van der Meer Hedwig A, Doomen Annet, Visscher Corine M, Engelbert Raoul H H, Nijhuis-van der Sanden Maria W G, Speksnijder Caroline M
University Medical Center Utrecht, Department of Oral-Maxillofacial Surgery and Special Dental Care, Utrecht University, Utrecht, The Netherlands.
Department of Orofacial Pain and Disfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit (VU) University Amsterdam, Amsterdam, The Netherlands.
Disabil Rehabil Assist Technol. 2024 Feb;19(2):433-445. doi: 10.1080/17483107.2022.2094000. Epub 2022 Aug 12.
To assess the experience and perceived added value of an e-Health application during the physical therapy treatment of patients with temporomandibular disorders (TMD).
A mixed-methods study including semi-structured interviews was performed with orofacial physical therapists (OPTs) and with TMD patients regarding their experience using an e-Health application, Physitrack. The modified telemedicine satisfaction and usefulness questionnaire and pain intensity score before and after treatment were collected from the patients.
Ten OPTs, of which nine actively used Physitrack, described that the e-Health application can help to provide personalised care to patients with TMD, due to the satisfying content, user-friendliness, accessibility, efficiency, and ability to motivate patients. Ten patients, of which nine ended up using Physitrack, felt that shared decision-making was very important. These patients were positive towards the application as it was clear, convenient, and efficient, it helped with reassurance and adherence to the exercises and overall increased self-efficacy. This was mostly built on their experience with exercise videos, as this feature was most used. None of the OPTs or patients used all features of Physitrack. The overall satisfaction of Physitrack based on the telemedicine satisfaction and usefulness questionnaire (TSUQ) was 20.5 ± 4.0 and all patients (100%) showed a clinically relevant reduction of TMD pain (more than 2 points and minimally 30% difference).
OPTs and patients with TMD shared the idea that exercise videos are of added value on top of usual physical therapy care for TMD complaints, which could be delivered through e-Health.Implications for RehabilitationPhysical therapists and patients with temporomandibular disorders do not use all features of the e-Health application Physitrack in a clinical setting.Exercise videos were the most often used feature and seen as most valuable by physical therapists and patients.Based on a small number of participants, e-Health applications such as Physitrack may be perceived as a valuable addition to the usual care, though this would need verification by a study designed to evaluate the therapeutic effect (e.g., a randomised clinical trial).
评估电子健康应用程序在颞下颌关节紊乱症（TMD）患者物理治疗期间的应用体验及感知到的附加价值。
采用混合方法研究，包括对口腔颌面物理治疗师（OPT）和TMD患者进行半结构化访谈，了解他们使用电子健康应用程序Physitrack的体验。收集患者治疗前后的改良远程医疗满意度和有用性问卷以及疼痛强度评分。
10名OPT中，9名积极使用Physitrack，他们表示该电子健康应用程序因其内容令人满意、用户友好、可访问性、效率高以及能够激励患者，有助于为TMD患者提供个性化护理。10名患者中，9名最终使用了Physitrack，他们认为共同决策非常重要。这些患者对该应用程序持积极态度，因为它清晰、方便且高效，有助于增强信心并坚持锻炼，总体上提高了自我效能感。这主要基于他们使用锻炼视频的体验，因为该功能使用最为频繁。OPT和患者均未使用Physitrack的所有功能。基于远程医疗满意度和有用性问卷（TSUQ），Physitrack的总体满意度为20.5±4.0，所有患者（100%）的TMD疼痛均出现了具有临床意义的减轻（超过2分且差异至少为30%）。
OPT和TMD患者一致认为，锻炼视频在TMD常规物理治疗基础上具有附加价值，可通过电子健康方式提供。
康复启示
物理治疗师和颞下颌关节紊乱症患者在临床环境中并未使用电子健康应用程序Physitrack的所有功能。
锻炼视频是最常使用的功能，物理治疗师和患者认为其最有价值。
基于少数参与者，Physitrack等电子健康应用程序可能被视为常规护理的有价值补充，不过这需要通过旨在评估治疗效果的研究（如随机临床试验）进行验证。
