Clinical trial NCT06272825: Virtual Reality in Patients With Knee Osteoarthritis
Official title: Effectiveness of Virtual Reality in Patients With Symptomatic Knee Osteoarthritis
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Knee Osteoarthritis
Pain
Quality of Life
Keywords: Knee Osteoarthritis
virtual reaility
pain
Quality of Life
Lead sponsor: Kirsehir Ahi Evran Universitesi
Sponsor class: OTHER
First posted: 2024-02-22
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomised controlled
Primary purpose: TREATMENT

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

Eligibility criteria: 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

Primary outcomes:
measure: Visual Analog Scale
timeFrame: Baseline
measure: Visual Analog Scale
timeFrame: 3th week
measure: Visual Analog Scale
timeFrame: 7th week
measure: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
timeFrame: Baseline
measure: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
timeFrame: 3th week
measure: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
timeFrame: 7th week
measure: Biodex Balance System
timeFrame: Baseline
measure: Biodex Balance System
timeFrame: 3th week
measure: Biodex Balance System
timeFrame: 7th week
Secondary outcomes:
measure: Short Form 36 (SF36)
timeFrame: Baseline
measure: Short Form 36 (SF36)
timeFrame: 3th week
measure: Short Form 36 (SF36)
timeFrame: 7th week
Other outcomes:
Locations:
city: Kırşehir
country: Turkey
facility: Kırşehir Ahi Evran University Faculty of Medicine
state: City Center
Study officials:
affiliation: Kirsehir Ahi Evran University
name: Basak Cigdem Karacay, Asst Prof
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wi, S. Y., & Kang, J. H. (2012). The effects of virtual reality interactive games on the balance ability of elderly women with knee osteoarthritis. Journal of Korean Society of Physical Medicine, 7(3), 387-393.
citation: Lin YT, Lee WC, Hsieh RL. Active video games for knee osteoarthritis improve mobility but not WOMAC score: A randomized controlled trial. Ann Phys Rehabil Med. 2020 Nov;63(6):458-465. doi: 10.1016/j.rehab.2019.11.008. Epub 2020 Jan 22.
citation: Nambi G, Abdelbasset WK, Elsayed SH, Khalil MA, Alrawaili SM, Alsubaie SF. Comparative effects of virtual reality training and sensory motor training on bone morphogenic proteins and inflammatory biomarkers in post-traumatic osteoarthritis. Sci Rep. 2020 Sep 28;10(1):15864. doi: 10.1038/s41598-020-72587-2.