Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Therapy-based expert system on function and postural stability after anterior cruciate ligament reconstruction: a pilot study
Kazemnejad A, Asosheh A, Moezy A, Abasi A
BMC Musculoskeletal Disorders 2023 Jul 29;24(617):Epub
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: Wii Fit exergames have been less commonly used for the rehabilitation of athletes after Anterior Cruciate Ligament Reconstruction (ACLR). This study aims to investigate the effects of an expert system using Wii Fit exergames compared to conventional rehabilitation following ACLR. A forward-chaining rule-based expert system was developed which proposed a rehabilitation program that included the number and type of exercise in terms of difficulty and ease and the duration of each exercise in a progressive manner according to the patient's physical condition. MATERIALS AND METHODS: Twenty eligible athletes aged 20 to 30 who underwent ACLR were enrolled in this study and randomly assigned to two groups; and received 12 sessions of either Wii Fit exergames as Wii group (n = 10) or conventional rehabilitation as CL group (n = 10). RESULTS: The main outcomes consisted of pain (Visual Analogue Scale (VAS)), knee effusion, knee flexion range (KFR), thigh girth (TG), single-leg hop for distance (SLHD), and for time (SLHT), static and dynamic balance tests. Both groups had considerable improvement in all outcomes, also there were significantly differences between Wii and CL groups as follows; VAS (p < 0.001), knee effusion (p < 0.001), TG (p = 0.001), KFR (p = 0.012), static balance in stable position (p < 0.001) and in unstable position (p = 0.001), dynamic balance in the anterior (p < 0.001), posteromedial (p < 0.001), posterolateral (p = 0.004) directions, symmetry index of SLHD (p < 0.001) and symmetry index of SLHT (p = 0.013). CONCLUSIONS: The findings showed that using Wii Fit exergames in post-ACLR patients reduced pain and effusion while also improving function and balance significantly. Iranian Registry of Clinical Trials registration number is IRCT20191013045090N1, and the registration date is 03-03-2020.

Full text (sometimes free) may be available at these link(s):      help