Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

Virtual reality-based rehabilitation (VRBR) is being used in after total knee arthroplasty (TKA). This meta-analysis assesses the effect of immediate and/or maintained VRBR (alone or combination with conventional therapy (CT) TKA recovery. To perform this meta-analysis, we searched PubMed, SCOPUS, WOS, CINAHL, and PEDro until 5 February 2023. We included randomized controlled trials that assessed improving pain function, dynamic balance, range motion (ROM), strength, among others, TKA. The pooled was calculated Cohen’s standardized mean difference (SMD) a 95% confidence interval (95% CI). Twelve studies, providing data from 997 participants (69.9 ± 8.1 years old), were included. At post-immediate assessment, effective (SMD = −0.36; CI −0.56 to −0.17), function −0.51; −0.75 −0.27), balance −0.59; −1.02 −0.15), flexion ROM 0.4; 0.17 0.62), extension strength 0.43; 0.19 0.68). Our findings showed immersive non-immersive be TKA, on may over 3 6 months. A high level satisfaction adherence reported.