Steiner Bianca, Richter Isabel, Elgert Lena, Haux Reinhold, Wolf Klaus-Hendrik
Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Braunschweig, Germany.
Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Hannover, Germany.
Stud Health Technol Inform. 2021 May 24;278:195-202. doi: 10.3233/SHTI210069.
Rehabilitation of musculoskeletal diseases (MSD) of the shoulder is a multifaceted long-term process, which is often not transparent to affected patients. Mobile health applications (apps) have the potential to support this complex process by improving patients' self-management skills. However, there seems to be a lack of apps providing a holistic approach to motivate and guide patients during the whole rehabilitation process. Therefore, a systematic analysis of apps on Google Play Store was conducted by two independent reviewers. A total of 3227 apps were identified, of which 64 met the eligibility criteria for the qualitative analysis. The majority of analyzed apps were developed generally for patients with MSD of the shoulder, rarely for specific diseases (individual needs of patients). The majority of apps focus on the provision of information, exercise training, and alternative medicine. Apps for diagnostics, inpatient treatment, and self-management, especially for multiple rehabilitation phases, are rare or even not existent. Game design elements are seldom used. If there are any, then simple to implement ones, e.g. messages and progress bars. The (psychological) effects of individual game design elements on patients seem to be neglected, when selecting and implementing game-components.
肩部肌肉骨骼疾病（MSD）的康复是一个多方面的长期过程，而这一过程对受影响的患者来说往往并不明晰。移动健康应用程序（应用）有潜力通过提高患者的自我管理技能来支持这一复杂过程。然而，似乎缺乏能在整个康复过程中为患者提供全面激励和指导方法的应用。因此，两名独立评审员对谷歌应用商店上的应用进行了系统分析。总共识别出3227个应用，其中64个符合定性分析的入选标准。大多数经分析的应用是为肩部MSD患者普遍开发的，很少针对特定疾病（患者的个体需求）。大多数应用侧重于提供信息、运动训练和替代医学。用于诊断、住院治疗和自我管理的应用，尤其是针对多个康复阶段的应用，很少见甚至不存在。游戏设计元素很少被使用。即便有，也是易于实施的元素，例如消息和进度条。在选择和实施游戏组件时，单个游戏设计元素对患者的（心理）影响似乎被忽视了。
