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Movement characteristics during customized exergames after total knee replacement in older adults |
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| Author: | Janhunen, Maarit1; Löppönen, Antti2,3; Walker, Simon4; |
| Organizations: |
1Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland 2Faculty of Sport and Health Sciences, Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland 3Department of Movement Sciences, Physical Activity, Sports and Health Research Group, Katholieke Universiteit Leuven, Leuven, Belgium
4Faculty of Sport and Health Sciences, NeuroMuscular Research Center, University of Jyväskylä, Jyväskylä, Finland
5Health and Well-being, Turku University of Applied Sciences, Turku, Finland 6Exercise Translational Medicine Center, Shanghai Center for Systems Biomedicine, Shanghai Jiao Tong University, Shanghai, China 7Department of Orthopedics and Traumatology, Hospital Nova of Central Finland, Jyväskylä, Finland 8Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland 9Department of Orthopedics, Coxa Hospital for Joint Replacement, Tampere, Finland 10Faculty of Business and Engineering, Turku University of Applied Sciences, Turku, Finland 11Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr., Oulu, Finland 12Faculty of Medicine, Center for Life Course Health Research, University of Oulu, Oulu, Finland 13Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland 14Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland 15Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland 16Institute of Rehabilitation, Jyväskylä University of Applied Sciences, Jyväskylä, Finland |
| Format: | article |
| Version: | published version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 0.6 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe2023030830691 |
| Language: | English |
| Published: |
Frontiers Media,
2022
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| Publish Date: | 2023-03-08 |
| Description: |
AbstractIntroduction: There is limited understanding of how older adults can reach kinematic goals in rehabilitation while performing exergames and conventional exercises, and how similar or different the kinematics during exergaming are when compared with conventional therapeutic exercise with similar movement. The aim of this study was to describe the movement characteristics performed during exercise in custom-designed exergames and conventional therapeutic exercises among patients who have undergone unilateral total knee replacement (TKR). In addition, the secondary aim was to assess the relation of these exercise methods, and to assess participants’ perceived exertion and knee pain during exergaming and exercising. Materials and methods: Patients up to 4 months after the TKR surgery were invited in a single-visit exercise laboratory session. A 2D motion analysis and force plates were employed to evaluate movement characteristics as the volume, range, and intensity of movement performed during custom-designed knee extension-flexion and weight shifting exergames and conventional therapeutic exercises post TKR. The perceived exertion and knee pain were assessed using the Borg Rating of Perceived Exertion and Visual Analog Scale, respectively. Results: Evaluation of seven patients with TKR [age median (IQR), 65 (10) years] revealed that the volume and intensity of movement were mostly higher during exergames. Individual goniometer-measured knee range of motion were achieved either with exergames and conventional therapeutic exercises, especially in knee extension exercises. The perceived exertion and knee pain were similar after exergames and conventional therapeutic exercises. Conclusions: During custom-designed exergaming the patients with TKR achieve the movement characteristics appropriate for post-TKR rehabilitation without increasing the stress and pain experienced even though the movement characteristics might be partly different from conventional therapeutic exercises by the volume and intensity of movement. Physical therapists could consider implementing such exergames in rehabilitation practice for patients with TKR once effectiveness have been approved and they are widely available. see all
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| Series: |
Frontiers in sports and active living |
| ISSN: | 2624-9367 |
| ISSN-E: | 2624-9367 |
| ISSN-L: | 2624-9367 |
| Volume: | 4 |
| Article number: | 915210 |
| DOI: | 10.3389/fspor.2022.915210 |
| OADOI: | https://oadoi.org/10.3389/fspor.2022.915210 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3126 Surgery, anesthesiology, intensive care, radiology |
| Subjects: | |
| Funding: |
Financial support as part of BEE research project from Business Finland and Finnish partner companies: SE Innovations Oy (Senior Some Oy), Suunto Oy, Physiotools Oy, GoodLife Technology Oy, Lingsoft Oy, eSeteli Palveluverkko Oy, PN Turku Oy, Ade Animations Design & Effects Oy, Adesante Oy, 4FeetUnder, Intechso and Realmax Oy (grant numbers: 5794/31/2016, 5941/31/2016, 6057/31/2016), and Shanghai Jiao Tong University (YG2017MS62). |
| Copyright information: |
© 2022 Janhunen, Löppönen, Walker, Punsár, Katajapuu, Cheng, Paloneva, Pamilo, Luimula, Korpelainen, Jämsä, Heinonen and Aartolahti. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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https://creativecommons.org/licenses/by/4.0/ |