Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis
Postoperative pain after knee arthroplasty (TKA) is a reality that continues to be experienced today. Recently, virtual reality (VR) has demonstrated effectiveness in the management of pain. Our aim was to review the original controlled trials evaluating the effectiveness of VR for pain management a...
| Autores: | , , , , |
|---|---|
| Formato: | artículo |
| Fecha de publicación: | 2024 |
| País: | España |
| Recursos: | UVic-UCC |
| Repositorio: | RiUVic. Repositori institucional de la UVic-UCC |
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| Acesso em linha: | http://hdl.handle.net/10854/8466 https://doi.org/10.3390/life14030289 |
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| Palavra-chave: | Dolor Postoperatori Artroplàstia total de genoll Realitat virtual Realitat augmentada Metaanàlisi |
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Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-AnalysisEsteban-Sopeña, JaraBeltran-Alacreu, HectorTerradas-Monllor, MarcAvendaño-Coy, JuanGarcía-Magro, NuriaDolorPostoperatoriArtroplàstia total de genollRealitat virtualRealitat augmentadaMetaanàlisiPostoperative pain after knee arthroplasty (TKA) is a reality that continues to be experienced today. Recently, virtual reality (VR) has demonstrated effectiveness in the management of pain. Our aim was to review the original controlled trials evaluating the effectiveness of VR for pain management and quality of life after TKA. Six databases were searched for articles published from inception to September 2023, following (PRISMA) guidelines. The methodological quality was assessed using the Risk of Bias tool for Randomized Trials (ROB2). Five RCTs were included in the systematic review, and four of them in the meta-analysis. The effectiveness of VR for short term pain relief was superior compared to the control (MD = −0.8 cm; CI 95%: −1.3 to −0.4; p < 0.001). VR showed a greater effect on the secondary outcomes of WOMAC (MD = −4.6 points; CI 95%: −6.5 to −2.6, p < 0.001) and the HSS scale (MD = 6.5 points; CI 95%: 0.04 to 13.0, p = 0.049). However, no differences were found in the effect on the ROM between groups (MD = 3.4 grades; CI 95%: −6.0 to 12.8, p = 0.48). Our findings suggest that the use of virtual reality during the postoperative period could be an effective non-pharmacological therapy in relieving acute pain, compared to a control intervention, with a very low degree of certainty according to the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE). However, the low methodological quality of the articles limits our findings.MDPIUniversitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el BenestarUniversitat de Vic - Universitat Central de Catalunya. Grup de Recerca Methodology, methods, models and outcomes of health and social sciences (M3O)Universitat de Vic - Universitat Central de Catalunya. Centre d'Estudis Sanitaris i Socials2025202520252024info:eu-repo/semantics/articleinfo:eu-repo/publishedVersionapplication/pdf17 p.application/pdfhttp://hdl.handle.net/10854/8466https://doi.org/10.3390/life14030289reponame:RiUVic. Repositori institucional de la UVic-UCCinstname:UVic-UCCInglésAquest document està subjecte a aquesta llicència Creative Commonshttps://creativecommons.org/licenses/by/4.0/deed.cainfo:eu-repo/semantics/openAccessoai:dspace.uvic.cat:10854/84662026-06-07T19:15:21Z |
| dc.title.none.fl_str_mv |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| title |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| spellingShingle |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis Esteban-Sopeña, Jara Dolor Postoperatori Artroplàstia total de genoll Realitat virtual Realitat augmentada Metaanàlisi |
| title_short |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| title_full |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| title_fullStr |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| title_full_unstemmed |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| title_sort |
Effectiveness of Virtual Reality on Postoperative Pain, Disability and Range of Movement after Knee Replacement: A Systematic Review and Meta-Analysis |
| dc.creator.none.fl_str_mv |
Esteban-Sopeña, Jara Beltran-Alacreu, Hector Terradas-Monllor, Marc Avendaño-Coy, Juan García-Magro, Nuria |
| author |
Esteban-Sopeña, Jara |
| author_facet |
Esteban-Sopeña, Jara Beltran-Alacreu, Hector Terradas-Monllor, Marc Avendaño-Coy, Juan García-Magro, Nuria |
| author_role |
author |
| author2 |
Beltran-Alacreu, Hector Terradas-Monllor, Marc Avendaño-Coy, Juan García-Magro, Nuria |
| author2_role |
author author author author |
| dc.contributor.none.fl_str_mv |
Universitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el Benestar Universitat de Vic - Universitat Central de Catalunya. Grup de Recerca Methodology, methods, models and outcomes of health and social sciences (M3O) Universitat de Vic - Universitat Central de Catalunya. Centre d'Estudis Sanitaris i Socials |
| dc.subject.none.fl_str_mv |
Dolor Postoperatori Artroplàstia total de genoll Realitat virtual Realitat augmentada Metaanàlisi |
| topic |
Dolor Postoperatori Artroplàstia total de genoll Realitat virtual Realitat augmentada Metaanàlisi |
| description |
Postoperative pain after knee arthroplasty (TKA) is a reality that continues to be experienced today. Recently, virtual reality (VR) has demonstrated effectiveness in the management of pain. Our aim was to review the original controlled trials evaluating the effectiveness of VR for pain management and quality of life after TKA. Six databases were searched for articles published from inception to September 2023, following (PRISMA) guidelines. The methodological quality was assessed using the Risk of Bias tool for Randomized Trials (ROB2). Five RCTs were included in the systematic review, and four of them in the meta-analysis. The effectiveness of VR for short term pain relief was superior compared to the control (MD = −0.8 cm; CI 95%: −1.3 to −0.4; p < 0.001). VR showed a greater effect on the secondary outcomes of WOMAC (MD = −4.6 points; CI 95%: −6.5 to −2.6, p < 0.001) and the HSS scale (MD = 6.5 points; CI 95%: 0.04 to 13.0, p = 0.049). However, no differences were found in the effect on the ROM between groups (MD = 3.4 grades; CI 95%: −6.0 to 12.8, p = 0.48). Our findings suggest that the use of virtual reality during the postoperative period could be an effective non-pharmacological therapy in relieving acute pain, compared to a control intervention, with a very low degree of certainty according to the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE). However, the low methodological quality of the articles limits our findings. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024 2025 2025 2025 |
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info:eu-repo/semantics/article info:eu-repo/publishedVersion |
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article |
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http://hdl.handle.net/10854/8466 https://doi.org/10.3390/life14030289 |
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http://hdl.handle.net/10854/8466 https://doi.org/10.3390/life14030289 |
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Inglés |
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Inglés |
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Aquest document està subjecte a aquesta llicència Creative Commons https://creativecommons.org/licenses/by/4.0/deed.ca info:eu-repo/semantics/openAccess |
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Aquest document està subjecte a aquesta llicència Creative Commons https://creativecommons.org/licenses/by/4.0/deed.ca |
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openAccess |
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application/pdf 17 p. application/pdf |
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MDPI |
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MDPI |
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