Perceived usefulness and ease of using virtual reality during physiotherapy–A cross-sectional survey from physiotherapists perspective
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Faculty of Health and Life Sciences, INTI International University, Nilai, MALAYSIA
Your Physio (Physiotherapy Center), Pulau Penang, MALAYSIA
Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Thandalam, Chennai, INDIA
Department of Physiotherapy, PPG College of Physiotherapy, Saravanampatti, Coimbatore, Affiliated to The Tamilnadu Dr. MGR Medical University, Tamilnadu, INDIA
Department of Physical Therapy, Deanship of Quality and Academic Accreditation, Imam Abdulrahman Bin Faisal University, Dammam, SAUDI ARABIA
Online publication date: 2023-08-01
Publication date: 2023-11-01
Electron J Gen Med 2023;20(6):em530
Virtual reality (VR) is a cutting-edge technology that consists of a sophisticated user-computer interface that allows for real-time visualization and interaction by using both visual and auditory sensorial channel. The implementation of inclusive innovation using VR in health services should be considered and hence, this study is conducted to investigate the perceived usefulness and ease of using VR during physiotherapy among Malaysian physiotherapists.

Materials and methods:
A cross-sectional a survey through social media, with an adapted questionnaire about the perceived usefulness and simplicity of adopting VR during physiotherapy is distributed to physiotherapists in Malaysia. In total, 102 physiotherapists participated in this study. Frequency and percentage are used to analyze the data of questionnaire items.

Overall 62% agree that using VR would enable to accomplish tasks more quickly, 63% finds it improve job performance, 57% believes that VR would increase my productivity. 59% enhance the effectiveness on the job. 64% easier to do my job, 61% VR useful in job. Regarding perceived ease of use 57% accepts learning to operate VR would be easy for me, 55% find it easy to get VR to do what physiotherapist want it to do, 53% agrees that interaction with VR would be clear and understandable, 54% agree that it is flexible to interact with, 54% agree to be become skillful using VR and lastly 55% agree it is easy to use.

The majority of Malaysian physiotherapists find VR slightly useful for inclusive innovation in physiotherapy, improving work efficiency and performance. However, some remain neutral regarding its overall usefulness. They also find VR neither easy nor difficult to use in terms of inclusivity.

Rutkowski S, Kiper P, Cacciante L, Mazurek J, Turolla A. Use of virtual reality-based training in different fields of rehabilitation: A systematic review and meta-analysis. J Rehabil Med. 2020;52(11):1-16. https://doi.org/10.2340/165019... PMid:33073855.
Howard MC. A meta-analysis and systematic literature review of virtual reality rehabilitation programs. Comput Human Behav. 2017;70:317-27. https://doi.org/10.1016/j.chb.....
Dengel A, Mägdefrau J. Presence is the key to understanding immersive learning. In: Beck D, Pena-Rios A, Ogle T, et al., editors. Immersive learning research network. New York, NY: Springer; 2019. p. 185-98. https://doi.org/10.1007/978-3-....
Cipresso P, Giglioli IAC, Raya MA, Riva G. The past, present, and future of virtual and augmented reality research: A network and cluster analysis of the literature. Front Psychol. 2018;9:1-20. https://doi.org/10.3389/fpsyg.... PMid:30459681 PMCid:PMC6232426.
Javaid M, Haleem A. Virtual reality applications toward medical field. Clin Epidemiol Glob Heal. 2020;8(2):600-5. https://doi.org/10.1016/j.cegh....
Garrett B, Taverner T, Gromala D, Tao G, Cordingley E, Sun C. Virtual reality clinical research: Promises and challenges. JMIR Serious Games. 2018;6(4):e10839. https://doi.org/10.2196/10839 PMid:30333096 PMCid:PMC6231864.
Asadzadeh A, Samad-Soltani T, Salahzadeh Z, Rezaei-Hachesu P. Effectiveness of virtual reality-based exercise therapy in rehabilitation: A scoping review. Informatics Med Unlocked. 2021;24:100562. https://doi.org/10.1016/j.imu.....
Tennant M, McGillivray J, Youssef GJ, McCarthy MC, Clark T-J. Feasibility, acceptability, and clinical implementation of an immersive virtual reality intervention to address psychological well-being in children and adolescents with cancer. J Pediatr Oncol Nurs. 2020;37(4):265-77. https://doi.org/10.1177/104345... PMid:32536320.
Qian J, McDonough DJ, Gao Z. The effectiveness of virtual reality exercise on individual’s physiological, psychological and rehabilitative outcomes: A systematic review. Int J Environ Res Public Health. 2020;17(11):4133. https://doi.org/10.3390/ijerph... PMid:32531906 PMCid:PMC7312871.
Reilly CA, Greeley AB, Jevsevar DS, Gitajn IL. Virtual reality-based physical therapy for patients with lower extremity injuries: Feasibility and acceptability. OTA Int. 2021; 4(2):e132. https://doi.org/10.1097/OI9.00... PMid:34746664 PMCid:PMC8568393.
EbrahimiSani S, Sohrabi M, Taheri H, Agdasi MT, Amiri S. Effects of virtual reality training intervention on predictive motor control of children with DCD–A randomized controlled trial. Res Dev Disabil. 2020;107:103768. https://doi.org/10.1016/j.ridd... PMid:33161293.
Levin MF, Weiss PL, Keshner EA. Emergence of virtual reality as a tool for upper limb rehabilitation: Incorporation of motor control and motor learning principles. Phys Ther. 2015;95(3):415-25. https://doi.org/10.2522/ptj.20... PMid:25212522 PMCid:PMC4348716.
Porras DC, Siemonsma P, Inzelberg R, Zeilig G, Plotnik M. Advantages of virtual reality in the rehabilitation of balance and gait: Systematic review. Neurology. 2018;90(22):1017-25. https://doi.org/10.1212/WNL.00... PMid:29720544.
Liao Y-Y, Yang Y-R, Wu Y-R, Wang R-Y. Virtual reality-based Wii fit training in improving muscle strength, sensory integration ability, and walking abilities in patients with Parkinson’s disease: A randomized control trial. Int J Gerontol. 2015;9(4):190-5. https://doi.org/10.1016/j.ijge....
Baniasadi T, Ayyoubzadeh SM, Mohammadzadeh N. Challenges and practical considerations in applying virtual reality in medical education and treatment. Oman Med J. 2020;35(3):e125. https://doi.org/10.5001/omj.20... PMid:32489677 PMCid:PMC7232669.
Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989;13(3):319. https://doi.org/10.2307/249008.
Zhao Y, Cutrell E, Holz C, Morris MR, Ofek E, Wilson AD. SeeingVR: A set of tools to make virtual reality more accessible to people with low vision. In: Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. New York, NY: Association for Computing Machinery; 2019. p. 1-14. https://doi.org/10.1145/329060....
Cox DJ, Brown T, Ross V, et al. Can youth with autism spectrum disorder use virtual reality driving simulation training to evaluate and improve driving performance? An exploratory study. J Autism Dev Disord. 2017;47:2544-55. https://doi.org/10.1007/s10803... PMid:28540452.
Pérez L, Diez E, Usamentiaga R, García DF. Industrial robot control and operator training using virtual reality interfaces. Comput Ind. 2019;109:114-20. https://doi.org/10.1016/j.comp....
Akbulut A, Catal C, Yildiz B. On the effectiveness of virtual reality in the education of software engineering. Comput Appl Eng Educ. 2018;26(4):918-27. https://doi.org/10.1002/cae.21....
Ozkan B. The reflections of English as a foreign language teachers’ on the use of virtual reality in classroom practice (International Black Sea University case). J Educ Black Sea Reg. 2017;2(2):34-43. https://doi.org/10.31578/jebs.....
De Ponti R, Marazzato J, Maresca AM, Rovera F, Carcano G, Ferrario MM. Pre-graduation medical training including virtual reality during COVID-19 pandemic: A report on students’ perception. BMC Med Educ. 2020;20:1-7. https://doi.org/10.1186/s12909... PMid:32977781 PMCid:PMC7517753.
Roldán JJ, Crespo E, Martín-Barrio A, Peña-Tapia E, Barrientos A. A training system for Industry 4.0 operators in complex assemblies based on virtual reality and process mining. Robot Comput Integr Manuf. 2019;59:305-16. https://doi.org/10.1016/j.rcim....
Nijman SA, Veling W, Greaves-Lord K, et al. Dynamic interactive social cognition training in virtual reality (DiSCoVR) for people with a psychotic disorder: Single-group feasibility and acceptability study. JMIR Ment Health. 2020;7(8):e17808. https://doi.org/10.2196/17808 PMid:32763880 PMCid:PMC7442939.
Lee GI, Lee MR. Can a virtual reality surgical simulation training provide a self-driven and mentor-free skills learning? Investigation of the practical influence of the performance metrics from the virtual reality robotic surgery simulator on the skill learning and asso. Surg Endosc. 2018;32:62-72. https://doi.org/10.1007/s00464... PMid:28634632.
Boletsis C, Cedergren JE. VR locomotion in the new era of virtual reality: An empirical comparison of prevalent techniques. Adv Hum Comput Interact. 2019;2019:7420781. https://doi.org/10.1155/2019/7....
Manis KT, Choi D. The virtual reality hardware acceptance model (VR-HAM): Extending and individuating the technology acceptance model (TAM) for virtual reality hardware. J Bus Res. 2019;100:503-13. https://doi.org/10.1016/j.jbus....
Vasanthi RK, Ling LC, Muniandy Y. Awareness, perception and acceptability of digital physiotherapy intervention among malaysian physiotherapist. Int J Public Heal Sci. 2021;10(4):778-84. https://doi.org/10.11591/ijphs....
Rajkumar Krishnan V, Yughdtheswari M, Kaanmalar A. Digital physiotherapy intervention in health care delivery–A narrative review. INTI J. 2019;2019:026.