Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Department of Medical Rehabilitation, Physical Therapy Department, Ministry of health, Riyadh, Saudi Arabia.
Disabil Rehabil. 2022 Jun;44(11):2420-2427. doi: 10.1080/09638288.2020.1836268. Epub 2020 Oct 25.
To examine the effects of an Arabic smartphone application on adherence to home exercise programs (HEPs) and the effectiveness of mobile-based HEPs on pain, physical function, and lower-limb muscle strength among older women with knee osteoarthritis (OA).
This randomised control trial (ClinicalTrials.gov: (NCT04159883) enrolled 40 women aged ≥50 years with knee OA who were randomised into the app group (experimental; = 20) receiving HEPs using an Arabic smartphone application called "My Dear Knee", whereas the paper group (control; = 20) receiving HEPs as hand-outs. Both groups had the same exercise program. Outcome measures were self-reported adherence, changes in the Arabic Numeric Pain Rating Scale, the Arabic version of the reduced Western Ontario, McMaster Universities Osteoarthritis Index-Physical Function subscale, and Five-Times Sit-To-Stand Test scores. All participants were assessed at baseline, at week 3 and week 6. Using completer-only analyses, the repeated measures ANOVA was used to compare the means of the outcome measures between the two groups.
At the end of week 6, the app group reported greater adherence to HEPs ( = .002) and significant reduction in pain ( = .015).
A smartphone application with motivational and attractive features could enhance adherence to HEPs in this patient cohort.IMPLICATIONS FOR REHABILITATIONOlder adults with knee OA may face many obstacles that prevent or limit their adherence to the prescribed HEP.Smart device apps supported with attractive and motivational features could be an effective strategy to enhance adherence to HEPs among older adults with knee OA.Using such remote technology appears to overcome the barriers that may limit the ability of older women to receive supervised physical therapy in a clinical setting.
研究阿拉伯语智能手机应用程序对老年女性膝骨关节炎（OA）患者坚持家庭锻炼计划（HEP）的影响，以及基于移动的 HEP 对疼痛、身体功能和下肢肌肉力量的有效性。
这项随机对照试验（ClinicalTrials.gov：NCT04159883）纳入了 40 名年龄≥50 岁的膝 OA 女性，随机分为应用程序组（实验组，n=20）和纸质组（对照组，n=20）。实验组使用名为“我亲爱的膝盖”的阿拉伯语智能手机应用程序接受 HEP，而对照组则接受HEP 的纸质材料。两组均接受相同的锻炼方案。主要结局指标为自我报告的依从性、阿拉伯数字疼痛评分量表、阿拉伯语简化西部安大略省麦克马斯特大学骨关节炎指数-身体功能量表以及 5 次坐立测试评分的变化。所有参与者在基线、第 3 周和第 6 周进行评估。采用仅完成者分析，重复测量方差分析用于比较两组之间结局指标的均值。
在第 6 周结束时，应用程序组报告的 HEP 依从性更高（ = .002），疼痛明显减轻（ = .015）。
具有激励和吸引力特征的智能手机应用程序可以提高该患者队列对 HEP 的依从性。
膝骨关节炎的老年人可能面临许多障碍，这些障碍会阻止或限制他们遵守规定的 HEP。具有吸引力和激励性特征的智能设备应用程序可能是提高膝骨关节炎老年人 HEP 依从性的有效策略。使用这种远程技术似乎可以克服可能限制老年女性在临床环境中接受监督物理治疗能力的障碍。
