Evaluating the effectiveness of virtual reality-based rehabilitation programs for post-injury recovery in adolescent athletes: a mixed-methods study

Authors

DOI:

https://doi.org/10.47197/retos.v65.111674

Keywords:

Virtual reality rehabilitation, Adolescent athletes, Post-injury recovery, Mixed-methods, Sports medicine

Abstract

Introduction: the importance of post-injury rehabilitation for teenage athletes demands innovative methods because traditional practices fail to sustain student athlete participation. VR-based rehabilitation creates interactive recovery programs which might advance physical healing together with mental drive.

Objective: the research investigates how well VR-based rehabilitation works against traditional approaches for both physical healing and psychological involvement in adolescent athletes.

Methodology: sixty adolescent athletes (aged 13–18) received their rehabilitation through random assignment into two groups: one involved traditional approaches while the other received VR-based rehabilitation. The research measured recovery outcomes at three time points: baseline, 4 weeks and 8 weeks. The measured outcomes included range of motion (ROM), muscle strength, return to sport (RTS) time and pain perception. The VR group members shared their experiences through semi-structured interview methods.

Results: the subjects in the VR group achieved greater improvements in ROM (p = 0.02) and muscle strength (p = 0.03) and RTS time (p = 0.01). People who used VR reported stronger motivation and engagement although these benefits brought increased worry about re-injuring their knee. Subject participants achieved better results in their rehabilitation by using immersive VR interventions.

Conclusions: virtual reality-based rehabilitation enables adolescent athletes to restore physical well-being as well as emotional well-being. The interactive features of this approach improve patient commitment which accelerates their recovery time. Future investigations need to analyze extended advantages and expanded medical applications within sports medicine.

References

Ardern, C. L., Österberg, A., Sonesson, S., Gauffin, H., Webster, K. E., & Kvist, J. (2016). Satisfaction With Knee Function After Primary Anterior Cruciate Ligament Reconstruction Is Associated With Self-Efficacy, Quality of Life, and Returning to Preinjury Physical Activity. Arthroscopy: The Journal of arthroscopic & related Surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 32(8), 1631–1638.e3. https://doi.org/10.1016/j.arthro.2016.01.035

Asadzadeh, A., Salahzadeh, Z., Samad-Soltani, T., & Rezaei-Hachesu, P. (2024). An affordable and im-mersive virtual reality-based exercise therapy in forward head posture. PloS one, 19(3), e0297863. https://doi.org/10.1371/journal.pone.0297863

Cameirão, M. S., Badia, S. B., Oller, E. D., & Verschure, P. F. (2010). Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation. Journal of neuro-engineering and Rehabilitation, 7, 48. https://doi.org/10.1186/1743-0003-7-48

Chen J. (2021). Clinical Effect of Virtual Reality Technology on Rehabilitation Training of Sports Inju-ry. Journal of Healthcare Engineering, 2021, 1361851. https://doi.org/10.1155/2021/1361851 (Retraction published J Healthc Eng. 2023 Oct 11;2023:9829080. doi: 10.1155/2023/9829080)

Choi, J. Y., Yi, S. H., Ao, L., Tang, X., Xu, X., Shim, D., Yoo, B., Park, E. S., & Rha, D. W. (2021). Virtual reality rehabilitation in children with brain injury: a randomized controlled trial. Developmental med-icine and child neurology, 63(4), 480–487. https://doi.org/10.1111/dmcn.14762

Costa E Silva, L., Teles, J., & Fragoso, I. (2022). Sports injury patterns in children and adolescents ac-cording to their sports participation level, age, and maturation. BMC sports science, medicine & rehabilitation, 14(1), 35. https://doi.org/10.1186/s13102-022-00431-3

Fan, T., Wang, X., Song, X., Zhao, G., & Zhang, Z. (2023). Research Status and Emerging Trends in Virtual Reality Rehabilitation: Bibliometric and Knowledge Graph Study. JMIR serious games, 11, e41091. https://doi.org/10.2196/41091

Forsdyke, D., Gledhill, A., & Ardern, C. (2016). Psychological readiness to return to sport: three key ele-ments to help the practitioner decide whether the athlete is ready. British journal of sports medicine, 51(7), 555–556. https://doi.org/10.1136/bjsports-2016-096770

Georgiev, D. D., Georgieva, I., Gong, Z., Nanjappan, V., & Georgiev, G. V. (2021). Virtual Reality for Neu-rorehabilitation and Cognitive Enhancement. Brain sciences, 11(2), 221. https://doi.org/10.3390/brainsci11020221

Gumaa, M., & Rehan Youssef, A. (2019). Is Virtual Reality Effective in Orthopedic Rehabilitation? A Sys-tematic Review and Meta-Analysis. Physical therapy, 99(10), 1304–1325. https://doi.org/10.1093/ptj/pzz093

Kim, J., Son, J., Ko, N., & Yoon, B. (2013). Unsupervised virtual reality-based exercise program improves hip muscle strength and balance control in older adults: a pilot study. Archives of physical med-icine and rehabilitation, 94(5), 937–943. https://doi.org/10.1016/j.apmr.2012.12.010

Lal, H., Mohanta, S., Kumar, J., Patralekh, M. K., Lall, L., Katariya, H., & Arya, R. K. (2022). Telemedicine-Rehabilitation and Virtual Reality in Orthopaedics and Sports Medicine. Indian journal of ortho-pedics, 57(1), 7–19. https://doi.org/10.1007/s43465-022-00766-6

Maffulli, N., Longo, U. G., Gougoulias, N., Caine, D., & Denaro, V. (2010). Sports injuries: a review of out-comes. British Medical Bulletin, 97, 47–80. https://doi.org/10.1093/bmb/ldq026

Mudrak, J., Slepicka, P., & Slepickova, I. (2018). Sport motivation and doping in adolescent athletes. PloS one, 13(10), e0205222. https://doi.org/10.1371/journal.pone.0205222

Nieto-Escamez, F., Cortés-Pérez, I., Obrero-Gaitán, E., & Fusco, A. (2023). Virtual Reality Applications in Neurorehabilitation: Current Panorama and Challenges. Brain sciences, 13(5), 819. https://doi.org/10.3390/brainsci13050819

Podlog, L., & Eklund, R. C. (2006). The psychosocial aspects of a return to sport following serious inju-ry: A review of the literature from a self-determination perspective. Psychology of Sport and Exercise, 8(4), 535–566. https://doi.org/10.1016/j.psychsport.2006.07.008

Ravi, D. K., Kumar, N., & Singhi, P. (2017). Effectiveness of virtual reality rehabilitation for children and adolescents with cerebral palsy: an updated evidence-based systematic re-view. Physiotherapy, 103(3), 245–258. https://doi.org/10.1016/j.physio.2016.08.004

Shrey, D. W., Griesbach, G. S., & Giza, C. C. (2011). The pathophysiology of concussions in youth. Physical Medicine and rehabilitation clinics of North America, 22(4), 577–vii. https://doi.org/10.1016/j.pmr.2011.08.002

Tokgöz, P., Stampa, S., Wähnert, D., Vordemvenne, T., & Dockweiler, C. (2022). Virtual Reality in the Rehabilitation of Patients with Injuries and Diseases of Upper Extremities. Healthcare, 10(6), 1124. https://doi.org/10.3390/healthcare10061124

Voinescu, A., Sui, J., & Stanton Fraser, D. (2021). Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses. Journal of Clinical Medicine, 10(7), 1478. https://doi.org/10.3390/jcm10071478

Weiss, P. L., & Katz, N. (2004). The potential of virtual reality for rehabilitation. Journal of Rehabilita-tion Research and development, 41(5), vii–x.

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Published

28-03-2025

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Original Research Article

How to Cite

MPT, V. K., Amarnath, R., Nusarath jaha, G., Katiyar, P., Rangaswamy, R., & Sinha, A. (2025). Evaluating the effectiveness of virtual reality-based rehabilitation programs for post-injury recovery in adolescent athletes: a mixed-methods study. Retos, 65, 1184-1192. https://doi.org/10.47197/retos.v65.111674