Alternative therapies in health and medicine · 2025
Impact of Virtual Reality and Walking Meditation on Proprioception and Balance in Individuals With Knee Osteoarthritis: A Randomized Clinical Trial.
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Kulkarni Prashansa, Welling Aarti, Gurudut Peeyoosha, Kage Vijay
Аннотация
BACKGROUND: Knee osteoarthritis (OA) is a progressive degenerative disorder of the articular cartilage, affecting 28.7% of the population in India. Proprioception and balance deficits are common in individuals with knee OA, which can lead to falls and further joint damage. Full Immersion Virtual Reality (FIVR) provides simulated real-world experience with auditory, visual, and proprioceptive feedback. Walking meditation (WM) includes gentle physical activity like slow walking in combination with mindfulness practice.
PRIMARY STUDY OBJECTIVE: To determine and compare the effectiveness of VR and WM in knee OA.
METHODS/DESIGN: A randomized clinical trial was conducted using simple random sampling for enrolling individuals diagnosed with knee OA.
SETTING: The source of data was a tertiary care hospital, Belagavi.
PARTICIPANTS: The study included participants diagnosed with knee OA. The study had no dropouts and no reported adverse events.
INTERVENTION: Thirty-two (n = 32) participants were included and randomly assigned into 2 groups. Group A received VR with conventional physiotherapy intervention, and Group B received WM with conventional physiotherapy intervention. Both groups received intervention 3 times/week for 4 weeks.
PRIMARY OUTCOME MEASURES: The measures assessed include knee proprioception angle at 300, 450, 600, balance using functional reach test (FRT), pain intensity (VAS), and functional abilities (WOMAC) on day 1 and day 28 of intervention.
RESULTS: Within-group analysis demonstrated significant improvement in all the post-intervention measures (P = .0001). Between-group analysis of proprioception angle at 300 (P = .8318), 450 (P = .9761), 600 (P = .8393), FRT (P = .7885), VAS (P = .7609), and WOMAC (P = 1.0000) indicated no statistically significant difference between Group A and Group B.
CONCLUSION: The present study concludes that both VR and WM are effective in improving proprioception, balance, reducing pain intensity, and enhancing functional abilities in knee OA patients.
KEYWORDS: Osteoarthritis, Knee joint, Pain, Visual analog scale.
PRIMARY STUDY OBJECTIVE: To determine and compare the effectiveness of VR and WM in knee OA.
METHODS/DESIGN: A randomized clinical trial was conducted using simple random sampling for enrolling individuals diagnosed with knee OA.
SETTING: The source of data was a tertiary care hospital, Belagavi.
PARTICIPANTS: The study included participants diagnosed with knee OA. The study had no dropouts and no reported adverse events.
INTERVENTION: Thirty-two (n = 32) participants were included and randomly assigned into 2 groups. Group A received VR with conventional physiotherapy intervention, and Group B received WM with conventional physiotherapy intervention. Both groups received intervention 3 times/week for 4 weeks.
PRIMARY OUTCOME MEASURES: The measures assessed include knee proprioception angle at 300, 450, 600, balance using functional reach test (FRT), pain intensity (VAS), and functional abilities (WOMAC) on day 1 and day 28 of intervention.
RESULTS: Within-group analysis demonstrated significant improvement in all the post-intervention measures (P = .0001). Between-group analysis of proprioception angle at 300 (P = .8318), 450 (P = .9761), 600 (P = .8393), FRT (P = .7885), VAS (P = .7609), and WOMAC (P = 1.0000) indicated no statistically significant difference between Group A and Group B.
CONCLUSION: The present study concludes that both VR and WM are effective in improving proprioception, balance, reducing pain intensity, and enhancing functional abilities in knee OA patients.
KEYWORDS: Osteoarthritis, Knee joint, Pain, Visual analog scale.