The effectiveness of extended reality on relieving pain after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials
- 03.07.2024
- Knee Arthroplasty
Erschienen in:
- Verfasst von
- Shilong Su
- Ruideng Wang
- Zhengyang Chen
- Fang Zhou
- Yunqing Zhang
- Erschienen in
- Archives of Orthopaedic and Trauma Surgery | Ausgabe 7/2024
Abstract
Purpose
Patients with total knee arthroplasty (TKA) often suffer from severe postoperative pain, which seriously hinders postoperative rehabilitation. Extended reality (XR), including virtual reality, augmented reality, and mixed reality, has been increasingly used to relieve pain after TKA. The purpose of this study was to evaluate the effectiveness of XR on relieving pain after TKA.
Methods
The electronic databases including PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and clinicaltrials.gov were searched for studies from inception to July 20, 2023. The outcomes were pain score, anxiety score, and physiological parameters related to pain. Meta-analysis was performed using the Review Manager 5.4 software.
Results
Overall, 11 randomized control trials (RCTs) with 887 patients were included. The pooled results showed XR had lower pain scores (SMD = − 0.31, 95% CI [− 0.46 to − 0.16], P < 0.0001) and anxiety scores (MD = − 3.95, 95% CI [− 7.76 to − 0.13], P = 0.04) than conventional methods. The subgroup analysis revealed XR had lower pain scores within 2 weeks postoperatively (SMD = − 0.49, 95% CI [− 0.76 to − 0.22], P = 0.0004) and XR had lower pain scores when applying XR combined with conventional methods (SMD = − 0.43, 95% CI [− 0.65 to − 0.20], P = 0.0002).
Conclusion
This systematic review and meta-analysis found applying XR could significantly reduce postoperative pain and anxiety after TKA. When XR was combined with conventional methods, postoperative pain can be effectively relieved, especially within 2 weeks after the operation. XR is an effective non-pharmacological analgesia scheme.
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- Titel
- The effectiveness of extended reality on relieving pain after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials
- Verfasst von
-
Shilong Su
Ruideng Wang
Zhengyang Chen
Fang Zhou
Yunqing Zhang
- Publikationsdatum
- 03.07.2024
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Archives of Orthopaedic and Trauma Surgery / Ausgabe 7/2024
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916 - DOI
- https://doi.org/10.1007/s00402-024-05440-0
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