The Effectiveness of Virtual Reality in Rehabilitation of Athletes: A Systematic Review and Meta-Analysis | [Journal of Pioneering Medical Sciences • 2024]

Author(s):

1. Ahmed M. Almansour: Department of Physical Therapy, College of Applied Medical Sciences, Majmaah University,Al-Majmaah 11952,Saudi Arabia

Abstract:

Background: Recent advancements in Virtual Reality (VR) and Artificial Intelligence (AI) particularly within athletic training have innovatively redefined rehabilitation strategies. This study aimed to evaluate the efficacy of VR in athlete rehabilitation was undertaken. Methods: This review considered inclusion of peer-reviewed studies published up to October 2023. The criteria for their inclusion were that these studies compared VR-based rehabilitation methods with traditional techniques among athletic populations. We extracted data on several factors: physical function indices, kinematic waveforms, ground reaction force (GRF), knee moments and joint angles. The study employed a random-effects (RE) model to accommodate between-study variability; subsequently, it calculated mean differences (MD) and 95% confidence intervals (CI) for meta-analytic comparison. Results: Incorporating findings from four studies, the review reported enhanced physical function indices in VR-based rehabilitation groups; these groups exhibited improved strength recovery-though not necessarily at an optimal speed. Researchers observed increases in ground reaction forces (GRF) and knee moments among athletes who had undergone ACL rehabilitation when they employed virtual reality (VR). The studies highlighted substantial heterogeneity-implying that the impact of VR on rehabilitation outcomes varies significantly. Conclusion: The marked heterogeneity among these studies suggests that various factors may influence the effectiveness of VR in rehabilitation - thus necessitating additional research for comprehensive understanding its role. Nonetheless - given its potential value as an adjunctive aid for athletic rehab - further scrutiny is indeed warranted regarding VR's applicability here.

Page(s): 147-154

DOI: 10.61091/jpms202413423

Published: Journal: Journal of Pioneering Medical Sciences, Volume: 13, Issue: 4, Year: 2024

Keywords:

rehabilitation , virtual reality , Physical Therapy , athletes , joint kinematics , injury recovery , athletic training

References:

[1] Schuermans J.,Van Hootegem A.,Van Gendt M.,Witvrouw E.,Wezenbeek E. .2022 .Extended reality in musculoskeletal rehabilitation and injury prevention-A systematic review. Physical Therapy in Sport, 55 : 229-240.

[2] Maresca G.,Maggio M. G.,De Luca,Manuli R.,Tonin A.,Pignolo P.,Calabrò L.,R. S. L. .2020 .Tele-neuro-rehabilitation in Italy: state of the art and future perspectives. Frontiers in Neurology, 11 : 563375.

[3] Dhillon H.,Dhilllon S.,Dhillon M. S. .2017 .Current concepts in sports injury rehabilitation. Indian Journal of Orthopaedics, 51(5) : 529-536.

[4] Kumar S.,Kumar A.,Kumar M.,Kumar A.,Arora R.,Sehrawat R. .2020 .Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: a preliminary study. Journal of Clinical Orthopaedics and Trauma, 11 : S704-S710.

[5] Sahu D.,Rathod V.,Phadnis A.,Bansal S. S. .2021 .Telehealth for consultation and shoulder rehabilitation: a preliminary study on the perspectives of 30 patients during the COVID-19 lockdown. Clinics in Shoulder and Elbow, 24(3) : 156.

[6] Wang Q.,Lee R. L. T.,Hunter S.,Chan S. W. C. .2021 .The effectiveness of internet-based telerehabilitation among patients after total joint arthroplasty: An integrative review. International Journal of Nursing Studies, 115 : 103845.

[7] Maresca G.,Maggio M. G.,De Luca,Manuli R.,Tonin A.,Pignolo P.,Calabrò L.,R. S. L. .2020 .Tele-neuro-rehabilitation in Italy: state of the art and future perspectives. Frontiers in Neurology, 11 : 563375.

[8] Phuphanich M. E.,Sinha K. R.,Truong M.,Pham Q. G. .2021 .Telemedicine for musculoskeletal rehabilitation and orthopedic postoperative rehabilitation. Physical Medicine and Rehabilitation Clinics, 32(2) : 319-353.

[9] Bettger J. P.,Green C. L.,Holmes D. N.,Chokshi A.,Mather III,Hoch B. T.,Peterson E. D. .2020 .Effects of virtual exercise rehabilitation in-home therapy compared with traditional care after total knee arthroplasty: VERITAS, a randomized controlled trial. JBJS, 102(2) : 101-109.

[10] Castrodad Dávila,Recai I. M.,Abraham T. M.,Etcheson M. M.,Mohamed J. I.,Edalatpour N. S.,Delanois A.,R. E. A. .2019 .Rehabilitation protocols following total knee arthroplasty: a review of study designs and outcome measures. Annals of Translational Medicine, 7(Suppl 7) : S255.

[11] Christiansen C. L.,Bade M. J.,Davidson B. S.,Dayton M. R.,Stevens-Lapsley J. E. .2015 .Effects of weight-bearing biofeedback training on functional movement patterns following total knee arthroplasty: a randomized controlled trial. Journal of Orthopaedic & Sports Physical Therapy, 45(9) : 647-655.

[12] Blasco J.,Igual-Camacho C.,Blasco M.,Anton-Anton V.,Ortiz-Llueca L.,Roig-Casasus S. .2021 .The efficacy of virtual reality tools for total knee replacement rehabilitation: A systematic review. Physiotherapy Theory and Practice, 37(6) : 682-692.

[13] Fung V.,Ho A.,Shaffer J.,Chung E.,Gomez M. .2012 .Use of Nintendo Wii Fit™ in the rehabilitation of outpatients following total knee replacement: a preliminary randomised controlled trial. Physiotherapy, 98(3) : 183-188.

[14] Page M. J.,McKenzie J. E.,Bossuyt P. M.,Boutron I.,Hoffmann T. C.,Mulrow C. D.,Moher D. .2021 .The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Bmj, 372 : .

[15] Lo C. K. L.,Mertz D.,Loeb M. .2014 .Newcastle-Ottawa Scale: comparing reviewers' to authors' assessments. Bmc Medical Research Methodology, 14 : 1-5.

[16] Song B.,Tuo P. .2022 .. Application of Artificial Intelligence and Virtual Reality Technology in the Rehabilitation Training of Track and Field Athletes. Wireless Communications and Mobile Computing, : 9828199.

[17] DiCesare C. A.,Kiefer A. W.,Bonnette S.,Myer G. D. .2020 .Highrisk lower-extremity biomechanics evaluated in simulated Soccer-Specific virtual environments. Journal of Sport Rehabilitation, 29(3) : 294-300.

[18] Gokeler A.,Bisschop M.,Myer G. D.,Benjaminse A.,Dijkstra H. G.,Otten E. .2016 .Immersive virtual reality improves movement patterns in patients after ACL reconstruction: implications for enhanced criteria-based return-to-sport rehabilitation. Knee Surgery, 24 : 2280-2286.

[19] Kiefer A. W.,Bonnette C.,Kitchen S.,Gadd K.,Thomas B.,Silva S.,P. S. .2017 .Sport-specific virtual reality to identify proifles of anterior cruciate ligament injury risk during unanticipated cutting. In 2017 International Conference on Virtual Rehabilitation (ICVR), : 1-8.

[20] Gazendam A.,Zhu M.,Chang Y.,Phillips S.,Bhandari M. .2022 .Virtual reality rehabilitation following total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. Knee Surgery, 30(8) : 2548-2555.

[21] Lal H.,Mohanta S.,Kumar J.,Patralekh M. K.,Lall L.,Katariya H.,Arya R. K. .2023 .Telemedicine-Rehabilitation and Virtual Reality in Orthopaedics and Sports Medicine. Indian Journal of Orthopaedics, 57(1) : 7-19.

[22] Putranto J. S.,Heriyanto J.,Achmad S.,Kurniawan A. .2023 .Implementation of virtual reality technology for sports education and training: Systematic literature review. Procedia Computer Science, 216 : 293-300.

[23] Asadzadeh A.,Samad-Soltani T.,Salahzadeh Z.,Rezaei-Hachesu P. .2021 .Effectiveness of virtual reality-based exercise therapy in rehabilitation: A scoping review. Informatics in Medicine Unlocked, 24 : 100562.

[24] Bilika P.,Karampatsou N.,Stavrakakis G.,Paliouras A.,Theodorakis Y.,Strimpakos N.,Kapreli E.,Healthcare E. .2023 .Virtual Reality-Based Exercise Therapy for Patients with Chronic Musculoskeletal Pain: A Scoping Review. , 17 : 2412.

[25] Fang M.,You F.,Yao R. .1852 .Application of virtual reality technology (VR) in practice teaching of sports rehabilitation major. In Journal of Physics: Conference Series, 4 : 042007.

[26] Nambi G.,Abdelbasset W. K.,Alrawaili S. M.,Alsubaie S. F.,Abodonya A. M.,Saleh A. K. .2021 .Virtual reality or isokinetic training; its effect on pain, kinesiophobia and serum stress hormones in chronic low back pain: A randomized controlled trial. Technology and Health Care, 29(1) : 155-166.

[27] Nusser M.,KRAMER M.,KNAPP M.,Krischak S.,G. S. .2021 .Effects of virtual reality-based neck-specific sensorimotortraining in patients with chronic neck pain: A randomized controlled pilot trial. Journal of Rehabilitation Medicine, 53(2) : 2746.

[28] Grassini S. .2022 .Virtual reality assisted non-pharmacological treatments in chronic pain management: a systematic review and quantitative meta-analysis. International Journal of Environmental Research and Public Health, 19(7) : 4071.

[29] Tao G.,Garrett B.,Taverner T.,Cordingley E.,Sun C. .2021 .Immersive virtual reality health games: a narrative review of game design. Journal of NeuroEngineering and Rehabilitation, 18 : 1-21.

[30] Thomas J. S.,Applegate C. R.,Leitkam M. E.,Walkowski S. T.,S. S. T. .2016 .Feasibility and safety of a virtual reality dodgeball intervention for chronic low back pain: a randomized clinical trial. The Journal of Pain, 17(12) : 1302-1317.

[31] Jr LaViola,J. J. LaViola .2000 .A discussion of cybersickness in virtual environments. ACM Sigchi Bulletin, 32(1) : 47-56.

[32] Caserman P.,Garcia-Agundez A.,Gámez Zerban,Göbel A.,S. A. .2021 .Cybersickness in current-generation virtual reality head-mounted displays: systematic review and outlook. Virtual Reality, 25(4) : 1153-1170.

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