Bahadori Shayan, Wainwright Thomas W, Ahmed Osman H
Orthopaedic Research Institute, Bournemouth University Bournemouth, United Kingdom.
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, United Kingdom.
Disabil Rehabil. 2020 Apr;42(7):983-988. doi: 10.1080/09638288.2018.1514661. Epub 2018 Oct 26.
The aim of this study was to critically examine the content of smartphone apps produced for patients undergoing total hip replacement and total knee replacement surgery. A systematic search was conducted across the five most popular smartphone app stores: iTunes; Google Play; Windows Mobile; Blackberry App World; and Nokia Ovi. Apps were identified for screening if they: targeted total hip replacement or total knee replacement patients; were free of charge; and were in English. App quality assessment was conducted independently by three reviewers using the Mobile App Rating Scale. 15 apps met the inclusion criteria. On the 5-point Mobile App Rating Scale, the mean overall app quality score was 3.1. Within the Mobile App Rating Scale, the "Aesthetics" subscale had the most inconsistency across all apps, generating the highest and lowest mean scores (4.7 and 1, respectively). The "functionality" subscale had the highest mean score (3.8) among the four subscales, and the "information" subscale had the lowest mean score (2.7). This study highlights that despite a wide range of apps currently available to total hip replacement and total knee replacement patients, there is significant variability in their quality. Future efforts should be made to develop apps in partnership with patients, to improve the content, interactivity and relevance of apps.Implications for RehabilitationClinicians and rehabilitation professionals should consider that patients are using Smartphone apps to supplement their rehabilitation and be aware of currently available apps.Although some apps show promise, at present there is no one openly available app which is clinically recommended for rehabilitation use following total hip replacement and total knee replacement.Rehabilitation professionals tailor recovery programmes to individual patient needs following total hip replacement and total knee replacement, and future apps should also consider personal needs.We recommend that patients are involved in all stages of designing and testing future total hip replacement and total knee replacement rehabilitation apps.
本研究的目的是严格审查为接受全髋关节置换术和全膝关节置换术的患者开发的智能手机应用程序的内容。我们在五个最受欢迎的智能手机应用商店中进行了系统搜索：iTunes；谷歌Play；Windows Mobile；黑莓应用世界；以及诺基亚Ovi。如果应用程序符合以下条件，则被确定为进行筛选：针对全髋关节置换或全膝关节置换患者；免费；且为英文。由三名评审员使用移动应用评分量表独立进行应用质量评估。15个应用程序符合纳入标准。在5分制的移动应用评分量表上，应用程序的平均总体质量得分为3.1。在移动应用评分量表中，“美学”子量表在所有应用程序中的不一致性最大，产生了最高和最低的平均得分（分别为4.7和1）。“功能”子量表在四个子量表中的平均得分最高（3.8），而“信息”子量表的平均得分最低（2.7）。本研究强调，尽管目前有各种各样的应用程序可供全髋关节置换和全膝关节置换患者使用，但其质量存在显著差异。未来应努力与患者合作开发应用程序，以改善应用程序的内容、交互性和相关性。
对康复的启示
临床医生和康复专业人员应考虑到患者正在使用智能手机应用程序来辅助他们的康复，并了解目前可用的应用程序。
尽管一些应用程序显示出前景，但目前没有一个公开可用的应用程序在临床上被推荐用于全髋关节置换和全膝关节置换后的康复使用。
康复专业人员会根据全髋关节置换和全膝关节置换后个体患者的需求制定康复计划，但未来的应用程序也应考虑个人需求。
我们建议患者参与未来全髋关节置换和全膝关节置换康复应用程序设计和测试的所有阶段。
