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Exergames to improve rehabilitation after knee arthroplasty: a systematic review and grade evidence synthesis
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Orientador(es)
Resumo(s)
Objective: We aimed to systematically review and synthesise the impact of rehabilitation with games
in people after knee arthroplasty.
Methods: We conducted a systematic review following the Preferred Reporting Items for the declaration
of Systematic Reviews (PRISMA – Preferred Reporting Items for Systematic Reviews and Meta-
Analysis). The summary of evidence was developed using the Grading of Recommendations,
Assessment, Development, and Assessment (GRADE). The review included randomised controlled trials
that used characteristics of games in rehabilitation.
Results: Eight articles from a total of 1289 identified articles were included after duplicates were
removed. In total, 239 participants participated. There were no statistically significant changes between
the groups using the exergames and control groups. The level of evidence was rated using GRADE
and was very low or moderate. The difference in grouped means was not significant for Knee Flexion,
Knee extension, Range of Motion, WOMAC (Western Ontario and McMaster Universities Arthritis Index),
AKSS (American Knee Society Score), Self-Efficacy, Five Times Sit-to-Stand Test time, Pain, or
Proprioception.
Conclusions: The results of the different studies did not find significant changes in the intervention
groups with exergames in the physical domains, especially in studies with shorter interventions.
Therefore, further investment in future studies on developing and evaluating games is suggested to
enhance training during the recovery process.
Descrição
Palavras-chave
Arthroplasty Exergames Games Knee
Contexto Educativo
Citação
Fernandes, C.S., Magalhães, B., Gomes, J. A., Lima, A., & Santos, C. (2022). Exergames to improve rehabilitation after knee arthroplasty: a systematic review and grade evidence synthesis, European Journal of Physiotherapy, 1-12
Editora
Taylor and Francis Group