Young Adult Hip Service, Department of Trauma and Orthopaedic Surgery, Addenbrooke's-Cambridge University Hospitals NHS Foundation Trust, Hills Road, Box 37, Cambridge, CB2 0QQ, UK.
Department of Academic Orthopaedics, Trauma and Sports Medicine, Queens Medical Centre, University of Nottingham, Nottingham, UK.
Int Orthop. 2021 Aug;45(8):1933-1940. doi: 10.1007/s00264-020-04814-4. Epub 2020 Oct 13.
As the demand for rehabilitation in orthopaedics increases, so too has the development in advanced rehabilitation technology. However, to date, there are no review papers outlining the broad scope of advanced rehabilitation technology used within the orthopaedic population. The aim of this study is to identify, describe and summarise the evidence for efficacy for all advanced rehabilitation technologies applicable to orthopaedic practice.
The relevant literature describing the use of advanced rehabilitation technology in orthopaedics was identified from appropriate electronic databases (PubMed and EMBASE) and a narrative review undertaken.
Advanced rehabilitation technologies were classified into two groups: hospital-based and home-based rehabilitation. In the hospital-based technology group, we describe the use of continuous passive motion and robotic devices (after spinal cord injury) and their effect on improving clinical outcomes. We also report on the use of electromagnetic sensor technology for measuring kinematics of upper and lower limbs during rehabilitation. In the home-based technology group, we describe the use of inertial sensors, smartphones, software applications and commercial game hardware that are relatively inexpensive, user-friendly and widely available. We outline the evidence for videoconferencing for promoting knowledge and motivation for rehabilitation as well as the emerging role of virtual reality.
The use of advanced rehabilitation technology in orthopaedics is promising and evidence for its efficacy is generally supportive.
随着骨科康复需求的增加，先进的康复技术也得到了发展。然而，迄今为止，还没有综述性文章概述了骨科患者中使用的广泛的先进康复技术。本研究旨在确定、描述和总结所有适用于骨科实践的先进康复技术的疗效证据。
从相关电子数据库（PubMed 和 EMBASE）中确定了描述骨科中使用先进康复技术的相关文献，并进行了叙述性综述。
先进的康复技术分为两类：医院内和家庭康复。在医院内的技术组中，我们描述了连续被动运动和机器人设备（脊髓损伤后）的使用及其对改善临床结果的影响。我们还报告了电磁传感器技术在康复过程中测量上下肢运动学的应用。在家庭内的技术组中，我们描述了使用相对便宜、用户友好且广泛可用的惯性传感器、智能手机、软件应用程序和商业游戏硬件。我们概述了视频会议在促进康复知识和动机方面的作用，以及虚拟现实的新兴作用。
骨科中先进康复技术的应用有很大的发展前景，其疗效的证据总体上是支持的。
