Effect of virtual reality technology in postoperative rehabilitation of patients with total knee and hip arthroplasty replacement: a Meta-analysis
10.3760/cma.j.cn115682-20220303-00987
- VernacularTitle:虚拟现实技术在全膝、全髋关节置换患者术后康复中应用效果的Meta分析
- Author:
Yanan KAN
1
;
Yunchun BAO
;
Fuying YE
Author Information
1. 浙江中医药大学附属第一医院骨伤科,杭州 310000
- Keywords:
Arthroplasty, replacement, hip;
Arthroplasty, replacement, knee;
Virtual reality;
Rehabilitation;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2023;29(9):1219-1226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the effect of virtual reality technology in postoperative rehabilitation of patients with total knee and hip arthroplasty replacement.Methods:Randomized controlled trials of the effect of virtual reality technology in postoperative rehabilitation of patients with total knee and hip arthroplasty replacement were searched through PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, CBM, VIP and Wanfang data.The retrieval period was from the establishment of database to November 25, 2021. Literature screening, information extraction and quality evaluation were conducted by 2 researchers. RevMan 5.4 software was used for Meta-analysis.Results:A total of 9 literatures and 668 patients were included. The Meta-analysisresults showed that virtual reality technology compared with traditional rehabilitation methods could reduce pain score ( MD=-0.64, 95% CI: -0.86--0.42, P<0.001), improve joint function ( MD=-4.46, 95% CI: -5.85--3.07, P<0.001; MD=9.78, 95% CI: 6.61-12.95, P<0.001; SMD=1.84, 95% CI: 0.85-2.83, P<0.001), increase joint range of motion ( MD=7.25, 95% CI: 6.48-8.02, P<0.001), improve patient's balance function ( MD=6.20, 95% CI: 5.01-7.38, P<0.001) and quality of life ( SMD=1.30, 95% CI: 0.90-1.71, P<0.001) . Conclusions:Virtual reality technology can improve joint function, range of motion, balance function and quality of life of patients with total knee and hip arthroplastyreplacement, reduce pain scores. However, the existing evidence cannot prove the effect of virtual reality technology on psychological function, enthusiasm and interest of patients, and further discussion is needed in the future.