Effects of Weight-Bearing Biofeedback Training on Functional Movement Patterns Following Total Knee Arthroplasty: A Randomized Controlled Trial

Christiansen, Cory L.; Bade, Michael; Davidson, Bradley S.; Dayton, Michael R.; Stevens-Lapsley, Jennifer E.

doi:10.2519/jospt.2015.5593

Cited by 49 publications

(72 citation statements)

References 31 publications

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“…The methodological quality of the analysed research rated on the PEDro scale ranged from moderate quality—4 points [ 22 , 29 ]—to high quality—8 points [ 24 ]—with a mean score of 5.9 points (moderate quality). Four studies were high quality above 7 points on the PEDro scale [ 22 , 23 , 27 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…In most physiotherapy research, blinding is difficult due to the specifics of carrying out interventions. However, blinding all test assessors is possible and should be used in RCT, which concerned about half of the included studies [ 23 , 24 , 26 , 28 , 30 ]. The highest quality in evidence-based medicine and evidence-based practice is obtained by randomized double-blind or triple-blind control trials.…”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Byra

Czernicki

2020

JCM

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Osteoarthritis (OA) is a common health problem leading to pain, limitation in physical function, a decrease in the quality of life and disability. OA affects 60–70% of the population above 65 years of age all over the world, and is associated with a high cost of healthcare. The main method of treatment of OA, apart from pharmacotherapy and surgery, is comprehensive rehabilitation. Advances in medical technology have resulted in the possibility of using computer-assisted interventions in rehabilitation. The present narrative review is aimed at investigating the effectiveness of virtual reality (VR) in the rehabilitation of elderly patients with knee or hip osteoarthritis, including patients after arthroplasty. This literature review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was carried out in five databases: PubMed, Medline, Web of Science, Scopus and PEDro. It includes ten randomized controlled trials focused on the application of games and biofeedback in the rehabilitation of patients with knee and hip osteoarthritis. There are no conclusive reports that interventions based on VR are more effective than standard physical therapy. Moreover, evidence regarding patients after total hip arthroplasty (THA) is very scarce. The effectiveness of VR-based rehabilitation is unclear, although interventions based on VR are promising in view of pain management, postural and proprioception training. However, this evidence is not sufficient to create clinical guidelines and further high-quality studies are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

Byra

Czernicki

2020

JCM

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“…As shown in Table 3 , function was significantly improved by perioperative interventions in 18 studies. Pain coping skills training [ 62 ], audiorecording guided imagery scripts [ 61 ], video promoting self-confidence and psychological support [ 64 ], music [ 35 , 36 ], occupational therapy in combination with self-monitoring using a diary [ 68 ], various types of education [ 41 , 43 , 45 , 47 , 51 – 53 ], weight-bearing biofeedback training [ 67 ], and psychological therapies (behavioural change intervention [ 60 ] and cognitive behavioural therapy [ 57 – 59 ]) positively affected any, but not all, of the functional outcome measures after TKA. In the most recent study by Riddle et al [ 63 ], patients receiving pain coping skills training did not have significantly better scores on WOMAC function and the short physical performance battery.…”

Section: Resultsmentioning

confidence: 99%

The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

et al. 2020

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Our aim was to assess the effect of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty (TKA). We searched studies on the effect of perioperative interventions focused on psychological distress used in conjunction with TKA on pain, function, and quality of life (QoL) on PubMed, Embase.com, PsycINFO/OVID, CENTRAL, the Cochrane Database of Systematic Reviews, Scopus, and Web of Science. We included 40 studies (22 RCTs, ten cohort studies, and eight quasi-experimental studies) with a total of 3846 patients. We graded the quality of evidence as low for pain and function and as moderate for QoL. Patients receiving music, education, cognitive behavioural therapy, guided imagery, pain coping skills training, Reiki, occupational therapy with self-monitoring, and biofeedback-assisted progressive muscles relaxing training had lower pain scores or declined opioid prescriptions after TKA. Pain coping skills training, audio recording-guided imagery scripts, video promoting self-confidence, psychological therapies by video, Reiki, music, occupational therapy with self-monitoring, education, and psychotherapy improved postoperative functional outcome. Education through an app improved QoL after TKA. The studies in our systematic review show that perioperative interventions targeting psychological distress for patients receiving TKA seem to have a positive effect on postoperative pain, function, and QoL. RCTs with strict methodological safeguards are still needed to determine if perioperative interventions focused on psychological distress should be used in conjunction with TKA. These studies should also assess which type of intervention will be most effective in improving patient-reported outcome measures and declining opioid prescriptions.

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“…Real-time biofeedback applied in people with various knee joint pathologies have almost exclusively focused on augmenting peak vGRF (Zeni Jr et al, 2013;Christiansen et al, 2015;Luc-Harkey et al, 2018a;Luc-Harkey et al, 2018b). Both vGRF and pKEM biofeedback encourage individual participants to systematically manipulate their gait patterns, for example to optimize joint loading relevant to OA development.…”

Section: Discussionmentioning

confidence: 99%

The effects of knee extensor moment biofeedback on gait biomechanics and quadriceps contractile behavior

Munsch

Pietrosimone

Franz

2020

PeerJ

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Individuals with knee joint pathologies exhibit quadriceps dysfunction that, during walking, manifests as smaller peak knee extensor moment (pKEM) and reduced knee flexion excursion. These changes persist despite muscle strengthening and may alter stance phase knee joint loading considered relevant to osteoarthritis risk. Novel rehabilitation strategies that more directly augment quadriceps mechanical output during functional movements are needed to reduce this risk. As an important first step, we tested the efficacy of real-time biofeedback during walking to prescribe changes of ±20% and ±40% of normal walking pKEM values in 11 uninjured young adults. We simultaneously recorded knee joint kinematics, ground reaction forces, and, via ultrasound, vastus lateralis (VL) fascicle length change behavior. Participants successfully responded to real-time biofeedback and averaged up to 55% larger and 51% smaller than normal pKEM values with concomitant and potentially favorable changes in knee flexion excursion. While the VL muscle-tendon unit (MTU) lengthened, VL fascicles accommodated weight acceptance during walking largely through isometric, or even slight concentric, rather than eccentric action as is commonly presumed. Targeted pKEM biofeedback may be a useful rehabilitative and/or scientific tool to elicit desirable changes in knee joint biomechanics considered relevant to the development of osteoarthritis.

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Effects of Weight-Bearing Biofeedback Training on Functional Movement Patterns Following Total Knee Arthroplasty: A Randomized Controlled Trial

Cited by 49 publications

References 31 publications

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

The Effectiveness of Virtual Reality Rehabilitation in Patients with Knee and Hip Osteoarthritis

The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

The effects of knee extensor moment biofeedback on gait biomechanics and quadriceps contractile behavior

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