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Virtual reality for total hip arthroplasty rehabilitation: Kinect versus Nintendo Wii, a single-blind randomised controlled trial.

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Title: Virtual reality for total hip arthroplasty rehabilitation: Kinect versus Nintendo Wii, a single-blind randomised controlled trial.
Authors: Zavala-Gonzalez, Jonathan, López-Alarcón, Gustavo, Martinez, Diego, Jara, Sergio, Cigarroa, Igor, Gutiérrez-Espinoza, Héctor
Source: Clinical Rehabilitation. Oct2025, Vol. 39 Issue 10, p1311-1323. 13p.
Subjects: Leg physiology, Hip joint physiology, Physical therapy, Weight-bearing (Orthopedics), Total hip replacement, Data analysis, Academic medical centers, Exercise therapy, Exercise video games, Statistical sampling, Blind experiment, Questionnaires, Kruskal-Wallis Test, Standing position, Treatment effectiveness, Randomized controlled trials, Exercise intensity, Descriptive statistics, Diagnosis, Gait in humans, Ergometry, Virtual reality, Walking, Cycling, Knee joint, Pain, Analysis of variance, Statistics, Sitting position, Hip osteoarthritis, Comparative studies, Data analysis software, Individualized medicine, Confidence intervals, Video games, Postural balance, Evaluation, Rehabilitation, Old age
Geographic Terms: Chile
Abstract: Objective: Compare the effectiveness of integrating virtual reality systems, Nintendo Wii and Microsoft Kinect, integrated with conventional physiotherapy versus conventional physiotherapy alone, in improving lower limb physical function in people over 60 years of age undergoing total hip arthroplasty. Design: Randomised, single-blind clinical trial. Setting: San Borja Arriaran Clinical Hospital, Santiago, Chile. Participants: 111 individuals over 60 years of age, divided into three groups (n = 37 each). Interventions: For six weeks, the control group received conventional physiotherapy. The Wii and Kinect groups received the same physiotherapy programme plus 15 min of exercise using virtual reality platforms. Outcome measures: The primary outcome was the function subscale of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Secondary outcomes included WOMAC pain, Berg Balance Scale, Six-Minute Walk Test, and weight-bearing. Results: All groups improved. For WOMAC function, the Wii group surpassed the Kinect group (mean difference: 40.48 points; p < 0.001; minimum clinically important difference MCID: 11.9 points) but not the control group. The Wii group also led in balance (Berg Balance Scale mean difference: 19.41 points; p < 0.001; MCID: 11.5 points). The Kinect group was superior in the Six-Minute Walk Test (mean difference: 133.10 metres; p = 0.001) and WOMAC pain reduction (mean difference: 11.45 points; p < 0.003) exceeding the MCID of 2.2 points. No significant changes were observed in weight-bearing. Conclusion: Virtual reality combined with physiotherapy improves clinically meaningful outcomes following hip arthroplasty. The Wii favours balance, while Kinect enhances pain and gait, supporting personalised rehabilitation. Trial registration: This research was registered in the Clinical Trials Registry of Australia and New Zealand (ACTRN12618001252202). [ABSTRACT FROM AUTHOR]
Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Objective: Compare the effectiveness of integrating virtual reality systems, Nintendo Wii and Microsoft Kinect, integrated with conventional physiotherapy versus conventional physiotherapy alone, in improving lower limb physical function in people over 60 years of age undergoing total hip arthroplasty. Design: Randomised, single-blind clinical trial. Setting: San Borja Arriaran Clinical Hospital, Santiago, Chile. Participants: 111 individuals over 60 years of age, divided into three groups (n = 37 each). Interventions: For six weeks, the control group received conventional physiotherapy. The Wii and Kinect groups received the same physiotherapy programme plus 15 min of exercise using virtual reality platforms. Outcome measures: The primary outcome was the function subscale of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Secondary outcomes included WOMAC pain, Berg Balance Scale, Six-Minute Walk Test, and weight-bearing. Results: All groups improved. For WOMAC function, the Wii group surpassed the Kinect group (mean difference: 40.48 points; p &lt; 0.001; minimum clinically important difference MCID: 11.9 points) but not the control group. The Wii group also led in balance (Berg Balance Scale mean difference: 19.41 points; p &lt; 0.001; MCID: 11.5 points). The Kinect group was superior in the Six-Minute Walk Test (mean difference: 133.10 metres; p = 0.001) and WOMAC pain reduction (mean difference: 11.45 points; p &lt; 0.003) exceeding the MCID of 2.2 points. No significant changes were observed in weight-bearing. Conclusion: Virtual reality combined with physiotherapy improves clinically meaningful outcomes following hip arthroplasty. The Wii favours balance, while Kinect enhances pain and gait, supporting personalised rehabilitation. Trial registration: This research was registered in the Clinical Trials Registry of Australia and New Zealand (ACTRN12618001252202). [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1177/02692155251363417
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        Text: English
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      – SubjectFull: Leg physiology
        Type: general
      – SubjectFull: Hip joint physiology
        Type: general
      – SubjectFull: Physical therapy
        Type: general
      – SubjectFull: Weight-bearing (Orthopedics)
        Type: general
      – SubjectFull: Total hip replacement
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Exercise therapy
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      – SubjectFull: Exercise video games
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Blind experiment
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      – SubjectFull: Questionnaires
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      – SubjectFull: Kruskal-Wallis Test
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      – SubjectFull: Standing position
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        Type: general
      – SubjectFull: Diagnosis
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      – SubjectFull: Gait in humans
        Type: general
      – SubjectFull: Ergometry
        Type: general
      – SubjectFull: Virtual reality
        Type: general
      – SubjectFull: Walking
        Type: general
      – SubjectFull: Cycling
        Type: general
      – SubjectFull: Knee joint
        Type: general
      – SubjectFull: Pain
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        Type: general
      – SubjectFull: Hip osteoarthritis
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Individualized medicine
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Video games
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      – SubjectFull: Postural balance
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      – SubjectFull: Evaluation
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      – SubjectFull: Rehabilitation
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        Type: general
      – SubjectFull: Chile
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              Text: Oct2025
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