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A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA

Following the outbreak of SARS-CoV-2, several elective surgeries were cancelled, and rehabilitation units were closed. This has led to difficulties for patients seeking access to rehabilitation in order to achieve the best possible outcome. New applications with or without sensors were developed to...

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Autores principales: Bäcker, Henrik Constantin, Wu, Chia H., Pförringer, Dominik, Petersen, Wolf, Stöckle, Ulrich, Braun, Karl F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9409922/
https://www.ncbi.nlm.nih.gov/pubmed/36013291
http://dx.doi.org/10.3390/jpm12081342
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author Bäcker, Henrik Constantin
Wu, Chia H.
Pförringer, Dominik
Petersen, Wolf
Stöckle, Ulrich
Braun, Karl F.
author_facet Bäcker, Henrik Constantin
Wu, Chia H.
Pförringer, Dominik
Petersen, Wolf
Stöckle, Ulrich
Braun, Karl F.
author_sort Bäcker, Henrik Constantin
collection PubMed
description Following the outbreak of SARS-CoV-2, several elective surgeries were cancelled, and rehabilitation units were closed. This has led to difficulties for patients seeking access to rehabilitation in order to achieve the best possible outcome. New applications with or without sensors were developed to address this need, but the outcome has not been examined in detail yet. The aim of this study was to perform a systematic literature review on smart phone applications for patients suffering from hip and knee osteoarthritis after arthroplasty. The MEDLINE/PubMed and Google databases were queried using the search term “[APP] AND [ORTHOPEDIC]” according to PRISMA guidelines. All prospective studies investigating rehabilitation applications reporting the functional outcome in hip and knee osteoarthritis after arthroplasty were included. The initial search yielded 420 entries, but only 9 publications met the inclusion criteria, accounting for 1067 patients. In total, 518 patients were in the intervention group, and 549 patients were in the control group. The average follow-up was 9.5 ± 8.1 months (range: 3 to 23.4 months). Overall, significantly lower A-VAS values were observed for the interventional group in the short term (p = 0.002). There were no other significant differences observed between the two groups. Smart phone applications provide an alternative to in-person sessions that may improve access for patients after total joint arthroplasty. Our study found there are significant improvements in the short term by using this approach. In combination with a blue-tooth-enabled sensor for isometric exercises, patients can even receive real-time feedback after total knee arthroplasty.
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spelling pubmed-94099222022-08-26 A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA Bäcker, Henrik Constantin Wu, Chia H. Pförringer, Dominik Petersen, Wolf Stöckle, Ulrich Braun, Karl F. J Pers Med Review Following the outbreak of SARS-CoV-2, several elective surgeries were cancelled, and rehabilitation units were closed. This has led to difficulties for patients seeking access to rehabilitation in order to achieve the best possible outcome. New applications with or without sensors were developed to address this need, but the outcome has not been examined in detail yet. The aim of this study was to perform a systematic literature review on smart phone applications for patients suffering from hip and knee osteoarthritis after arthroplasty. The MEDLINE/PubMed and Google databases were queried using the search term “[APP] AND [ORTHOPEDIC]” according to PRISMA guidelines. All prospective studies investigating rehabilitation applications reporting the functional outcome in hip and knee osteoarthritis after arthroplasty were included. The initial search yielded 420 entries, but only 9 publications met the inclusion criteria, accounting for 1067 patients. In total, 518 patients were in the intervention group, and 549 patients were in the control group. The average follow-up was 9.5 ± 8.1 months (range: 3 to 23.4 months). Overall, significantly lower A-VAS values were observed for the interventional group in the short term (p = 0.002). There were no other significant differences observed between the two groups. Smart phone applications provide an alternative to in-person sessions that may improve access for patients after total joint arthroplasty. Our study found there are significant improvements in the short term by using this approach. In combination with a blue-tooth-enabled sensor for isometric exercises, patients can even receive real-time feedback after total knee arthroplasty. MDPI 2022-08-21 /pmc/articles/PMC9409922/ /pubmed/36013291 http://dx.doi.org/10.3390/jpm12081342 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Bäcker, Henrik Constantin
Wu, Chia H.
Pförringer, Dominik
Petersen, Wolf
Stöckle, Ulrich
Braun, Karl F.
A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA
title A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA
title_full A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA
title_fullStr A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA
title_full_unstemmed A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA
title_short A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA
title_sort review of functional outcomes after the app-based rehabilitation of patients with tka and tha
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9409922/
https://www.ncbi.nlm.nih.gov/pubmed/36013291
http://dx.doi.org/10.3390/jpm12081342
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