NCT03717727: BEE-RCT

Gamification in Knee Replacement Rehabilitation

Completed NA Last updated 12 July 2023

What this trial tests

NA trial testing Exergame in Knee Osteoarthritis in 52 participants. Completed in 17 January 2022.

Timeline

27 November 2018

Primary endpoint
24 March 2021

17 January 2022

Quick facts

Lead sponsor	University of Jyvaskyla
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	treatment
Enrollment	52
Start date	27 November 2018
Primary completion	24 March 2021
Estimated completion	17 January 2022
Sites	4 locations across Finland

Drugs / interventions tested

• Exergame
• Control

Conditions studied

• Knee Osteoarthritis — all drugs for Knee Osteoarthritis →

Sponsor

University of Jyvaskyla

Who can join

Adults 60 to 75, any sex, with Knee Osteoarthritis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

After total knee arthroplasty (TKA), knee is usually swollen, painful, and stiff. The main goal of post-operative physical rehabilitation is to achieve full extension and flexion of the knee to avoid contractures and stiffness. Also strengthening of quadriceps muscle and balance to help activities of daily living and overall mobility are important. The post-operative knee replacement rehabilitation includes the standard protocol in hospital phase and the standard home exercise instructions. Computer based exercising games (exergames) may be new method to increase training adherence and volume after TKA and thus improve results and effectiveness of the rehabilitation. However, evidence of effectiveness of rehabilitative exergaming on physical functioning is sparse and more research is needed to conduct evidence-based rehabilitation practices.

Therefore the present study examines the effectiveness of a 16-week gamified physiotherapy on physical functioning, life satisfaction and pain for patients after TKA compared to treatment as usual home exercise. The second objective is to validate the psychometric properties of WHODAS 2.0 (WHO Disability Assessment Schedule) and brief ICF (International classification of functioning, disability and health) core set of osteoarthritis questionnaire. Other objectives are to find out, what kind of understanding and experiences the participants have about the rehabilitation with exergames and to evaluate the usability and user experience of exergames.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

1. Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial.
   Janhunen M, Katajapuu N, Paloneva J, Pamilo K, et al · · 2023 · cited 9× · PMID 36896366 · DOI 10.1136/bmjsem-2022-001416
2. Effectiveness of Gamification in Knee Replacement Rehabilitation: Protocol for a Randomized Controlled Trial With a Qualitative Approach.
   Aartolahti E, Janhunen M, Katajapuu N, Paloneva J, et al · · 2022 · cited 4× · PMID 36441574 · DOI 10.2196/38434
3. Movement characteristics during customized exergames after total knee replacement in older adults.
   Janhunen M, Löppönen A, Walker S, Punsár T, et al · · 2022 · cited 2× · PMID 35966111 · DOI 10.3389/fspor.2022.915210