The Added Value of Point-Light Display Observation in Total Knee Arthroplasty Rehabilitation Program: A Prospective Randomized Controlled Pilot Study
Christel Bidet-Ildei,
Quentin Deborde,
Victor Francisco,
Elise Gand,
Yannick Blandin,
Anne Delaubier,
Anne Jossart,
Philippe Rigoard,
Maxime Billot,
Romain David
Affiliations
Christel Bidet-Ildei
Université de Poitiers, Centre de Recherches sur la Cognition et l’Apprentissage, 86000 Poitiers, France
Quentin Deborde
Service de Médecine Physique et Réadaptation, Centre Hospitalier Universitaire de Poitiers, 86000 Poitiers, France
Victor Francisco
Université de Poitiers, Centre de Recherches sur la Cognition et l’Apprentissage, 86000 Poitiers, France
Elise Gand
CHU Poitiers Clinical Investigation Center CIC 1402, INSERM, University of Poitiers, 86000 Poitiers, France
Yannick Blandin
Université de Poitiers, Centre de Recherches sur la Cognition et l’Apprentissage, 86000 Poitiers, France
Anne Delaubier
Service de Médecine Physique et Réadaptation, Centre Hospitalier Universitaire de Poitiers, 86000 Poitiers, France
Anne Jossart
Service de Médecine Physique et Réadaptation, Centre Hospitalier Universitaire de Poitiers, 86000 Poitiers, France
Philippe Rigoard
PRISMATICS (Predictive Research in Spine/Neurostimulation Management and Thoracic Innovation in Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France
Maxime Billot
PRISMATICS (Predictive Research in Spine/Neurostimulation Management and Thoracic Innovation in Cardiac Surgery), Poitiers University Hospital, 86000 Poitiers, France
Romain David
Service de Médecine Physique et Réadaptation, Centre Hospitalier Universitaire de Poitiers, 86000 Poitiers, France
Background and Objectives: The present study aimed to assess the potential benefit of the observation of rehabilitation-related point-light display in addition to a conventional 3-week rehabilitation program, the objective being to improve functional capacity in patients having undergone total knee arthroplasty. Materials and Methods: Patients randomized in the control group had conventional rehabilitation treatment with two sessions per day 5 days a week of physical therapy (90 min), whereas patients in the experimental group had a program of conventional rehabilitation combined with a point-light display observation two times per day (5 min) and 3 days a week. Results: The patients of both groups had improved their performances by the end of the program, and the pre- and post-test improvement were superior for the experimental group over the control group concerning the total WOMAC score (p = 0.04), the functional WOMAC score (p = 0.03), and correct recognition of point-light displays (p = 0.003). Conclusions: These findings provide new insight favoring systematic point-light display observation to improve functional recovery in patients with total knee arthroplasty.
