A1 Journal article (refereed)
Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults : a randomised controlled trial (2023)

Janhunen, M., Katajapuu, N., Paloneva, J., Pamilo, K., Oksanen, A., Keemu, H., Karvonen, M., Luimula, M., Korpelainen, R., Jämsä, T., Kautiainen, H., Mäkelä, K., Heinonen, A., & Aartolahti, E. (2023). Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults : a randomised controlled trial. BMJ Open Sport & Exercise Medicine, 9(1), Article e001416. https://doi.org/10.1136/bmjsem-2022-001416

JYU authors or editors

Janhunen, Maarit
Heinonen, Ari

Publication details

All authors or editors: Janhunen, Maarit; Katajapuu, Niina; Paloneva, Juha; Pamilo, Konsta; Oksanen, Airi; Keemu, Hannes; Karvonen, Mikko; Luimula, Mika; Korpelainen, Raija; Jämsä, Timo; et al.

Journal or series: BMJ Open Sport & Exercise Medicine

eISSN: 2055-7647

Publication year: 2023

Volume: 9

Issue number: 1

Article number: e001416

Publisher: BMJ Publishing Group

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1136/bmjsem-2022-001416

Publication open access: Openly available

Publication channel open access: Open Access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/86062

Abstract

Objectives: To investigate the effects of 4 months of customised, home-based exergaming on physical function and pain after total knee replacement (TKR) compared with standard exercise protocol.
Methods: In this non-blinded randomised controlled trial, 52 individuals aged 60–75 years undergoing TKR were randomised into an exergaming (intervention group, IG) or a standard exercising group (control group, CG). Primary outcomes were physical function and pain measured before and after (2 months and 4 months) surgery using the Oxford Knee Score (OKS) and Timed Up and Go (TUG) test. Secondary outcomes included measures of the Visual Analogue Scale, 10m walking, short physical performance battery, isometric knee extension and flexion force, knee range of movement and satisfaction with the operated knee.
Results: Improvement in mobility measured by TUG was greater in the IG (n=21) at 2 (p=0.019) and 4 months (p=0.040) than in the CG (n=25). The TUG improved in the IG by −1.9 s (95% CI, −2.9 to −1.0), while it changed by −0.6 s (95% CI −1.4 to 0.3) in the CG. There were no differences between the groups in the OKS or secondary outcomes over 4 months. 100% of patients in the IG and 74% in the CG were satisfied with the operated knee.
Conclusion: In patients who have undergone TKR, training at home with customised exergames was more effective in mobility and early satisfaction and as effective as standard exercise in pain and other physical functions. In both groups, knee-related function and pain improvement can be considered clinically meaningful.

Keywords: knees; pain; training; rehabilitation; mobility; performance (capacity); functional capacity; surgical treatment