Accepted for/Published in: JMIR Rehabilitation and Assistive Technologies
Date Submitted: Jun 29, 2020
Date Accepted: Apr 4, 2021
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Exergaming as functional test battery in patients with an arthroscopic ankle arthrodesis: a preliminary experienc
ABSTRACT
Objectives: Recently, movement-based video games (exergames) have gained popularity to improve the rehabilitation process after surgery. During exergaming, participants are physically challenged while introducing a game component to stimulate adherence to the training program. There is no literature on the effect of exergame training interventions in patients with an arthroscopic ankle arthrodesis (AAA). This pilot study assessed the potency of an existing exergaming tool for the rehab programme of AAA patients
Methods:
A cross-sectional pilot study (N=24) was performed, in which patients with an AAA were subjected to an exergaming protocol. Gait analysis was performed with treadmill system. A healthy age matched control (AMC) group was used as a control group. The European Foot and Ankle score (EFAS) was obtained.
Results:
The AAA group were capable to perform the exergaming exercises and showed no floor or ceiling effect. Only for the overall stability the AAA performed significantly less compared to the AMC group. Gait analysis showed equal step length with increased external rotation of the affected limb. The median EFAS for the AAA was 16.1 (11-20). The AAA group had a median FJS of 70.8 (39.6 - 100) meaning they were not aware of their ankle.
Conclusions:
Exergaming seems like a valuable tool to measure AAA patients and has the potential to individualize rehabilitation programs. When it is systematically integrated with PROMS measurement and activity tracking it has the potential to improve quality of care Trial registration: Clinical Researches Ethics Committee protocol number 2016/43
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