Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial
Background: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an...
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MDPI AG
2024-12-01
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| author | Francisco Guede-Rojas Cristhian Mendoza Jorge Fuentes-Contreras Cristian Alvarez Bárbara Agurto Tarbes Javiera Karina Muñoz-Gutiérrez Adolfo Soto-Martínez Claudio Carvajal-Parodi |
| author_facet | Francisco Guede-Rojas Cristhian Mendoza Jorge Fuentes-Contreras Cristian Alvarez Bárbara Agurto Tarbes Javiera Karina Muñoz-Gutiérrez Adolfo Soto-Martínez Claudio Carvajal-Parodi |
| author_sort | Francisco Guede-Rojas |
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| description | Background: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an experimental group (EG, <i>n</i> = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or to a control group (CG, <i>n</i> = 30, 69.0 ± 5.5 years), which received CPT alone. Sessions were performed three times a week for ten weeks. Functional disability was assessed using the WOMAC index before, during, and after the intervention. Secondary outcomes included the Global Rating of Change (GRoC), the Minimal Clinically Important Difference, and patient trajectories through functional disability strata. Results: The EG showed progressive improvements in all WOMAC scores, with moderate to large increases by the end of the intervention, while the CG only showed significant changes in the later stages. The EG demonstrated greater improvements in WOMAC pain and the GroC scale (<i>p</i> < 0.05), maintaining most of the gains at follow-up, whereas the CG showed regression. Additionally, the EG had a higher proportion of responders, particularly for pain, while the CG had a predominance of non-responders and adverse responders. In the EG, 70% improved their functional disability stratification compared to 50% in the CG. Conclusion: Integration of AVGs with CPT further improves perceived functional disability in older adults with OA. Future research should explore these findings further. |
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| institution | Kabale University |
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| language | English |
| publishDate | 2024-12-01 |
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| spelling | doaj-art-ad886cc7f9d34c9f91fdb8b8a9df5a282025-01-10T13:14:25ZengMDPI AGApplied Sciences2076-34172024-12-011519310.3390/app15010093Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled TrialFrancisco Guede-Rojas0Cristhian Mendoza1Jorge Fuentes-Contreras2Cristian Alvarez3Bárbara Agurto Tarbes4Javiera Karina Muñoz-Gutiérrez5Adolfo Soto-Martínez6Claudio Carvajal-Parodi7Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, ChileEscuela de Medicina, Facultad de Medicina y Ciencia, Universidad San Sebastián, Concepción 4030000, ChileClinical Research Lab, Department of Physical Therapy, Catholic University of Maule, Talca 3460000, ChileExercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, ChilePrograma Magíster Kinesiología Musculoesquelética, Universidad San Sebastián, Lientur #1457, Concepción 4030000, ChilePrograma Magíster Kinesiología Musculoesquelética, Universidad San Sebastián, Lientur #1457, Concepción 4030000, ChileDepartamento de Kinesiología, Facultad de Medicina, Universidad de Concepción, Concepción 4030000, ChileEscuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Lientur #1457, Concepción 4030000, ChileBackground: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an experimental group (EG, <i>n</i> = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or to a control group (CG, <i>n</i> = 30, 69.0 ± 5.5 years), which received CPT alone. Sessions were performed three times a week for ten weeks. Functional disability was assessed using the WOMAC index before, during, and after the intervention. Secondary outcomes included the Global Rating of Change (GRoC), the Minimal Clinically Important Difference, and patient trajectories through functional disability strata. Results: The EG showed progressive improvements in all WOMAC scores, with moderate to large increases by the end of the intervention, while the CG only showed significant changes in the later stages. The EG demonstrated greater improvements in WOMAC pain and the GroC scale (<i>p</i> < 0.05), maintaining most of the gains at follow-up, whereas the CG showed regression. Additionally, the EG had a higher proportion of responders, particularly for pain, while the CG had a predominance of non-responders and adverse responders. In the EG, 70% improved their functional disability stratification compared to 50% in the CG. Conclusion: Integration of AVGs with CPT further improves perceived functional disability in older adults with OA. Future research should explore these findings further.https://www.mdpi.com/2076-3417/15/1/93osteoarthritisactive video gamesWOMACfunctional disabilityMCID |
| spellingShingle | Francisco Guede-Rojas Cristhian Mendoza Jorge Fuentes-Contreras Cristian Alvarez Bárbara Agurto Tarbes Javiera Karina Muñoz-Gutiérrez Adolfo Soto-Martínez Claudio Carvajal-Parodi Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial Applied Sciences osteoarthritis active video games WOMAC functional disability MCID |
| title | Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial |
| title_full | Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial |
| title_fullStr | Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial |
| title_full_unstemmed | Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial |
| title_short | Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial |
| title_sort | effects of active video games combined with conventional physical therapy on perceived functionality in older adults with knee or hip osteoarthritis a randomized controlled trial |
| topic | osteoarthritis active video games WOMAC functional disability MCID |
| url | https://www.mdpi.com/2076-3417/15/1/93 |
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