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The Videoinsight® Method: improving early results following total knee arthroplasty.
- Source :
-
Knee Surgery, Sports Traumatology, Arthroscopy . Sep2017, Vol. 25 Issue 9, p2967-2971. 5p. 1 Chart, 1 Graph. - Publication Year :
- 2017
-
Abstract
- <bold>Purpose: </bold>The purpose of this randomized double-blind study was to investigate the effectiveness of the Videoinsight® psychological enhancing method in promoting early recovery during rehabilitation following total knee arthroplasty.<bold>Methods: </bold>One-hundred and ten patients treated with cemented total knee arthroplasty were randomly assigned to Group A or Group B, and both groups underwent the same rehabilitation programme. Group A (55 patients) received one art video selected according to Videoinsight® concept. This art video promoting self-confidence and psychological support to the patient has been shown in the physical therapy department before any rehabilitation session, in the first 15 days after surgery and then three times a week for the next 4 weeks. Group B (55 patients) underwent the same rehabilitation protocol in the same setting, after TKA surgery, without the video support. Patients were evaluated pre-operatively and 3 months after surgery with Physical and Mental SF-36, State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Tampa Scale of Kinesiophobia (TSK), Knee Society Score (KSS), VAS, and WOMAC scores.<bold>Results: </bold>Eight patients were lost to follow-up, and 102 patients (Group A: 52 patients; Group B: 50 patients) were available at mean 3.0 ± 0.2 months follow-up. Age at surgery was 69.1 ± 13.0 years. The two groups were homogeneous regarding pre-operative demographic data and clinical outcomes. Significant improvements were observed in both groups compared to baseline and in Group A compared to Group B at final follow-up for functional and psychological scores except for SF-36. Respectively, Group A and Group B showed WOMAC 79.9 ± 13.0 and 69.7 ± 9.5 (p < 0.005), VAS 2.8 ± 1.6 and 4.0 ± 1.5, (p < 0.005), KSS 87.8 ± 9.6 and 78.3 ± 8.2 (p < 0.005), BDI 5.1 ± 4.8 and 9.4 ± 3.9 (p < 0.005), STAI 30.8 ± 7.9 and 34.8 ± 7.8 (p < 0.005), and TSK 24.4 ± 5.5 and 29.3 ± 4.8 (p < 0.005).<bold>Conclusion: </bold>The Videoinsight(®) psychological enhancing method, by the view of video art images, combined to an adequate rehabilitation protocol can be a means for further improving short-term clinical and functional outcomes by giving a psychological support to patients who underwent total knee arthroplasty.<bold>Level Of Evidence: </bold>I. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TOTAL knee replacement
*REHABILITATION
*POSTOPERATIVE care
*CATASTROPHIZING
*TREATMENT effectiveness
*COMPARATIVE studies
*HEALTH surveys
*IMAGINATION
*KNEE diseases
*RESEARCH methodology
*MEDICAL cooperation
*HEALTH outcome assessment
*OSTEOARTHRITIS
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*RESEARCH
*SELF-efficacy
*VIDEO recording
*EVALUATION research
*BODY movement
*RANDOMIZED controlled trials
*BLIND experiment
*STATE-Trait Anxiety Inventory
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 09422056
- Volume :
- 25
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Knee Surgery, Sports Traumatology, Arthroscopy
- Publication Type :
- Academic Journal
- Accession number :
- 124830929
- Full Text :
- https://doi.org/10.1007/s00167-016-4118-x