Bäcker Henrik Constantin, Wu Chia H, Pförringer Dominik, Petersen Wolf, Stöckle Ulrich, Braun Karl F
Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Center for Musculoskeletal Surgery, Humboldt-Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany.
Royal Melbourne Hospital, Department of Orthopedic Surgery, 300 Grattan Street, Parkville, VIC 3050, Australia.
J Pers Med. 2022 Aug 21;12(8):1342. doi: 10.3390/jpm12081342.
Following the outbreak of SARS-CoV-2, several elective surgeries were cancelled, and rehabilitation units were closed. This has led to difficulties for patients seeking access to rehabilitation in order to achieve the best possible outcome. New applications with or without sensors were developed to address this need, but the outcome has not been examined in detail yet. The aim of this study was to perform a systematic literature review on smart phone applications for patients suffering from hip and knee osteoarthritis after arthroplasty. The MEDLINE/PubMed and Google databases were queried using the search term "[APP] AND [ORTHOPEDIC]" according to PRISMA guidelines. All prospective studies investigating rehabilitation applications reporting the functional outcome in hip and knee osteoarthritis after arthroplasty were included. The initial search yielded 420 entries, but only 9 publications met the inclusion criteria, accounting for 1067 patients. In total, 518 patients were in the intervention group, and 549 patients were in the control group. The average follow-up was 9.5 ± 8.1 months (range: 3 to 23.4 months). Overall, significantly lower A-VAS values were observed for the interventional group in the short term ( = 0.002). There were no other significant differences observed between the two groups. Smart phone applications provide an alternative to in-person sessions that may improve access for patients after total joint arthroplasty. Our study found there are significant improvements in the short term by using this approach. In combination with a blue-tooth-enabled sensor for isometric exercises, patients can even receive real-time feedback after total knee arthroplasty.
新型冠状病毒肺炎疫情爆发后，多项择期手术被取消，康复科室也被关闭。这给寻求康复治疗以获得最佳治疗效果的患者带来了困难。为满足这一需求，人们开发了有无传感器的新应用，但对其效果尚未进行详细研究。本研究的目的是对用于髋关节和膝关节置换术后骨关节炎患者的智能手机应用进行系统的文献综述。根据PRISMA指南，使用搜索词“[应用程序] AND [骨科]”查询MEDLINE/PubMed和谷歌数据库。纳入所有调查康复应用并报告髋关节和膝关节置换术后骨关节炎功能结果的前瞻性研究。初步搜索得到420条记录，但只有9篇出版物符合纳入标准，涉及1067名患者。干预组共有518名患者，对照组有549名患者。平均随访时间为9.5±8.1个月（范围：3至23.4个月）。总体而言，短期内干预组的A-VAS值显著更低（P = 0.002）。两组之间未观察到其他显著差异。智能手机应用为面对面治疗提供了一种替代方案，可能会改善全关节置换术后患者的治疗机会。我们的研究发现，使用这种方法在短期内有显著改善。结合用于等长运动的蓝牙传感器，患者在全膝关节置换术后甚至可以获得实时反馈。
