文章摘要
蔡鑫,江美婷,管爱君,曾冬阳.虚拟现实技术在髋膝关节置换术患者康复中的应用现状[J].中国康复,2026,41(3):182-187
虚拟现实技术在髋膝关节置换术患者康复中的应用现状
Current status of research on the application and effects of virtual reality technology in rehabilitation of patients after hip and knee arthroplasty
  
DOI:10.3870/zgkf.2026.03.011
中文关键词: 关节置换  虚拟现实  康复  人工智能
英文关键词: joint arthroplasty  virtual reality  rehabilitation  artificial intelligence
基金项目:海南省自然科学基金(822RC692);海南医科大学研究生创新科研课题(HYYB2024-S004)
作者单位
蔡鑫 海南医科大学护理学院,海口571199 
江美婷 海南医科大学护理学院,海口571199 
管爱君 海南医科大学护理学院,海口571199 
曾冬阳 海南医科大学护理学院,海口571199 
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中文摘要:
  髋膝关节置换术是终末期骨关节炎的核心治疗手段,但传统术后康复因训练模式单一、患者依从性不足及动态评估滞后,制约功能恢复效果。虚拟现实(VR)技术凭借沉浸式交互、精准生物力学反馈等特性,在数字医疗政策支持下成为革新康复模式的新方向。综述VR技术在髋膝关节置换术后康复中的应用效果,为优化数字康复方案提供依据。检索PubMed、CNKI等中英文数据库近五年文献,聚焦“VR”“关节置换”“康复训练”等关键词,筛选临床研究44篇。虚拟现实技术在髋膝关节置换患者心理支持、关节功能恢复、家庭和远程康复取得较好效果,疼痛改善有待进一步研究。虚拟现实技术在髋膝关节置换患者术后康复领域有广阔的应用前景,未来应进一步开发虚拟现实技术融合人工智能,加强多中心临床验证,推动数字康复向智能化、远程化方向发展。
英文摘要:
  Total hip and knee arthroplasty (THA/TKA) is a core treatment for end-stage osteoarthritis. However, traditional postoperative rehabilitation is limited by monotonous training modes, low patient compliance, and delayed dynamic assessment, which constrain functional recovery. Virtual reality (VR) technology, characterized by immersive interaction and precise biomechanical feedback, has emerged as a promising innovation in rehabilitation under the support of digital healthcare policies. This study reviews the application effects of VR technology in postoperative rehabilitation after hip and knee arthroplasty, providing evidence for optimizing digital rehabilitation programs. Relevant studies published in the past five years were retrieved from databases such as PubMed and CNKI using keywords such as “virtual reality”, “joint arthroplasty” and “rehabilitation training”. A total of 44 clinical studies were selected for analysis. VR technology demonstrated positive effects in psychological support, joint function recovery, and home/remote rehabilitation for patients after hip and knee arthroplasty. However, its role in pain improvement requires further investigation. VR technology holds broad application prospects in postoperative rehabilitation after hip and knee arthroplasty. Future efforts should focus on integrating VR with artificial intelligence, conducting multi-center clinical validation, and advancing digital rehabilitation toward intelligent and remote directions.
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