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| Name | Class |
|---|---|
| Turku University Hospital | OTHER_GOV |
| Turku University of Applied Sciences | OTHER |
| Jyväskylä Central Hospital | OTHER |
| University of Oulu |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exergame | Experimental | Home-based exergame intervention and usual treatment. |
|
| Control | Experimental | Home-exercise by standard protocol and usual treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exergame | Other | 16-week home-based exercise intervention with exergaming system and usual treatment. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Function and pain related to knee | Oxford Knee Score | Change from pre-operative baseline at 2 and 4 months post-operative. |
| Change in Mobility | Timed Up and Go | Change from pre-operative baseline at 2 and 4 months post-operative. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Function and pain related to knee | Oxford knee score | Change from pre-operative baseline at 12 months post-operative. |
| Change in Mobility | Timed Up and Go |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity | Physical activity diary | Through study completion, an average of 1 year |
| Satisfaction with the operated knee | Questionnaire |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Keijo Mäkelä | Turku University Hospital | Principal Investigator |
| Ari Heinonen | University of Jyvaskyla | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Central Finland Central Hospital | Jyväskylä | Finland | ||||
| University of Jyväskylä |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36441574 | Background | Aartolahti E, Janhunen M, Katajapuu N, Paloneva J, Pamilo K, Oksanen A, Keemu H, Karvonen M, Luimula M, Korpelainen R, Jamsa T, Makela K, Heinonen A. Effectiveness of Gamification in Knee Replacement Rehabilitation: Protocol for a Randomized Controlled Trial With a Qualitative Approach. JMIR Res Protoc. 2022 Nov 28;11(11):e38434. doi: 10.2196/38434. | |
| 36896366 |
| Label | URL |
|---|---|
| Primary results | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| Metadata | View IPD |
Sensitive parts of the data cannot be anonymized and thus cannot be openly published. Sensitive data will be stored in JYX (Jyväskylä University Digital Repository), only the metadata will be public, and access to the data can be requested and granted on certain conditions. Metadata published in the Jyväskylä University Digital Repository. Heinonen A, Janhunen M, Aarto-lahti E, et al. Metadata from: Gamification in Knee Replacement Rehabilitation (BEE-RCT). V.2.2.2023 doi:10.17011/jyx/dataset/85350
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D000088544 | Exergaming |
| ID | Term |
|---|---|
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
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| OTHER |
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| Control | Other | 16-week home-based exercise by standard protocol and usual treatment. |
|
| Change from pre-operative baseline at 12 months post-operative. |
| Change in Walking | 10-m Walking speed | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in Lower extremity performance | Short Physical Performance Battery | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in Muscle strength | Isometric knee extension and flexion strength | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in Knee range of motion | Goniometer | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in knee pain (VAS) | Visual analogue scale (0 to 100 mm), Constant score (0 to 100 points) | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in Disability | WHO disability scale (WHODAS 2.0.) | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in Pain | Knee injury and Osteoarthritis Outcome Score (KOOS) subscale on pain. | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in other symptoms such as swelling, restricted range of motion and mechanical symptoms | Knee injury and Osteoarthritis Outcome Score (KOOS) subscale on symptoms | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in quality of life (QOL) | Knee injury and Osteoarthritis Outcome Score (KOOS) subscale on QOL | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in activities of daily living (ADL) Function | Knee injury and Osteoarthritis Outcome Score (KOOS) subscale on ADL | pre-operative baseline and 2, 4 and 12 months post-operative |
| Change in Sport and Recreation Function | Knee injury and Osteoarthritis Outcome Score (KOOS) subscale on Sport and Recreation Function | pre-operative baseline and 2, 4 and 12 months post-operative |
| 2, 4 and 12 months post-operative |
| Jyväskylä |
| Finland |
| Turku University Hospital | Turku | Finland |
| Turku University of Applied Sciences | Turku | Finland |
| Janhunen M, Katajapuu N, Paloneva J, Pamilo K, Oksanen A, Keemu H, Karvonen M, Luimula M, Korpelainen R, Jamsa T, Kautiainen H, Makela K, Heinonen A, Aartolahti E. 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 Exerc Med. 2023 Mar 3;9(1):e001416. doi: 10.1136/bmjsem-2022-001416. eCollection 2023. |
| Study protocol | View source |
Metadata published in the Jyväskylä University Digital Repository. Heinonen A, Janhunen M, Aartolahti E, et al. Metadata from: Gamification in Knee Replacement Rehabilitation (BEE-RCT) |
| D012216 |
| Rheumatic Diseases |
| D001519 | Behavior |
| D055687 |
| Musculoskeletal and Neural Physiological Phenomena |