Constantinescu David, Pavlis William, Rizzo Michael, Vanden Berge Dennis, Barnhill Spencer, Hernandez Victor Hugo
Department of Orthopaedics, University of Miami, Miami, Florida, USA.
University of Miami Miller School of Medicine, Miami, Florida, USA.
EFORT Open Rev. 2022 Jul 5;7(7):481-490. doi: 10.1530/EOR-21-0115.
Commercially available smartphone apps and wearable devices have proven valuable in a variety of clinical settings, yet their utility in measuring physical activity and monitoring patient status following total knee arthroplasty (TKA) remains unclear.
A systematic review was performed to assess the evidence supporting the use of smartphone apps and wearable devices to assist rehabilitation interventions following TKA. A search was conducted in the PubMed, Cochrane, Medline, and Web of Science databases in September 2021.
One hundred and seventy-six studies were retrieved, of which 15 met inclusion criteria, including 6 randomized control trials. Four of these studies utilized smartphone apps, seven utilized wearable devices, and four utilized a combination of both. A total of 1607 TKA patients participated in the included studies. For primary outcomes, three reported on device accuracy, three on recovery prediction, two on functional recovery, two on physical activity promotion, two on patient compliance, two on pain control, and one on healthcare utilization.
Commercially available smartphone apps and wearable devices were shown to capably monitor physical activity and improve patient engagement following TKA, making them potentially viable adjuncts or replacements to traditional rehabilitation programs. Components of interventions such as step goals, app-based patient engagement platforms, and patient-specific benchmarks for recovery may improve effectiveness. However, future research should focus on the economics of implementation, long-term outcomes, and optimization of compliance and accuracy when using these devices.
市售的智能手机应用程序和可穿戴设备已在多种临床环境中证明具有价值，但其在全膝关节置换术（TKA）后测量身体活动和监测患者状况方面的效用仍不明确。
进行了一项系统评价，以评估支持使用智能手机应用程序和可穿戴设备辅助TKA后康复干预的证据。2021年9月在PubMed、Cochrane、Medline和科学网数据库中进行了检索。
共检索到176项研究，其中15项符合纳入标准，包括6项随机对照试验。这些研究中，4项使用了智能手机应用程序，7项使用了可穿戴设备，4项同时使用了两者。共有1607名TKA患者参与了纳入研究。对于主要结局，3项报告了设备准确性，3项报告了恢复预测，2项报告了功能恢复，2项报告了身体活动促进，2项报告了患者依从性，2项报告了疼痛控制，1项报告了医疗保健利用情况。
市售的智能手机应用程序和可穿戴设备显示能够监测TKA后的身体活动并提高患者参与度，使其有可能成为传统康复计划的可行辅助手段或替代方案。干预措施的组成部分，如步数目标、基于应用程序的患者参与平台以及针对患者的恢复基准，可能会提高有效性。然而，未来的研究应关注实施的经济性、长期结局以及使用这些设备时依从性和准确性的优化。
