Gamification in Knee Replacement Rehabilitation

Summary

After total knee arthroplasty (TKA), knee is usually swollen, painful, and stiff. The main goal of post-operative physical rehabilitation is to achieve full extension and flexion of the knee to avoid contractures and stiffness. Also strengthening of quadriceps muscle and balance to help activities of daily living and overall mobility are important. The post-operative knee replacement rehabilitation includes the standard protocol in hospital phase and the standard home exercise instructions. Computer based exercising games (exergames) may be new method to increase training adherence and volume after TKA and thus improve results and effectiveness of the rehabilitation. However, evidence of effectiveness of rehabilitative exergaming on physical functioning is sparse and more research is needed to conduct evidence-based rehabilitation practices.

Therefore the present study examines the effectiveness of a 16-week gamified physiotherapy on physical functioning, life satisfaction and pain for patients after TKA compared to treatment as usual home exercise. The second objective is to validate the psychometric properties of WHODAS 2.0 (WHO Disability Assessment Schedule) and brief ICF (International classification of functioning, disability and health) core set of osteoarthritis questionnaire. Other objectives are to find out, what kind of understanding and experiences the participants have about the rehabilitation with exergames and to evaluate the usability and user experience of exergames.

Conditions

• Knee Osteoarthritis

Interventions

OTHER

Exergame

16-week home-based exercise intervention with exergaming system and usual treatment.

OTHER

Control

16-week home-based exercise by standard protocol and usual treatment.

Sponsors & Collaborators

• Turku University Hospital

  collaborator OTHER_GOV

• Turku University of Applied Sciences

  collaborator UNKNOWN

• Jyväskylä Central Hospital

  collaborator OTHER

• University of Oulu

  collaborator OTHER

• University of Jyvaskyla

  lead OTHER

Principal Investigators

• Keijo Mäkelä · Turku University Hospital

• Ari Heinonen · University of Jyvaskyla

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

60 Years

Max Age

75 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-11-27

Primary Completion

2021-03-24

Completion

2022-01-17

Countries

• Finland

Study Locations