Email this article Impact of training with a 3D video-reconstruction rehabilitation system on functional recovery in early postoperative period after total knee arthroplasty
- Authors: Konev S.M.1,2, Korchazhkina N.B.1, Tagabilev D.G.1, Koneva E.S.1,2, Zhumanova E.N.1, Khaptagaev T.B.2, Tolstykh N.N.1, Lyadov K.V.2
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Affiliations:
- Russian Scientific Center of Surgery named after academician B.V. Petrovsky
- Sechenov First Moscow State Medical University
- Issue: Vol 24, No 6 (2025)
- Pages: 433-444
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/364042
- DOI: https://doi.org/10.17816/rjpbr693480
- EDN: https://elibrary.ru/ZJPGME
- ID: 364042
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Abstract
BACKGROUND: Total knee arthroplasty is the gold standard for treating stage III–IV deforming osteoarthritis; however, in early rehabilitation, up to 20% of patients report persistent limitations in joint function, gait disturbances, and decreased quality of life. An important challenge is the integration of rehabilitation technologies that support gait recovery using augmented virtual-reality systems under conditions approximating real-life situations.
AIM: To evaluate the effectiveness of the D-Wall system (DIH S.r.l., Florence, Italy) in patients in the early rehabilitation period after total knee arthroplasty using the domains of the International Classification of Functioning, Disability and Health.
METHODS: A prospective, randomized, controlled trial was conducted with 60 patients (mean age 68.2 ± 6.5 years) after primary total knee arthroplasty at the second stage of medical rehabilitation. The main group (n = 30) received training on the D-Wall rehabilitation system in addition to a standard comprehensive rehabilitation program, while the control group (n = 30) followed standard comprehensive rehabilitation program. Functional status was assessed before the start of medical rehabilitation and after completion of a 10-day rehabilitation course.
RESULTS: Ten days after completing rehabilitation, the main group demonstrated significant improvements compared with the control group: a 42% reduction in pain intensity measured by the Visual Analog Scale (4.1 ± 1.2 points in the main group and 6.3 ± 1.5 points in the control group, p < 0.01); a 25° increase in knee flexion range of motion (115 ± 8° in the main group and 90 ± 10° in the control group, p < 0.001); a 35% increase in walking speed according to C-Mill assessment (0.92 ± 0.15 m/s in the main group and 0.68 ± 0.12 m/s in the control group, p < 0.01); and a 28% improvement in social and daily-living adaptation (p < 0.05).
CONCLUSIONS: Incorporating the D-Wall rehabilitation system with 3D video-reconstruction and biological feedback into early postoperative rehabilitation after total knee arthroplasty promotes faster recovery of motor function, gait correction, and improved quality of life.
About the authors
Sergey M. Konev
Russian Scientific Center of Surgery named after academician B.V. Petrovsky; Sechenov First Moscow State Medical University
Author for correspondence.
Email: koneffseryozha039@gmail.com
ORCID iD: 0000-0001-5907-140X
Russian Federation, Moscow; Moscow
Natalia B. Korchazhkina
Russian Scientific Center of Surgery named after academician B.V. Petrovsky
Email: n9857678103@gmail.com
ORCID iD: 0000-0001-6913-8778
SPIN-code: 9733-7646
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowDmitry G. Tagabilev
Russian Scientific Center of Surgery named after academician B.V. Petrovsky
Email: nkc3@med.ru
ORCID iD: 0000-0003-2823-635X
SPIN-code: 7300-6689
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowElizaveta S. Koneva
Russian Scientific Center of Surgery named after academician B.V. Petrovsky; Sechenov First Moscow State Medical University
Email: elizaveta.coneva@yandex.ru
ORCID iD: 0000-0002-9859-194X
SPIN-code: 8200-2155
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Moscow; MoscowEkaterina N. Zhumanova
Russian Scientific Center of Surgery named after academician B.V. Petrovsky
Email: ekaterinazhumanova@yandex.ru
ORCID iD: 0000-0003-3016-4172
SPIN-code: 3437-7865
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowTimur B. Khaptagaev
Sechenov First Moscow State Medical University
Email: khaptagaev.tb@medsigroup.ru
ORCID iD: 0000-0003-2879-7114
SPIN-code: 5085-9392
Russian Federation, Moscow
Natalya N. Tolstykh
Russian Scientific Center of Surgery named after academician B.V. Petrovsky
Email: tolstykh.nn@medsigroup.ru
ORCID iD: 0009-0007-3153-4186
Russian Federation, Moscow
Konstantin V. Lyadov
Sechenov First Moscow State Medical University
Email: klyadov@mail.ru
ORCID iD: 0000-0001-5468-5074
MD, Professor, academician of the Russian Academy of Sciences
Russian Federation, MoscowReferences
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