Chughtai Morad, Piuzzi Nicholas, Yakubek George, Khlopas Anton, Sodhi Nipun, Sultan Assem A, Nasir Salahuddin, Yates Benjamin S T, Bhave Anil, Mont Michael A
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
Surg Technol Int. 2017 Oct 12;31:221-226.
Patients suffering from quadriceps muscle weakness secondary to osteoarthritis or after surgeries, such as total knee arthroplasty, appear to benefit from the use of neuromuscular electrical stimulation (NMES), which can improve muscle strength and function, range of motion, exercise capacity, and quality of life. Several modalities exist that deliver this therapy. However, with the ever-increasing demand to improve clinical efficiency and costs, digitalize healthcare, optimize data collection, improve care coordination, and increase patient compliance and engagement, newer devices incorporating technologies that facilitate these demands are emerging. One of these devices, an app-controlled home-based NMES therapy system that allows patients to self-manage their condition and potentially increase adherence to the treatment, incorporates a smartphone-based application which allows a cloud-based portal that feeds real-time patient monitoring to physicians, allowing patients to be supported remotely and given feedback. This device is a step forward in improving both patient care and physician efficiency, as well as decreasing resource utilization, which potentially may reduce healthcare costs.
患有继发于骨关节炎或手术后（如全膝关节置换术后）的股四头肌无力的患者，似乎可从使用神经肌肉电刺激（NMES）中获益，这种刺激可改善肌肉力量和功能、关节活动范围、运动能力及生活质量。有多种方式可提供这种治疗。然而，随着提高临床效率和降低成本、医疗保健数字化、优化数据收集、改善护理协调以及提高患者依从性和参与度的需求不断增加，融合有助于满足这些需求的技术的新型设备正在涌现。其中一种设备是基于家庭的应用程序控制的NMES治疗系统，它允许患者自我管理病情并可能提高治疗依从性，该系统包含一个基于智能手机的应用程序，该应用程序允许通过基于云的门户向医生提供实时患者监测数据，从而实现对患者的远程支持并给予反馈。此设备在改善患者护理和医生效率以及减少资源利用方面向前迈进了一步，这有可能降低医疗成本。
