Song Shiyu, Liu Zhixia, Zhang Quanying
The First Clinical College of Xinxiang Medical College, China.
The First Clinical College of Xinxiang Medical College, China.
Int J Orthop Trauma Nurs. 2024 Aug;54:101124. doi: 10.1016/j.ijotn.2024.101124. Epub 2024 Jul 27.
With the advent of an ageing era, the number of elderly patients undergoing knee joint replacement is increasing. Postoperative long-term standardized functional exercise is a focal point and difficulty in the recovery of joint function for patients after knee replacement. Virtual reality (VR) is increasingly considered a potentially effective option that can provide patients with a relaxed and enjoyable exercise method.
The primary objective of the scoping review to systematically evaluates the impact of virtual reality (VR) technology the movement and functional recovery, psychological state, pain levels, and quality of life of patients after total knee arthroplasty (TKA). It summarises and synthesises VR's effects and feasibility in TKA rehabilitation training, offering a scientific basis and reference for the professional advancement of orthopaedic practice nurses and future research in this domain.
We employed the Joanna Briggs Institute's scoping review guidelines as our methodological framework. The literature search spanned from January 2018 to December 31, 2023, encompassing databases such as PubMed, Web of Science, The Cochrane Library, Embase, CNKI, Wanfang, CQVIP, and the China Biomedical Literature Database.
An initial search yielded 2708 articles, with 17 studies meeting the inclusion criteria after stringent screening. The findings indicate that VR equipment primarily comprises VR goggles, handheld controllers, and sensor technology. Interventions typically occurred 3 to 5 times weekly, lasting 20-30 min per session. The principal assessment metrics included pain levels, psychological state, joint function, and quality of life.
VR technology proves feasible in the rehabilitation of TKA patients, effectively alleviating pain, enhancing psychological states, and improving joint function and quality of life. However, discrepancies exist regarding VR's effect on bolstering lower limb muscle strength. Future research should focus on evidence-based medical practices, optimising VR intervention strategies, developing customised plans tailored to individual patient differences, and potentially extending intervention durations to amplify VR technology's application effects in TKA patient rehabilitation.
随着老龄化时代的到来，接受膝关节置换的老年患者数量不断增加。术后长期规范的功能锻炼是膝关节置换术后患者关节功能恢复的重点和难点。虚拟现实（VR）越来越被认为是一种潜在有效的选择，它可以为患者提供一种轻松愉快的锻炼方式。
本综述的主要目的是系统评价虚拟现实（VR）技术对全膝关节置换术（TKA）患者运动和功能恢复、心理状态、疼痛程度及生活质量的影响。总结并综合VR在TKA康复训练中的作用及可行性，为骨科临床护士专业发展及该领域未来研究提供科学依据和参考。
我们采用乔安娜·布里格斯研究所的综述指南作为方法框架。文献检索时间跨度为2018年1月至2023年12月31日，涵盖PubMed、Web of Science、Cochrane图书馆、Embase、中国知网、万方、维普和中国生物医学文献数据库等数据库。
初步检索得到2708篇文章，经过严格筛选，有17项研究符合纳入标准。研究结果表明，VR设备主要包括VR护目镜、手持控制器和传感器技术。干预通常每周进行3至5次，每次持续20 - 30分钟。主要评估指标包括疼痛程度、心理状态、关节功能和生活质量。
VR技术在TKA患者康复中证明是可行的，能有效减轻疼痛、改善心理状态、提高关节功能和生活质量。然而，VR对增强下肢肌肉力量的效果存在差异。未来研究应聚焦于循证医学实践，优化VR干预策略，制定针对个体患者差异的个性化方案，并可能延长干预时间，以扩大VR技术在TKA患者康复中的应用效果。
