Shim Ga Yang, Kim Eun Hye, Baek Yun Jeong, Chang Won Kee, Kim Bo Ram, Oh Joo Han, Lee Jong In, Hwang Ji Hye, Lim Jae-Young
Department of Physical and Rehabilitation Medicine, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.
Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi, Republic of Korea.
NPJ Digit Med. 2023 May 23;6(1):95. doi: 10.1038/s41746-023-00842-7.
A digital healthcare system based on augmented reality (AR) has promising uses for postoperative rehabilitation. We compare effectiveness of AR-based and conventional rehabilitation in patients after rotator cuff repair (RCR). This study randomly allocates 115 participants who underwent RCR to digital healthcare rehabilitation group (DR group) and conventional rehabilitation group (CR group). The DR group performs AR-based home exercises using UINCARE Home+, whereas the CR group performs brochure-based home exercises. The primary outcome is a change in the Simple Shoulder Test (SST) score between baseline and 12 weeks postoperatively. The secondary outcomes are the Disabilities of the Arm, Shoulder and Hand (DASH) score; Shoulder Pain And Disability Index (SPADI) score; EuroQoL 5-Dimension 5-Level (EQ5D5L) questionnaire score; pain; range of motion (ROM); muscle strength; and handgrip strength. The outcomes are measured at baseline, and at 6, 12, and 24 weeks postoperatively. The change in SST score between baseline and 12 weeks postoperatively is significantly greater in the DR group than in the CR group (p = 0.025). The SPADI, DASH, and EQ5D5L scores demonstrate group×time interactions (p = 0.001, = 0.04, and = 0.016, respectively). However, no significant differences over time are observed between the groups in terms of pain, ROM, muscle strength, and handgrip strength. The outcomes show significant improvement in both groups (all p < 0.001). No adverse events are reported during the interventions. AR-based rehabilitation shows better improvement in terms of shoulder function after RCR compared to conventional rehabilitation. Therefore, as an alternative to the conventional rehabilitation, the digital healthcare system is effective for postoperative rehabilitation.
基于增强现实（AR）的数字医疗系统在术后康复方面具有广阔的应用前景。我们比较了基于AR的康复训练与传统康复训练对肩袖修复术（RCR）患者的效果。本研究将115例接受RCR的参与者随机分为数字医疗康复组（DR组）和传统康复组（CR组）。DR组使用UINCARE Home+进行基于AR的家庭锻炼，而CR组进行基于宣传册的家庭锻炼。主要结局指标是术后12周与基线时简单肩部测试（SST）评分的变化。次要结局指标包括手臂、肩部和手部功能障碍（DASH）评分；肩痛和功能障碍指数（SPADI）评分；欧洲五维健康量表（EQ5D5L）问卷评分；疼痛；活动范围（ROM）；肌肉力量；以及握力。在基线、术后6周、12周和24周测量这些结局指标。术后12周与基线时，DR组SST评分的变化显著大于CR组（p = 0.025）。SPADI、DASH和EQ5D5L评分显示出组×时间交互作用（分别为p = 0.001、= 0.04和= 0.016）。然而，两组在疼痛、ROM、肌肉力量和握力方面未观察到随时间的显著差异。两组的结局指标均有显著改善（所有p < 0.001）。干预期间未报告不良事件。与传统康复相比，基于AR的康复训练在RCR后肩部功能改善方面表现更好。因此，作为传统康复的替代方法，数字医疗系统对术后康复有效。
