Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effects of Virtual Reality Exergaming on Pain, Functionality and Acromiohumeral Distance in Shoulder Impingement Syndrome Patients: A Randomized Controlled Study
Sanal Gerçeklik Egzersizlerinin Omuz Sıkışma Sendromlu Hastalarda Ağrı, Fonksiyonellik ve Akromiohumeral Aralık Üzerine Etkisi: Tek Kör Randomize Kontrollü Bir Çalışma
Fatih BAĞCIERa, Sevilay ÇÜÇEN BATIBAYb
aBiruni University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, İstanbul, TURKEY
bDerince Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Kocaeli, TURKEY
Turkiye Klinikleri J Health Sci. 2021;6(1):55-61
doi: 10.5336/healthsci.2020-74413
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to evaluate the effectiveness of virtual reality exergaming on pain, functionality, and acromiohumeral distance in patients with shoulder impingement syndrome and compare this therapy with conventional exercise therapies. Material and Methods: This prospective randomized study included 34 patients with shoulder impingement syndrome. The patients were randomized into virtual reality exergaming (n:17, mean age: 19.7±0.7) or conventional exercise (n:17, mean age: 20±0.7) groups 3 times per week for 6 weeks. Pre-treatment and post-treatment evaluations were performed. The outcome parameters were the severity of shoulder pain (resting, activity, and night pain), shoulder range of motion, shoulder pain, and disability index. Acromiohumeral distance was measured by ultrasound. Results: Statistically significant improvements in pre-treatment and post-treatment pain parameters, range of motion, shoulder pain, and disability index (p<0.05) were observed, and acromiohumeral distance increased (p<0.05) in both groups. No statistically significant difference between groups was observed. Conclusion: Virtual reality exergaming is an effective method in shoulder impingement syndrome therapy. However, it did not provide additional benefits in terms of improvements in pain, joint range of motion, functionality, or ultrasonographic parameters compared with conventional exercise therapy.

Keywords: Shoulder impingement syndrome; exercise therapy; ultrasonography, virtual reality
ÖZET
 Amaç: Bu çalışmada amacımız omuz sıkışma sendromlu hastalarda sanal gerçeklik egzersiz tedavisinin ağrı, fonksiyonellik ve akromiohumeral aralık üzerine etkinliğini değerlendirmek ve bu tedaviyi konvansiyonel egzersiz tedavisi ile karşılaştırmaktı. Gereç ve Yöntemler: Prospektif, randomize çalışmamızda omuz sıkışma sendromu tanılı 34 hasta vardı. Hastalar 6 hafta boyunca, haftada 3 kez tedavi almak üzere sanal gerçeklik egzersiz grubu (n:17, ortalama yaş: 19,7±0,7) ve konvansiyonel egzersiz grubu (n:17, ortalama yaş: 20±0,7) olarak iki gruba randomize edildi. Değerlendirmeler tedavinin başlangıcında ve sonunda yapıldı. Sonuç parametreleri omuz ağrısının şiddeti (istirahat, aktivite ve gece ağrısı), omuz hareket açıklığı, omuz ağrısı ve disabilite indeksi idi. Akromiohumeral mesafe ultrasonografi ile ölçüldü. Bulgular: Her iki grupta da tedavi öncesi ve tedavi sonrası ağrı, eklem hareket açıklığı, omuz ağrısı ve dizabilite indeksi parametrelerinde istatistiksel olarak anlamlı düzelme görüldü (p<0,05) ve akromiohumeral aralıkda (p<0,05) anlamlı bir artış tespit edildi. Gruplararası kıyaslama yapıldığında ise istatistiksel olarak bir farklılık görülmedi. Sonuç: Sanal gerçeklik egzersiz tedavisi, omuz impingement sendromu tedavisinde etkili bir egzersiz yöntemi olmakla birlikte konvansiyonel egzersiz tedavisine kıyasla ağrı, eklem hareket açıklığı, fonksiyonellik ve ultrasonografik parametreler üzerine bir üstünlüğünün olmadığı görülmüştür.

Anahtar Kelimeler: Omuz sıkışma sendromu; egzersiz tedavisi; ultrasonografi; sanal gerçeklik
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