Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial
Objectives To investigate the effects of 4 months of customised, home-based exergaming on physical function and pain after total knee replacement (TKR) compared with standard exercise protocol.Methods In this non-blinded randomised controlled trial, 52 individuals aged 60–75 years undergoing TKR wer...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-03-01
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| Series: | BMJ Open Sport & Exercise Medicine |
| Online Access: | https://bmjopensem.bmj.com/content/9/1/e001416.full |
| _version_ | 1811160099540959232 |
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| author | Ari Heinonen Raija Korpelainen Hannu Kautiainen Juha Paloneva Konsta Pamilo Timo Jämsä Niina Katajapuu Hannes Keemu Maarit Janhunen Airi Oksanen Mikko Karvonen Mika Luimula Keijo Mäkelä Eeva Aartolahti |
| author_facet | Ari Heinonen Raija Korpelainen Hannu Kautiainen Juha Paloneva Konsta Pamilo Timo Jämsä Niina Katajapuu Hannes Keemu Maarit Janhunen Airi Oksanen Mikko Karvonen Mika Luimula Keijo Mäkelä Eeva Aartolahti |
| author_sort | Ari Heinonen |
| collection | DOAJ |
| description | Objectives To investigate the effects of 4 months of customised, home-based exergaming on physical function and pain after total knee replacement (TKR) compared with standard exercise protocol.Methods In this non-blinded randomised controlled trial, 52 individuals aged 60–75 years undergoing TKR were randomised into an exergaming (intervention group, IG) or a standard exercising group (control group, CG). Primary outcomes were physical function and pain measured before and after (2 months and 4 months) surgery using the Oxford Knee Score (OKS) and Timed Up and Go (TUG) test. Secondary outcomes included measures of the Visual Analogue Scale, 10m walking, short physical performance battery, isometric knee extension and flexion force, knee range of movement and satisfaction with the operated knee.Results Improvement in mobility measured by TUG was greater in the IG (n=21) at 2 (p=0.019) and 4 months (p=0.040) than in the CG (n=25). The TUG improved in the IG by −1.9 s (95% CI, −2.9 to −1.0), while it changed by −0.6 s (95% CI −1.4 to 0.3) in the CG. There were no differences between the groups in the OKS or secondary outcomes over 4 months. 100% of patients in the IG and 74% in the CG were satisfied with the operated knee.Conclusion In patients who have undergone TKR, training at home with customised exergames was more effective in mobility and early satisfaction and as effective as standard exercise in pain and other physical functions. In both groups, knee-related function and pain improvement can be considered clinically meaningful.Trial registration number NCT03717727. |
| first_indexed | 2024-04-10T05:51:55Z |
| format | Article |
| id | doaj.art-7a81803990ed41b0bbaf6e3b90ddd3a0 |
| institution | Directory Open Access Journal |
| issn | 2055-7647 |
| language | English |
| last_indexed | 2024-04-10T05:51:55Z |
| publishDate | 2023-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Sport & Exercise Medicine |
| spelling | doaj.art-7a81803990ed41b0bbaf6e3b90ddd3a02023-03-04T10:30:10ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472023-03-019110.1136/bmjsem-2022-001416Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trialAri Heinonen0Raija Korpelainen1Hannu Kautiainen2Juha Paloneva3Konsta Pamilo4Timo Jämsä5Niina Katajapuu6Hannes Keemu7Maarit Janhunen8Airi Oksanen9Mikko Karvonen10Mika Luimula11Keijo Mäkelä12Eeva Aartolahti131 Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland6 Department of Sports and Exercise Clinic, Oulu Deaconess Institute, Oulu, FinlandFolkhälsan Research Center, Samfundet Folkhälsan, Helsinki, FinlandOrthopaedics and Traumatology, Central Finland Central Hospital, Jyvaskyla, Finland4 Department of Surgery, Central Finland Central Hospital, Jyväskylä, FinlandMedical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland4Turku University of Applied Sciences, Turku, Finland1 Department of Orthopedics and Traumatology, Turku University Hospital, Turku, FinlandFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, FinlandDepartment of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, FinlandDepartment of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, FinlandFaculty of Business and Engineering, Turku University of Applied Sciences, Turku, FinlandDepartment of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, FinlandInstitute of Rehabilitation, JAMK University of Applied Sciences, Jyväskylä, FinlandObjectives To investigate the effects of 4 months of customised, home-based exergaming on physical function and pain after total knee replacement (TKR) compared with standard exercise protocol.Methods In this non-blinded randomised controlled trial, 52 individuals aged 60–75 years undergoing TKR were randomised into an exergaming (intervention group, IG) or a standard exercising group (control group, CG). Primary outcomes were physical function and pain measured before and after (2 months and 4 months) surgery using the Oxford Knee Score (OKS) and Timed Up and Go (TUG) test. Secondary outcomes included measures of the Visual Analogue Scale, 10m walking, short physical performance battery, isometric knee extension and flexion force, knee range of movement and satisfaction with the operated knee.Results Improvement in mobility measured by TUG was greater in the IG (n=21) at 2 (p=0.019) and 4 months (p=0.040) than in the CG (n=25). The TUG improved in the IG by −1.9 s (95% CI, −2.9 to −1.0), while it changed by −0.6 s (95% CI −1.4 to 0.3) in the CG. There were no differences between the groups in the OKS or secondary outcomes over 4 months. 100% of patients in the IG and 74% in the CG were satisfied with the operated knee.Conclusion In patients who have undergone TKR, training at home with customised exergames was more effective in mobility and early satisfaction and as effective as standard exercise in pain and other physical functions. In both groups, knee-related function and pain improvement can be considered clinically meaningful.Trial registration number NCT03717727.https://bmjopensem.bmj.com/content/9/1/e001416.full |
| spellingShingle | Ari Heinonen Raija Korpelainen Hannu Kautiainen Juha Paloneva Konsta Pamilo Timo Jämsä Niina Katajapuu Hannes Keemu Maarit Janhunen Airi Oksanen Mikko Karvonen Mika Luimula Keijo Mäkelä Eeva Aartolahti Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial BMJ Open Sport & Exercise Medicine |
| title | Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial |
| title_full | Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial |
| title_fullStr | Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial |
| title_full_unstemmed | Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial |
| title_short | Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial |
| title_sort | effects of a home based exergaming intervention on physical function and pain after total knee replacement in older adults a randomised controlled trial |
| url | https://bmjopensem.bmj.com/content/9/1/e001416.full |
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