关节镜下肩袖修复术后数字化辅助与传统家庭康复的比较：一项随机对照试验。

Digitally Assisted Versus Conventional Home-Based Rehabilitation After Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial.

机构信息

From the Neurology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal (FDC); SWORD Health Technologies, Inc, Salt Lake City, Utah (FDC, MM, SL, DC, CC, PC, VB); Orthopaedics Department, Hospital da Prelada-Domingos Braga da Cruz, Porto, Portugal (RS); Department of Physical Medicine and Rehabilitation, The University of Texas Health Science Center McGovern Medical School, Houston, Texas (GF); TIRR Memorial Hermann, Houston, Texas (GF); Rovisco Pais Medical and Rehabilitation Centre, Tocha, Portugal (JL); and Faculty of Medicine, Coimbra University, Coimbra, Portugal (JL).

出版信息

Am J Phys Med Rehabil. 2022 Mar 1;101(3):237-249. doi: 10.1097/PHM.0000000000001780.

DOI:10.1097/PHM.0000000000001780

PMID:33935152

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8826616/

Abstract

OBJECTIVE

The aim of this study was to evaluate the clinical impact of a 12-wk home-based digitally assisted rehabilitation program after arthroscopic rotator cuff repair against conventional home-based rehabilitation.

DESIGN

The digital therapy group performed independent technology-assisted sessions complemented with 13 face-to-face sessions, and the conventional therapy group had conventional face-to-face physical therapy (30 sessions). Primary outcome was functional change between baseline and 12 wks, measured through the Constant-Murley score. Secondary outcomes were the change in the QuickDASH Scale and shoulder range of motion.

RESULTS

Fifty participants enrolled; 41 completed the 12-wk program (23 digital therapy group vs. 18 conventional therapy group), and 32 (15 vs. 17) were available for the 12-mo follow-up assessment. No differences were found between groups regarding study endpoints at the end of the 12-wk program. However, follow-up results revealed the superiority of the digital therapy group for QuickDASH (P = 0.043), as well as an interaction between time and group in the Constant-Murley score (P = 0.047) in favor of the digital therapy group.

CONCLUSIONS

The results demonstrate that digital therapeutics can be used to achieve similar, if not superior, short- and long-term outcomes as conventional approaches after arthroscopic rotator cuff repair, while being far less human resource intensive than conventional care.Level of evidence: II.

摘要

目的

本研究旨在评估关节镜肩袖修复术后 12 周家庭数字化辅助康复方案对常规家庭康复的临床影响。

设计

数字治疗组进行独立的技术辅助治疗，辅以 13 次面对面治疗，常规治疗组进行常规的面对面物理治疗（30 次）。主要结局指标为Constant-Murley 评分评估的基线至 12 周的功能变化。次要结局指标为 QuickDASH 量表和肩部活动范围的变化。

结果

共有 50 名参与者入组；41 名完成了 12 周的治疗计划（23 名数字治疗组与 18 名常规治疗组），32 名（15 名与 17 名）可进行 12 个月的随访评估。在 12 周治疗计划结束时，两组在研究终点方面没有差异。然而，随访结果显示，数字治疗组在 QuickDASH 方面具有优势（P = 0.043），并且 Constant-Murley 评分的时间与组之间存在交互作用（P = 0.047），有利于数字治疗组。