University of Oulu

Miia M. Jansson and Jonna Koivisto.Effectiveness of Game-Based Solutions in Patients with Total Hip and Knee Arthroplasty: A Systematic Review of Randomized Controlled Trials.Games for Health Journal. Feb 2023. 25-33.

Effectiveness of game-based solutions in patients with total hip and knee arthroplasty : a systematic review of randomized controlled trials

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Author: Jansson, Miia M.1; Koivisto, Jonna2
Organizations: 1Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
2Faculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland.
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
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Language: English
Published: Mary Ann Liebert, 2023
Publish Date: 2023-01-20


The aim of this systematic review of randomized controlled trials (RCTs) was to evaluate the effectiveness of game-based solutions in patients with total knee arthroplasty or total hip arthroplasty. The systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies published prior May 2022 were identified from MEDLINE Ovid, Scopus, EBSCO Databases, Web of Science, and PubMed. The Joanna Briggs Institute Critical Appraisal Checklist for RCTs was used to evaluate the quality of the relevant studies published. A narrative synthesis was used to report the results while effect sizes were estimated for different outcomes. A total of 350 records were identified, and 5 RCTs were selected. Most of the game-based solutions were exergames to support rehabilitation. The findings indicate that game-based solutions have potential to induce positive impact on functional and cognitive performance; however, due to the low number of studies and moderate/weak quality of existing research, the area still lacks assertive evidence. Future research should pay attention to the methodological aspects to provide reliable information on the use of game-based solutions in the given context.

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Series: Games for health journal
ISSN: 2161-783X
ISSN-E: 2161-7856
ISSN-L: 2161-783X
Volume: 12
Issue: 1
Pages: 25 - 33
DOI: 10.1089/g4h.2022.0101
Type of Publication: A2 Review article in a scientific journal
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
113 Computer and information sciences
Funding: The research was done in the project An Intelligent Customer-driven Solution for Orthopedic and Pediatric Surgery Care, which was funded by Business Finland, a Finish funding agency, for 2018–2021.
Copyright information: © 2023, Mary Ann Liebert, Inc., publishers. This is the accepted version of the following article: Miia M. Jansson and Jonna Koivisto. Effectiveness of Game-Based Solutions in Patients with Total Hip and Knee Arthroplasty: A Systematic Review of Randomized Controlled Trials. Games for Health Journal., which has now been formally published in final form at Games for Health Journal at This original submission version of the article may be used for non-commercial purposes in accordance with the Mary Ann Liebert, Inc., publishers’ self-archiving terms and conditions.