronic ankle instability: a systematic review and meta-analysis of systematic reviews. Sports Med. 2018;48:189-205. - PubMed

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