使用新型D+R疗法iPhone应用程序进行远程物理治疗监测。
Remote physiotherapy monitoring using the novel D+R Therapy iPhone application.
作者信息
Vaish Abhishek, Ahmed Saif, Shetty Anan
机构信息
Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Chatham, Kent, UK.
出版信息
J Clin Orthop Trauma. 2017 Jan-Mar;8(1):21-24. doi: 10.1016/j.jcot.2016.08.008. Epub 2016 Aug 27.
Abstract
BACKGROUND
Patient compliance to physiotherapy after surgical intervention is key to optimal functional outcome. This has been recognised by published literature over a number of decades. Improving and monitoring patient compliance remains a challenge. This paper explores the use of a website linked iPhone application that may be used to address this issue.
PURPOSE
The purpose of this case study was to assess if the D+R Therapy application was of benefit to a patient and to assess the advantages and disadvantages of such a system.
METHOD
One patient who underwent knee cartilage resurfacing surgery was followed up in the post-operative period.
RESULTS/CONCLUSION: The D+R Therapy platform may provide a timely and cost effective method of managing patients undergoing musculoskeletal physiotherapy. Costs may be reduced by exploiting the hardware patients already own, and identifying non-compliant patients who may be of interest to both healthcare providers and insurers.
LEVEL OF EVIDENCE
Level IV.
摘要
背景
手术干预后患者对物理治疗的依从性是实现最佳功能结果的关键。几十年来，这一点已得到发表文献的认可。改善和监测患者依从性仍然是一项挑战。本文探讨了使用与网站相连的iPhone应用程序来解决这一问题。
目的
本案例研究的目的是评估D+R治疗应用程序对一名患者是否有益，并评估该系统的优缺点。
方法
对一名接受膝关节软骨表面置换手术的患者进行术后随访。
结果/结论：D+R治疗平台可能为管理接受肌肉骨骼物理治疗的患者提供一种及时且具有成本效益的方法。通过利用患者已拥有的硬件，并识别医疗服务提供者和保险公司可能感兴趣的不依从患者，可以降低成本。
证据水平
四级。
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本文引用的文献
1
The application of telemedicine in orthopedic surgery in singapore: a pilot study on a secure, mobile telehealth application and messaging platform.新加坡骨科手术中远程医疗的应用：一个安全、移动的远程医疗应用和信息平台的试点研究。
JMIR Mhealth Uhealth. 2014 Jun 5;2(2):e28. doi: 10.2196/mhealth.3303.
2
Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects.系统综述霍桑效应：需要新的概念来研究研究参与效应。
J Clin Epidemiol. 2014 Mar;67(3):267-77. doi: 10.1016/j.jclinepi.2013.08.015. Epub 2013 Nov 22.
3
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J Chiropr Med. 2012 Jun;11(2):94-103. doi: 10.1016/j.jcm.2011.11.001.
4
Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review.物理治疗门诊中治疗依从性的障碍：一项系统综述。
Man Ther. 2010 Jun;15(3):220-8. doi: 10.1016/j.math.2009.12.004. Epub 2010 Feb 16.
5
Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain.系统评价：运用运动疗法改善慢性下腰痛治疗效果的策略
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6
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