Abstract

BackgroundRecently, movement-based videogames (exergames) have gained popularity in improving the rehabilitation process after surgery. During exergaming, participants are physically challenged as the game component stimulates adherence to the training program. There is no literature on the effect of exergame training interventions in patients who received arthroscopic ankle arthrodesis.ObjectiveThis pilot study assessed the potency of an existing exergaming tool for the rehabilitation program of patients who received arthroscopic ankle arthrodesis.MethodsA cross-sectional pilot study was performed, in which patients who received arthroscopic ankle arthrodesis (n=8) were subjected to an exergaming protocol. Gait analysis was performed with a treadmill system. A healthy age-matched control group (n=10) was used as the control group.ResultsThe patient group was capable of performing exergaming exercises and they showed no floor or ceiling effect. Only in case of the overall stability, the patient group performed significantly less better than the control group (P=.03). Gait analysis showed equal step length with increased external rotation of the affected limb.ConclusionsExergaming seems to be a valuable tool for measuring the ability of patients who received AAA to perform activities of daily living and it has the potential to individualize rehabilitation programs. When exergaming is systematically integrated with patient-reported outcome measures and activity tracking, it has the potential to improve the quality of care.

Highlights

  • The use of technology-driven physical activities such as videogames that require participants to be physically active or exercise in order to play the game, known as exergames, has been proposed as a valuable treatment option to encourage participation in rehabilitation programs and to improve adherence to therapy programs [1]

  • The patient group was capable of performing exergaming exercises and they showed no floor or ceiling effect

  • Exergaming seems to be a valuable tool for measuring the ability of patients who received arthroscopic AA (AAA) to perform activities of daily living and it has the potential to individualize rehabilitation programs

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Summary

Introduction

The use of technology-driven physical activities such as videogames that require participants to be physically active or exercise in order to play the game, known as exergames, has been proposed as a valuable treatment option to encourage participation in rehabilitation programs and to improve adherence to therapy programs [1]. Measuring the ability to perform activities of daily living is very informative for evaluating the recovery of patients. With the use of wearable activity monitors, it is possible to objectively measure the physical activity of patients in a free-living environment. The accessibility of activity monitors is very low despite the broad acceptance of smartwatches, detailed information on specific activities of daily living is needed. Participants are physically challenged as the game component stimulates adherence to the training program. There is no literature on the effect of exergame training interventions in patients who received arthroscopic ankle arthrodesis

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