Foissey Constant, Thaunat Mathieu, Bondoux Louka, Sonnery-Cottet Bertrand, Fayard Jean-Marie
Centre Orthopédique Santy, Lyon, France.
Hôpital Privé Jean Mermoz, Ramsay-Générale de Santé, Lyon, France.
Arthrosc Sports Med Rehabil. 2021 Aug 8;3(5):e1457-e1464. doi: 10.1016/j.asmr.2021.07.007. eCollection 2021 Oct.
To evaluate the adherence rate and the contribution of self-rehabilitation (SR) guided by a mobile application after anterior cruciate ligament reconstruction (ACLR) in combination with physical therapy sessions on early knee function.
This study was a retrospective analysis of prospectively collected data from a single health care facility. All patients who underwent ACLR by a single surgeon from December 2019 to September 2020 were included. Two groups were formed and compared based on use of the mobile app: users (>10 days of use) and nonusers (≤10 days of use). Outcomes included physical examination at 3 and 6 weeks postoperatively.
A total of 65 patients were analyzed: 19 in the nonuser group and 46 in the user group. Adherence rate was 91% at 10 days, 71% at 15 days, 62% at 21 days, and 44% at 45 days. At 3 weeks, the user group was 3.86 times [range 1.12 to 13.3] as likely to lock the quadriceps during gait with crutches and was 4.2 times [range 1.2 to 14.3] as likely to be pain free. There was a tendency to have less flexion contracture in the user group (17% versus 32%, = .32). At 6 weeks, the differences leveled out, but the user group still had slightly better quadriceps locking during gait without crutches (87% versus 79%, = .46).
SR guided by a mobile app combined with a standard rehabilitation protocol is correlated with better knee function at initial follow-up.
IV, therapeutic case series.
评估在接受前交叉韧带重建术（ACLR）后，由移动应用程序引导的自我康复（SR）与物理治疗相结合对早期膝关节功能的依从率及贡献。
本研究是对来自单一医疗机构的前瞻性收集数据进行的回顾性分析。纳入了2019年12月至2020年9月由同一位外科医生进行ACLR的所有患者。根据移动应用程序的使用情况将患者分为两组并进行比较：使用者（使用超过10天）和非使用者（使用≤10天）。观察指标包括术后3周和6周的体格检查。
共分析了65例患者：非使用者组19例，使用者组46例。10天时依从率为91%，15天时为71%，21天时为62%，45天时为44%。在3周时，使用者组在使用拐杖行走时股四头肌锁定的可能性是对照组的3.86倍（范围为1.12至13.3），且无痛的可能性是对照组的4.2倍（范围为1.2至14.3）。使用者组有屈曲挛缩较少的趋势（17%对32%，P = 0.32）。在6周时，差异趋于平稳，但使用者组在不使用拐杖行走时股四头肌锁定情况仍略好（87%对79%，P = 0.46）。
由移动应用程序引导的自我康复与标准康复方案相结合，在初始随访时与更好的膝关节功能相关。
IV级，治疗性病例系列。
