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08 October 2025 : Clinical Research  

Immersive Virtual Reality Therapy for Elderly Female Patients Undergoing Rehabilitation After Hip Arthroplasty: A Randomized Controlled Pilot Trial

Joanna Szczepańska-Gieracha ORCID logo ADEFG 1, Adam Wrzeciono ORCID logo CEF 1, Błażej Cieślik ORCID logo ACE 2*, Robert Gajda ORCID logo DEF 3,4, Justyna Mazurek ORCID logo ABDEF 5

DOI: 10.12659/MSM.948321

Med Sci Monit 2025; 31:e948321

Table 2 Results of psychological tests, including the statistical significance of differences between the experimental and control groups.

Experimental group (n=11)Control group (n=12)Effect sizep valuea
 Before12.55 (5.87)15.25 (8.49)
 After5.10 (4.74)15.33 (6.67)
 Change−6.64; −52.90% (−12.28; −1.00)0.08; 0.54% (−2.51; 2.67)1.030.02
 p valueb 0.030.95
 Effect size0.790.14
 Before7.00 (2.65)7.75 (8.49)
 After2.91 (2.84)7.50 (3.92)
 Change−4.09; −58.44% (−7.07; −1.11)−0.25; −3.23% (−1.88; 1.38)1.070.01
 p valueb 0.010.74
 Effect size0.920.17
 Before5.55 (4.06)7.50 (4.52)
 After3.00 (3.19)7.83 (3.86)
 Change−2.55; −45.90% (−6.33; 1.24)0.33; 4.44% (−1.08; 1.75)0.690.12
 p valueb 0.160.62
 Effect size0.450.15
 Before64.82 (17.60)58.92 (21.37)
 After37.00 (5.68)57.08 (17.12)
 Change−27.82; −42.92% (−38.83; −16.81)−1.83; −3.11% (−9.09; 5.42)1.86<0.001
 p valueb <0.0010.59
 Effect size1.700.16
 Before24.18 (7.52)20.00 (7.91)
 After11.55 (2.84)20.08 (5.73)
 Change−12.64; −52.26% (−18.02; −7.25)0.08; 0.41% (−2.84; 3.01)1.97<0.01
 p valueb <0.0010.95
 Effect size1.580.17
 Before19.73 (5.69)18.17 (6.90)
 After13.55 (2.02)18.50 (5.81)
 Change−6.18; −31.34% (−10.37; −2.00)0.33; 1.83% (−1.43; 2.10)1.37<0.01
 p valueb 0.010.69
 Effect size0.990.12
 Before20.91 (6.69)20.75 (7.46)
 After11.91 (3.62)18.50 (6.46)
 Change−9.00; −43.04% (−11.88; −6.12)−2.25; −10.84% (−5.41; 0.91)1.45<0.01
 p valueb <0.0010.15
 Effect size2.100.21
 Before26.73 (7.24)28.75 (6.59)
 After38.82 (1.33)30.00 (6.37)
 Change12.09; 45.24% (7.61; 16.57)1.25; 4.35% (−2.36; 4.86)1.76<0.001
 p valueb <0.0010.46
 Effect size1.810.26
 Before4.55 (2.70)4.00 (2.22)
 After0.73 (1.27)2.67 (2.02)
 Change−3.82; −84.00% (−5.35; −2.29)−1.33; −33.33% (−2.36; −0.31)1,270.01
 p valueb <0.0010.02
 Effect size1.680.25
a Significance of the unpaired test;
b significance of the paired test.
Values before and after are presented as mean values (standard deviation). The change is expressed as the mean difference and percentage change, along with 95% confidence intervals. The effect size values are the absolute values of Cohen’s . HADS – Hospital Anxiety (A) and Depression (D) Scale; PSQ – Perception of Stress Questionnaire; GSES – General Self-Efficacy Scale; VAS – visual analog scale for pain assessment.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750