Clinical trial NCT05875324: Effects of Virtual Reality in TKA Patients
Official title: The Effect of Virtual Reality on Pain, Kinesiophobia and Function in Total Knee Arthroplasty Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Arthropathy
Keywords: Knee arthroplasty
VR
Exercise
Pain
Kinesiophobia
Catastrophization
Function
Lead sponsor: Kırklareli University
Sponsor class: OTHER
Collaborators: name: Gazi University
First posted: 2023-05-25
Enrollment: 21
Sex: FEMALE
Minimum age (years): 50
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this clinical trial\] is to investigate the effects of virtual reality (VR) in patients undergoing total knee arthroplasty (TKA). The main questions it aims to answer are:

* Does VR have effects on pain, kinesiophobia, and function during the early rehabilitation period of patients who have undergone TKA
* Does VR contribute to the success of exercise treatment after TKA

All the patients included in the study were informed about the disease, the goals of post-surgical rehabilitation, the conditions to be considered after TKA and exercises. Sitting on the side of the bed and mobilization in or out of the room with a walker were provided with the postoperative 1st day exercises. The patients were discharged 2.5 days after surgery. The patients in both groups were taught an exercise program for home practice.

In addition to the exercise program, the virtual reality application was applied before the exercises to the VR group. The second evaluation was made 3 days after the end of the treatment in both patient groups.

Researchers compared VR and exercise to see if pain, kinesiophobia, pain catastrophizing, knee range of motion, function, and quality of life had changed.


Eligibility criteria: Inclusion Criteria:

* Being between the ages of 50 and 70
* Being female
* Having received TKA due to being at stage III or IV according to the Kellgren-Lawrence Osteoarthritis Classification
* Having sufficient eyesight
* Having kinesiophobia and pain catastrophizing

Exclusion Criteria:

* Having undergone bilateral knee arthroplasty/revision knee arthroplasty
* Vertigo or motion-sensitive nausea
* Being diagnosed with an additional neurological, rheumatological, or oncological disease
* Having a Mini Mental Test score of less than 24
* Being diagnosed with severe anxiety by a specialist physician
* Inability to complete the treatment program

Primary outcomes:
measure: Kinesiophobia assessed by Tampa Kinesiophobia Scale
timeFrame: first day after TKA
measure: Kinesiophobia assessed by Tampa Kinesiophobia Scale
timeFrame: 4th week after TKA
Secondary outcomes:
measure: knee pain assessed by Numerical Pain Rating Scale
timeFrame: first day after TKA
measure: knee pain assessed by Numerical Pain Rating Scale
timeFrame: 4th week after TKA
measure: pain catastrophizing assessed by Pain Catastrophizing Scale
timeFrame: first day after TKA
measure: pain catastrophizing assessed by Pain Catastrophizing Scale
timeFrame: 4th week after TKA
measure: knee range of motion assessed by universal goniometer
timeFrame: first day after TKA
measure: knee range of motion assessed by universal goniometer
timeFrame: 4th week after TKA
measure: objective functional measurement assessed by functional tests
timeFrame: first day after TKA
measure: objective functional measurement assessed by functional tests
timeFrame: 4th week after TKA
measure: subjective functional measurement assessed by Western Ontario and McMaster Universities Osteoarthritis Index
timeFrame: first day after TKA
measure: subjective functional measurement assessed by Western Ontario and McMaster Universities Osteoarthritis Index
timeFrame: 4th week after TKA
measure: quality of life assessed by Short Form 36
timeFrame: first day after TKA
measure: quality of life assessed by Short Form 36
timeFrame: 4th week after TKA
Other outcomes:
Locations:
city: Kırklareli
country: Turkey
facility: Kırklareli University
Study officials:
References: