Liao Wei-Jen, Lee Kun-Tsan, Chiang Liang-Yu, Liang Che-Han, Chen Chao-Ping
Department of Orthopaedics, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Department of Post-Baccalaureate Medicine, National Chung-Hsing University, Taichung 402202, Taiwan.
J Clin Med. 2023 Jul 24;12(14):4865. doi: 10.3390/jcm12144865.
Due to the rapid spread of the coronavirus disease-19 (COVID-19), most of the patients expressed a reluctance to undergo postoperative rehabilitation at a rehabilitation clinic. Therefore, in this scenario it was necessary to reshape the crucial role of postoperative rehabilitation of these patients. We conducted a telerehabilitation program based on an artificial intelligence brace (AI brace) which can monitor the progress of rehabilitation through an app and an internet server. Our hypothesis was that home-based telerehabilitation might provide clinical outcomes comparable to face-to-face, hospital-based rehabilitation programs in terms of effectiveness.
A retrospective cohort study enrolled patients who received anterior cruciate ligament reconstruction (ACLR) between January and September 2020. Patients were divided into two groups: the tele-AI group received telerehabilitation with an AI brace while the FTF group had face-to-face, hospital-based rehabilitation. Clinical knee functional scores and Tegner Activity Scale (TAS) were assessed and analyzed until 12 months after the operation.
The tele-AI group had higher IKDC scores at 3 months ( = 0.0443) and 6 months ( = 0.0052) after surgery and higher KOOS scores at 1 month ( = 0.0365) and 6 months ( = 0.0375) after surgery. However, no significant difference between the two groups was detected at the end of the follow-up. The tele-AI group had higher TAS than FTF group after 1 year.
Telerehabilitation after ACLR seems to provide a superior short-term outcome compared to hospital-based rehabilitation during the COVID-19 pandemic.
由于冠状病毒病2019（COVID-19）的迅速传播，大多数患者表示不愿在康复诊所接受术后康复治疗。因此，在这种情况下，有必要重塑这些患者术后康复的关键作用。我们开展了一项基于人工智能支具（AI支具）的远程康复计划，该支具可通过应用程序和互联网服务器监测康复进展。我们的假设是，就有效性而言，居家远程康复可能提供与面对面的、基于医院的康复计划相当的临床结果。
一项回顾性队列研究纳入了2020年1月至9月期间接受前交叉韧带重建（ACLR）的患者。患者分为两组：远程人工智能组使用AI支具进行远程康复，而面对面组进行面对面的、基于医院的康复。评估并分析临床膝关节功能评分和特格纳活动量表（TAS），直至术后12个月。
远程人工智能组在术后3个月（ = 0.0443）和6个月（ = 0.0052）时IKDC评分较高，在术后1个月（ = 0.0365）和6个月（ = 0.0375）时KOOS评分较高。然而，随访结束时两组之间未检测到显著差异。1年后，远程人工智能组的TAS高于面对面组。
在COVID-19大流行期间，ACLR术后的远程康复与基于医院的康复相比，似乎能提供更好的短期结果。
