Beijing Key Laboratory of Sports Medicine and Joint Injuries, Department of Sports Medicine, Peking University Third Hospital, Peking University Institute of Sports Medicine, Beijing, China.
School of Public Health, Peking University Health Science Center, Beijing, China.
Front Public Health. 2023 Jan 12;10:1042167. doi: 10.3389/fpubh.2022.1042167. eCollection 2022.
This study aimed to assess changes in joint range of motion (ROM) and knee joint function between patients who received the mobile health-based intervention and those who received regular care at 2 and 6 weeks after anterior cruciate ligament (ACL) reconstruction to provide better interventions in the future.
Patients who underwent ACL reconstruction were randomized into the experimental [Mobile health-based intervention (MHI); = 62] and control (CON) groups ( = 63). The CON group underwent home-based rehabilitation exercise following the paper rehabilitation schedule, while the intervention group received additional mobile health-based education at weeks 1-6 after surgery. ROM, thigh circumference difference, and flexion pain were the primary outcomes. The secondary outcomes were the international knee documentation committee knee evaluation form (IKDC) scores and rehabilitation compliance scores. All the outcomes were measured 1 day before surgery as references and at 2 and 6 weeks after surgery.
There was no statistical difference in the patients' ROM, thigh circumference difference, and VAS scores at the 2-week follow-up. At the 6-week follow-up, the ROM of the affected leg was (118.1 ± 20.5)° in the CON group and (126.6 ± 20.5)° in the MHI group, and the difference was statistically significant ( = 0.011). The difference in thigh circumference was 3.0 (2.0, 3.5) cm in the CON group and 2.5 (1.0, 3.0) cm in the MHI group. The difference was statistically significant ( < 0.001). The VAS score in the CON group was 3.0 (2.0, 4.0), and the MHI group was 2.5 (1.0, 3.0). The difference was statistically significant ( < 0.05). At the 6-week follow-up, the compliance score of patients in the MHI group was significantly higher than that in the CON group ( = 0.047, β = 2.243, 95%CI: 0.026-4.459). There is no statistically significant difference in IKDC scores.
Mobile health-based intervention positively affected patients undergoing ACL reconstruction surgery, particularly in improving the clinical outcome indicators of the knee joint.
本研究旨在评估接受移动医疗干预的患者与接受常规护理的患者在接受前交叉韧带（ACL）重建后 2 周和 6 周时关节活动度（ROM）和膝关节功能的变化，以便为未来提供更好的干预措施。
接受 ACL 重建的患者被随机分为实验组（移动医疗干预组，MHI；n=62）和对照组（常规护理组，CON；n=63）。CON 组在术后第 1 周到第 6 周接受基于纸质康复计划的家庭康复锻炼，而干预组在术后第 1 周到第 6 周接受额外的移动医疗教育。ROM、大腿围差和屈曲疼痛是主要结局。次要结局是国际膝关节文献委员会膝关节评估表（IKDC）评分和康复依从性评分。所有结果均在术前 1 天作为参考，以及术后 2 周和 6 周时进行测量。
在 2 周随访时，两组患者的 ROM、大腿围差和 VAS 评分均无统计学差异。在 6 周随访时，CON 组患侧腿 ROM 为（118.1±20.5）°，MHI 组为（126.6±20.5）°，差异具有统计学意义（=0.011）。大腿围差在 CON 组为 3.0（2.0，3.5）cm，在 MHI 组为 2.5（1.0，3.0）cm，差异具有统计学意义（<0.001）。CON 组 VAS 评分为 3.0（2.0，4.0），MHI 组为 2.5（1.0，3.0），差异具有统计学意义（<0.05）。在 6 周随访时，MHI 组患者的依从性评分明显高于 CON 组（=0.047，β=2.243，95%CI：0.026-4.459）。IKDC 评分无统计学差异。
移动医疗干预对接受 ACL 重建手术的患者产生了积极影响，特别是在改善膝关节的临床结局指标方面。
