가상현실 게임을 적용한 물리치료가 무릎 수술 후 환자의 통증, 기능 변화, 삶의 질, 동기부여에 미치는 영향 (Effects of Physical Therapy Combined with Virtual Reality Games on Pain, Function, Quality of Life, And Engagement in Post-Knee-Surgery Patients)

서지정보

· 발행기관 : 대한고유수용성신경근촉진법학회
· 수록지 정보 : PNF and Movement / 21권 / 3호 / 345 ~ 356페이지
· 저자명 : 김홍길, 정주현

초록

Purpose: The aim of this study was to investigate the effects of physical therapy combined with a virtual reality (VR) gameon pain, quality of life (QOL), engagement, and knee function in post-knee-surgery patients.
Methods: Twenty-four patients who had undergone knee surgery four weeks or more before the study were recruited. Twowithdrew from the study during the four-week experimental period, and a total of 22 patients were included in the final analysis.
Routine physical therapy consisting of electrostimulation (10 min.) and therapeutic massage (10 min.) was the base interventionfor all groups. The experimental group (n = 10) was additionally exposed to a VR game intervention, while the control group(n = 12) underwent an intervention involving similar motions as the experimental intervention but with no VR. The interventionfor the experimental group used the game Rig Fit Adventure on Nintendo switch. Both groups underwent their respectiveinterventions 3 times a week (35 min. per session) for 4 weeks. Pain was assessed using the numeric rating scale (NRS),and QOL was assessed using the EuroQol five-dimensional five-level questionnaire (EQ-5D-5L). Engagement was assessedusing the Korea flow state scale (K-FSS). Finally, knee movement and function were assessed based on knee flexion andextension, range of motion (ROM), and Western Ontario and McMaster Universities Arthritis Index (WOMAC).
Results: After the four-week physical therapy, both groups showed significant reductions in pain (on the NRS), increasedknee ROM (flexion), better WOMAC scores, and increased EQ-5D-5L scores (p < 0.05), with the experimental group showingsignificantly better improvements in EQ-5D-5L and K-FSS scores (p < 0.05).
Conclusion: The results of this study confirm that a VR-game-integrated intervention is effective for improving pain, QOL,engagement, and knee function in post-knee surgery patients and that VR-game-integrated interventions could be therapeuticalternatives for patients bedridden for prolonged periods with little motivation for rehabilitation.

영어초록

Purpose: The aim of this study was to investigate the effects of physical therapy combined with a virtual reality (VR) gameon pain, quality of life (QOL), engagement, and knee function in post-knee-surgery patients.
Methods: Twenty-four patients who had undergone knee surgery four weeks or more before the study were recruited. Twowithdrew from the study during the four-week experimental period, and a total of 22 patients were included in the final analysis.
Routine physical therapy consisting of electrostimulation (10 min.) and therapeutic massage (10 min.) was the base interventionfor all groups. The experimental group (n = 10) was additionally exposed to a VR game intervention, while the control group(n = 12) underwent an intervention involving similar motions as the experimental intervention but with no VR. The interventionfor the experimental group used the game Rig Fit Adventure on Nintendo switch. Both groups underwent their respectiveinterventions 3 times a week (35 min. per session) for 4 weeks. Pain was assessed using the numeric rating scale (NRS),and QOL was assessed using the EuroQol five-dimensional five-level questionnaire (EQ-5D-5L). Engagement was assessedusing the Korea flow state scale (K-FSS). Finally, knee movement and function were assessed based on knee flexion andextension, range of motion (ROM), and Western Ontario and McMaster Universities Arthritis Index (WOMAC).
Results: After the four-week physical therapy, both groups showed significant reductions in pain (on the NRS), increasedknee ROM (flexion), better WOMAC scores, and increased EQ-5D-5L scores (p < 0.05), with the experimental group showingsignificantly better improvements in EQ-5D-5L and K-FSS scores (p < 0.05).
Conclusion: The results of this study confirm that a VR-game-integrated intervention is effective for improving pain, QOL,engagement, and knee function in post-knee surgery patients and that VR-game-integrated interventions could be therapeuticalternatives for patients bedridden for prolonged periods with little motivation for rehabilitation.

참고자료

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