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Patient perspectives on virtual reality-based rehabilitation after knee surgery : Importance of level of difficulty

LEE M; SUH D; SON J; KIM J; EUN SD; YOON B
J REHABIL RES DEV , 2016, vol. 53, n° 2, p. 239-252
Doc n°: 178419
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1682/JRRD.2014.07.0164
Descripteurs : DE561 - TRAITEMENT CHIRURGICAL - GENOU

This article explored the perspectives of 25 patients regarding virtual reality
(VR)-based rehabilitation following knee surgery and identified the important
factors that allowed patients to immerse themselves in rehabilitation.
Qualitative analysis of data collected via open-ended questionnaire and
quantitative analysis of data from physical assessments and surveys were
conducted. In the open-ended questionnaire, the majority of participants
mentioned level of difficulty as the most common reason for selecting both the
most and the least immersive exercise programs. Quantitative analysis showed that
participants experienced a high level of flow (3.9 +/- 0.3 out of 5.0) and a high
rate of expectation of therapeutic effect (96%) and intention of exercise
adherence (96%). Further, participants with more severe pain or physical
dysfunction tended to have more positive experiences (e.g., Difficulty-Skill
Balance, Clear Goals, and Transformation of Time), leading to high levels of flow
during VR-based rehabilitation. In conclusion, VR-based games are potentially
acceptable as a motivational rehabilitation tool for patients following knee
surgery. However, to best meet patients' needs, it might be useful to equip a VR
program with varied levels of difficulty, taking into account the severity of the
individual's knee injury. Additionally, severe pain or physical dysfunction might
act as an indication rather than a contraindication for VR-based rehabilitation.

Langue : ANGLAIS

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