背景:随着老龄化时代的到来,接受膝关节置换术的老年患者数量正在增加。术后长期规范化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的有效选择,可以为患者提供轻松愉快的锻炼方法。
目的:范围审查的主要目的是系统地评估虚拟现实(VR)技术对运动和功能恢复的影响,心理状态,疼痛程度,全膝关节置换术(TKA)后患者的生活质量。总结和综合了VR在TKA康复训练中的效果和可行性,为骨科实习护士的专业发展和未来该领域的研究提供科学依据和参考。
方法:我们采用乔安娜·布里格斯研究所的范围审查指南作为我们的方法框架。文献检索从2018年1月到2023年12月31日,包括PubMed等数据库,WebofScience,科克伦图书馆,Embase,CNKI,万方,CQVIP,和中国生物医学文献数据库。
结果:最初的搜索产生了2708篇文章,17项研究在严格筛选后符合纳入标准。调查结果表明,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,每节持续20-30分钟。主要评估指标包括疼痛水平,心理状态,联合功能,和生活质量。
结论:VR技术在TKA患者的康复中被证明是可行的,有效缓解疼痛,增强心理状态,改善关节功能和生活质量。然而,VR对增强下肢肌肉力量的作用存在差异。未来的研究应该集中在循证医学实践上,优化VR干预策略,制定针对个体患者差异的定制计划,并可能延长干预持续时间,以扩大VR技术在TKA患者康复中的应用效果。
BACKGROUND: 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.
OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.