Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, Turkey
Approval Date: 2021
Thesis Language: Turkish
Student: Ozan GÜR
Supervisor: Selda Başar
Open Archive Collection: AVESIS Open Access Collection
Abstract:
This study aims to investigate the effect of virtual reality on pain, kinesiophobia, and function in patients undergoing total knee arthroplasty (TKA). In the study, 21 female patients who underwent TKA were divided into two groups as exercise (n=11) and virtual reality (n=10) groups. The exercise group was given a home exercise program to increase the range of motion and muscle strength, and training including walking, stair climbing, and positioning of the operated lower extremity after TKA. On the other hand, the virtual reality group was applied an immersive virtual reality in addition to the applications in the exercise group. After the first evaluations were made on the first day after TKA, the patients were asked to apply the treatments twice a day, two days a week, until the evaluation to be made in the fourth week. Pain (rest, night, funcitonal tests), kinesiophobia (Tampa Scale of Kinesiophobia), pain catastrophizing (Pain Catastrophizing Scale), edema (femoral condyle and 10 cm above femoral condyle), knee range of motion (active-passive knee flexion and extension), function (5 times sit-to-stand test (FTSST), timed up and go test (TUG), stair climb test (SCT), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)) and quality of life (Short Form 36 (SF-36)) were evaluated on the first day and fourth week after TKA. There was a statistically significant difference in pain intensity in the operated knee, active-passive flexion, and active extension angles, and pain intensities in the non-operated knee during functional tests after treatment in both groups (p<0.05). It was found that there was a statistically significant difference between pre and post-treatment in the non-operated knee in active knee flexion only in the exercise group, and in active knee extension only in the virtual reality group. Also the post-treatment kinesiophobia, pain catastrophizing, edema, function, and quality of life results of the groups were found to be significantly better than pre-treatment results (p<0.05). When the results between the groups were evaluated, strong effect size and statistically significant difference was found in favor of the exercise group in the pain intensity during FTSST in the operated knee, and in favor of the virtual reality group in the pain intensity at rest, at night and during TUG and active knee flexion (p<0.05). There was no significant difference between the groups in the non-operated knee (p>0.05). it was determined that virtual reality in addition to exercise had a strong effect size and was superior to exercise alone in pain, kinesiophobia, pain catastrophizing, TUG, and SCT after TKA (p<0,05). We recommend applying virtual reality in addition to exercise to improve pain, kinesiophobia and function in the early post-TKA period.
Key Words : Total knee arthroplasty, Virtual reality, Pain, Kinesiophobia, Function