Evidence map›Paper›PMID 32784745›Full record

ReviewJournal of clinical medicine2020

Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients' Rehabilitation.

Alessandra Berton, Umile Giuseppe Longo, Vincenzo Candela, Sara Fioravanti, Lucia Giannone, Valeria Arcangeli, Viviana Alciati, Claudia Berton, Gabriella Facchinetti, Anna Marchetti and 3 more

2 registry-linked trialsAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 79 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05904249 nacompletednot on this mapstarted 2022, after this paper: background citation

Investigation of the Effectiveness of Telerehabilitation in Individuals With Rotator Cuff Tear

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2022 to 2023Enrolled44ConditionsRotator Cuff Tears, Physiotherapy and Rehabilitation, Shoulder Pain, Rotator Cuff InjuriesArmsInternet Based Synchronized Telerehabilitation, Face-to-Face Rehabilitation
NCT07527845 completednot on this mapstarted 2022, after this paper: background citation

Feasibility of an Augmented Reality Novel Approach for the Rehabilitation of Chronic Low Back Pain Patients With Kinesiophobia

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2022 to 2024Enrolled17ConditionsLow Back Pain, Kinesiophobia (Fear of Movement), Healty VolunteersArmsAugmented Reality (AR) Rehabilitation System
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Alessandra BertonDepartment of Orthopedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy.
Umile Giuseppe LongoDepartment of Orthopedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy.ORCID 0000-0003-4063-9821
Vincenzo CandelaDepartment of Orthopedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy.
Sara FioravantiResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Lucia GiannoneResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Valeria ArcangeliResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Viviana AlciatiResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Claudia BertonSchool of Physiotherapy, Tor Vergata University of Rome, Via Orazio Raimondo 18, 00173 Rome, Italy.
Gabriella FacchinettiResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Anna MarchettiResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Emiliano SchenaLaboratory of Measurement and Biomedical Instrumentation, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0002-9696-1265
Maria Grazia De MarinisResearch Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Vincenzo DenaroDepartment of Orthopedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote virtual rehabilitation aroused growing interest in the last decades, and its role has gained importance following the recent spread of COVID19 pandemic. The advantages of virtual reality (VR), augmented reality (AR), gamification, and telerehabilitation have been demonstrated in several medical fields. In this review, we searched the literature for studies using these technologies for orthopedic rehabilitation and analyzed studies' quality, type and field of rehabilitation, patients' characteristics, and outcomes to describe the state of the art of VR, AR, gamification, and telerehabilitation for orthopedic rehabilitation.

methodsA comprehensive search on PubMed, Medline, Cochrane, CINAHL, and Embase databases was conducted. This review was performed according to PRISMA guidelines. Studies published between 2015 and 2020 about remote virtual rehabilitations for orthopedic patients were selected. The Methodological Index for Non-Randomized Studies (MINORS) and Cochrane Risk-of-Bias assessment tool were used for quality assessment.

results24 studies (9 randomized controlled trials (RCTs) and 15 non-randomized studies) and 2472 patients were included. Studies mainly concern telerehabilitation (56%), and to a lesser extent VR (28%), AR (28%), and gamification (16%). Remote virtual technologies were used following knee and hip arthroplasty. The majority of included patients were between 40 and 60 years old and had a university degree. Remote virtual rehabilitation was not inferior to face-to-face therapy, and physical improvements were demonstrated by increased clinical scores. Orthopedic virtual remote rehabilitation decreased costs related to transports, hospitalizations, and readmissions.

conclusionThe heterogeneity of included studies prevented a meta-analysis of their results. Age and social context influence adaptability to technology, and this can modify compliance to treatment and outcomes. A good relationship between patient and physiotherapist is essential for treatment compliance and new technologies are useful to maintain clinical interactions remotely. Remote virtual technologies allow the delivery of high-quality care at reduced costs. This is a necessity given the growing demand for orthopedic rehabilitation and increasing costs related to it. Future studies need to develop specific and objective methods to evaluate the clinical quality of new technologies and definitively demonstrate advantages of VR, AR, gamification, and telerehabilitation compared to face-to face orthopedic rehabilitation.

Indexed as

ankleaugmented realityelbowfemurfootgamificationhandhiphumeruskneeorthopedicphysiotherapyrehabilitationremote rehabilitationshoulderspinetelerehabilitationvirtual realityvirtual rehabilitationwrist

Identifiers

PMID32784745
PMCPMC7465609

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.