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Faculty of Medical Sciences

Using virtual reality in patient with an anterior cruciate ligament reconstruction: a prospective study.

Schot, I.L.M. (2011) Using virtual reality in patient with an anterior cruciate ligament reconstruction: a prospective study. thesis, Human Movement Sciences.

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Abstract

Background: The objective of the study is to investigate the efficacy of a meaningful virtual reality (VR) with an attention demanding tasks on gait and stair descending in an anterior cruciate ligament reconstruction (ACL-R) patient. Using virtual reality allows us to measure the changes in strategy of the ACL-R patient during gait and stair descending as a result of a change in environmental embedding. This embedding may change the motor control due to a change in attention and possibly motor inhibition. Type of study: Prospective, observational study with open-label trial. Methods: one ACL-R patient (11 weeks post-surgery) and one control subject with an age of 26 and 29 were included in this study. Two gait analyses and four stair descending tests were performed with and without VR. Results: A more normal ankle pattern was found in the VR test in the ACL-R patient compared to the control subject during gait. Although the ACL-R patient showed characteristic abnormalities in the knee joint angles during gait, there is no effect of VR on these characteristics; neither is there in the control subject. Stair descending in VR resulted in more knee flexion of the non-injured knee in the ACLR patient. The ACL-R patient showed knee and ankle angle patterns that become more like that of the control subject during stair descending while applying VR. Conclusion: It can be concluded that the effect of VR is greater in the stair descending analysis for the ACL-R patient than in the gait analysis. The effect of VR in stair descending is towards more normal joint angle patterns, suggesting that VR has an influence on movements through cognition. VR in a rehabilitation program may have a positive influence on the cognition and move patterns of the injured and non-injured legs of the ACL-R patient.

Item Type: Thesis (Thesis)
Supervisor name: Otten, dr. E. and Gokeler, A.
Supervisor name: Wurff, dr. P. Vander and Military Rehabilitation Centre Aardenburg
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:50
Last Modified: 25 Jun 2020 10:50
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/1091

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