Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial

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dc.contributor.authorGuede-Rojas, Francisco
dc.contributor.authorMendoza, Cristhian
dc.contributor.authorFuentes-Contreras, Jorge
dc.contributor.authorAlvarez, Cristian
dc.contributor.authorAgurto Tarbes, Bárbara
dc.contributor.authorMuñoz-Gutiérrez, Javiera Karina
dc.contributor.authorSoto-Martínez, Adolfo
dc.contributor.authorCarvajal-Parodi, Claudio
dc.date.accessioned2025-01-24T17:51:12Z
dc.date.available2025-01-24T17:51:12Z
dc.date.issued0025
dc.descriptionINDEXACION SCOPUS
dc.description.abstractBackground: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an experimental group (EG, n = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or to a control group (CG, n = 30, 69.0 ± 5.5 years), which received CPT alone. Sessions were performed three times a week for ten weeks. Functional disability was assessed using the WOMAC index before, during, and after the intervention. Secondary outcomes included the Global Rating of Change (GRoC), the Minimal Clinically Important Difference, and patient trajectories through functional disability strata. Results: The EG showed progressive improvements in all WOMAC scores, with moderate to large increases by the end of the intervention, while the CG only showed significant changes in the later stages. The EG demonstrated greater improvements in WOMAC pain and the GroC scale (p < 0.05), maintaining most of the gains at follow-up, whereas the CG showed regression. Additionally, the EG had a higher proportion of responders, particularly for pain, while the CG had a predominance of non-responders and adverse responders. In the EG, 70% improved their functional disability stratification compared to 50% in the CG. Conclusion: Integration of AVGs with CPT further improves perceived functional disability in older adults with OA. Future research should explore these findings further. © 2024 by the authors.
dc.identifier.issn20763417
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/63276
dc.language.isoen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.subjectactive video games; functional disability; MCID; osteoarthritis; WOMAC
dc.titleEffects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial
dc.typeArtículo
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Effects-of-Active-Video-Games-Combined-with-Conventional-Physical-Therapy-on-Perceived-Functionality-in-Older-Adults-with-Knee-or-Hip-Osteoarthritis-A-Randomized-Controlled-TrialApplied-Sciences-Switze (1).pdf
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