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Active video games for knee osteoarthritis improve mobility but not WOMAC score: A randomized controlled trial / Yu-Ting Lin in Annals of physical and rehabilitation medicine, Vol. 63 n° 6 (November 2020)
[article] Active video games for knee osteoarthritis improve mobility but not WOMAC score: A randomized controlled trial [texte imprimé] / Yu-Ting Lin, Auteur ; Wen-Chung Lee, Auteur ; Ru-Lan Hsieh, Auteur . - 2020 . - p. 458-465.
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in Annals of physical and rehabilitation medicine > Vol. 63 n° 6 (November 2020) . - p. 458-465
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Tags : Knee osteoarthritis Active video games Therapeutic exercise Effect Résumé : Background: Active video games (AVGs) have become popular and have been investigated for their therapeutic purposes. However, the effect of AVGs on patients with knee osteoarthritis (OA) remains uncertain.
Objective: We aimed to compare the effects of AVGs with those of traditional therapeutic exercise on patients with knee OA.
Method: This was a prospective single-blind, randomized controlled trial. Participants (n =80) with knee OA were allocated to the AVGs group (n =40) or therapeutic exercise group (n =40). Both groups received treatment 3 times a week for 4 weeks. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and secondary outcome measures were the World Health Organization Quality of Life-Brief Vision, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, physical functional performance (including time for 10-m walking and for ascending and descending stairs), Biodex Stability System, Chronic Pain Grade Questionnaire, and Work Ability Index. The patients were evaluated at baseline, 2 and 4 weeks after treatment, and 1 and 3 months after treatment completion.
Results: Both groups showed significant time effect in the pain subcategory of the WOMAC (P =0.047). However, we found no significant group×time interaction effect between the groups at any follow-up assessments for pain (P =0.066), stiffness (P =0.284), or physical function (P =0.179) for the WOMAC. Among the secondary outcomes, we found significant group×time effects favoring the AVG group in dynamic balance (P =0.020), and physical functional performance including 10-m walking time (P =0.002) and stair ascent time (P =0.005), and the physical domain of health (P =0.032).
Conclusions: Therapeutic exercises and playing AVGs similarly improved the pain of patients with knee OA; however, playing AVGs improved dynamic balance, physical functional performance, and physical health more than therapeutic exercises did.
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