دورية أكاديمية
Cost effectiveness of virtual reality game compared to clinic based McKenzie extension therapy for chronic non-specific low back pain.
| العنوان: | Cost effectiveness of virtual reality game compared to clinic based McKenzie extension therapy for chronic non-specific low back pain. |
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| المؤلفون: | Fatoye F; Department of Health Professions, Manchester Metropolitan University, Manchester, UK., Gebrye T; Department of Health Professions, Manchester Metropolitan University, Manchester, UK., Mbada CE; Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria., Fatoye CT; Department of Health Professions, Manchester Metropolitan University, Manchester, UK., Makinde MO; Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria., Ayomide S; Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria., Ige B; Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. |
| المصدر: | British journal of pain [Br J Pain] 2022 Dec; Vol. 16 (6), pp. 601-609. Date of Electronic Publication: 2022 Jun 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Country of Publication: England NLM ID: 101583844 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2049-4637 (Print) Linking ISSN: 20494637 NLM ISO Abbreviation: Br J Pain Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: London : SAGE, 2012- |
| مستخلص: | Background: Low-back pain (LBP) is a major public health problem globally and its direct and indirect healthcare costs are growing rapidly. Virtual reality involving the use of video games or non-game applications are alternatives to conventional face-to-face physical therapy for LBP. The purpose of this study was to assess the cost-effectiveness of Back Extension-Virtual Reality Game (BE-VRG) compared to Clinic-based McKenzie therapy (CBMT) for chronic non-specific LBP in Nigeria. Methods: Patients with chronic non-specific LBP were randomised into either BE-VRG or CBMT group. Patients' level of disability was assessed using Oswestry Disability Index (ODI) at week 4 and week 8. ODI was mapped to SF-6D to generate quality adjusted life years (QALYs) used for cost-effectiveness analysis. Resource use and costs were assessed based on rehabilitation services from a healthcare perspective. Cost-effectiveness analysis which included direct healthcare costs was conducted. Incremental cost per QALY was also calculated. Results: Forty-six patients (BE-VRG, n = 22; CBMT, n = 24) with the mean (±SD) age of 32.6 ± (11.5) years for BE-VRG and 48.8 ± (10.2) years for CBMT intervention completed in this study. The mean direct health costs per patient were USD100.67 and USD106.3 for BE-VRG and CBMT, respectively. The mean quality adjusted life years at week 4 and week 8 were (BE-VRG, 0.0574 ± (0.002); CBMT, 0.0548 ± (0.002)); and (BE-VRG; 0.116 ± (0.002); CBMT; 0.114 ± (0.004)), respectively. Incremental cost-effectiveness ratio showed that BE-VRG arm was less costly and more effective than CBMT. Conclusion: The findings of this study suggest that BE-VRG was cost saving for chronic non-specific LBP compared to CBMT. This evidence could guide policy makers, payers and clinicians in evaluating BE-VRG as a treatment option for people with chronic non-specific LBP. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© British Pain Society 2022.) |
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| فهرسة مساهمة: | Keywords: Cost-effectiveness analysis; McKenzie extension; low back pain; video games; virtual reality |
| تواريخ الأحداث: | Date Created: 20221201 Latest Revision: 20221202 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9703246 |
| DOI: | 10.1177/20494637221109108 |
| PMID: | 36452130 |
| قاعدة البيانات: | MEDLINE |
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