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April 28, 2026Journal of Orthopaedic Surgery and ResearchOpen Access

Decreased kinesiophobia with virtual embodiment for post-surgical knee rehabilitation: a randomized controlled trial

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Authors

TDTony DoneganBABeñat Amestoy-AlonsoBSBernhard Spanlang

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Overview

Randomized trial shows reduced kinesiophobia in patients post-ACL surgery using virtual reality, suggesting improved rehab outcomes.

Key Points

  • The study aims to evaluate the effectiveness of virtual reality in reducing kinesiophobia during post-surgical knee rehabilitation.
  • Randomized controlled trial with 47 participants undergoing ACL reconstruction, assigned to VR plus rehabilitation or conventional rehabilitation.
  • VR group utilized a 20-minute daily program for 4 weeks, involving immersive exercises and a virtual physiotherapist.
  • Outcome measures included IKDC scores, limb symmetry for quadriceps strength, active knee extension range, and kinesiophobia at multiple time points.
  • VR intervention group reported significantly lower kinesiophobia scores at 4 weeks (27.00 vs. 33.35, Cohen’s d = −0.971, p = 0.045).
  • No statistically significant differences in IKDC scores or limb symmetry for quadriceps strength and range of motion were found, but improvements were noted in both groups over time (p < 0.001).
  • Moderate effect sizes were observed for IKDC scores at 4 weeks (Cohen’s d = 0.559) and 36 weeks (Cohen’s d = 0.722).

Cite This Study

Donegan et al. (2026) studied this question.

synapsesocial.com/papers/69f04e9b727298f751e72928https://doi.org/10.1186/s13018-026-06865-6
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