The Videoinsight® Method: improving early results following total knee arthroplasty

Luciana Rebecca Russo, Maria Grazia Benedetti, Elisabetta Mariani, Tommaso Roberti Di Sarsina, Stefano Zaffagnini

Research output: Contribution to journalArticlepeer-review


Purpose: The purpose of this randomized double-blind study was to investigate the effectiveness of the Videoinsight® psychological enhancing method in promoting early recovery during rehabilitation following total knee arthroplasty. Methods: One-hundred and ten patients treated with cemented total knee arthroplasty were randomly assigned to Group A or Group B, and both groups underwent the same rehabilitation programme. Group A (55 patients) received one art video selected according to Videoinsight® concept. This art video promoting self-confidence and psychological support to the patient has been shown in the physical therapy department before any rehabilitation session, in the first 15 days after surgery and then three times a week for the next 4 weeks. Group B (55 patients) underwent the same rehabilitation protocol in the same setting, after TKA surgery, without the video support. Patients were evaluated pre-operatively and 3 months after surgery with Physical and Mental SF-36, State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Tampa Scale of Kinesiophobia (TSK), Knee Society Score (KSS), VAS, and WOMAC scores. Results: Eight patients were lost to follow-up, and 102 patients (Group A: 52 patients; Group B: 50 patients) were available at mean 3.0 ± 0.2 months follow-up. Age at surgery was 69.1 ± 13.0 years. The two groups were homogeneous regarding pre-operative demographic data and clinical outcomes. Significant improvements were observed in both groups compared to baseline and in Group A compared to Group B at final follow-up for functional and psychological scores except for SF-36. Respectively, Group A and Group B showed WOMAC 79.9 ± 13.0 and 69.7 ± 9.5 (p <0.005), VAS 2.8 ± 1.6 and 4.0 ± 1.5, (p <0.005), KSS 87.8 ± 9.6 and 78.3 ± 8.2 (p <0.005), BDI 5.1 ± 4.8 and 9.4 ± 3.9 (p <0.005), STAI 30.8 ± 7.9 and 34.8 ± 7.8 (p <0.005), and TSK 24.4 ± 5.5 and 29.3 ± 4.8 (p <0.005). Conclusion: The Videoinsight(®) psychological enhancing method, by the view of video art images, combined to an adequate rehabilitation protocol can be a means for further improving short-term clinical and functional outcomes by giving a psychological support to patients who underwent total knee arthroplasty. Level of evidence: I.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Publication statusAccepted/In press - May 9 2016


  • Catastrophizing
  • Kinesiophobia
  • Psychological support
  • Psychology
  • Rehabilitation
  • Total knee arthroplasty
  • Videoinsight Method

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery


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