Cheng Kui Ching, Lau Kin Ming Ken, Cheng Andy S K, Lau Tin Sing Keith, Lau Fuk On Titanic, Lau Mun Cheung Herman, Law Sheung Wai
Physiotherapy Department, Tai Po Hospital, 9 Chuen on Road, Tai Po New Territories, Hong Kong SAR, China.
Physiotherapy Department, Tung Wah Eastern Hospital 19 Eastern Hospital Road, Causeway Bay, Hong Kong SAR, China.
Hong Kong Physiother J. 2022 Dec;42(2):99-110. doi: 10.1142/S101370252250010X. Epub 2022 Jun 15.
Mobile app has been used to improve exercise adherence and outcomes in populations with different health conditions. However, the effectiveness of mobile app in delivering home-based rehabilitation program to elderly patients with hip fracture is unclear.
The aim of this study was to test the effectiveness of mobile app in delivering home-based rehabilitation program for improving functional outcomes and reducing caregiver stress with enhancing adherence among the elderly patients with hip fracture.
A randomized controlled trial with an intervention period of two months was performed. Eligible participants were randomized into either experimental group with home-based rehabilitation program using a mobile app or control group with home-based rehabilitation program using an exercise pamphlet. Primary outcomes were Modified Functional Ambulatory Category (MFAC), Elderly Mobility Scale (EMS) and Lower Extremity Functional Scale (LEFS). Secondary outcomes were exercise adherence and Modified Caregiver Strain Index (M-CSI). The outcomes were collected at pre-discharge training session, one month and two months after hospital discharge.
A total of 50 participants were enrolled, with 19 participants in the experimental group and 20 participants in the control group. Eleven participants had withdrawn from the study. The experimental group showed higher exercise adherence than the control group in first month (). There were no between-group differences in MFAC, EMS, LEFS and M-CSI at the first month and second month.
Use of the mobile app improved exercise adherence, yet it did not improve physical performance, self-efficacy and reduce caregiver stress when compared to a standard home rehabilitation program for elderly patients with hip fracture. Further studies to investigate the benefits of mobile apps are required. (ClinicalTrials.gov ID: NCT04053348.).
移动应用程序已被用于提高不同健康状况人群的运动依从性和改善运动效果。然而，移动应用程序在为髋部骨折老年患者提供居家康复计划方面的有效性尚不清楚。
本研究旨在测试移动应用程序在为髋部骨折老年患者提供居家康复计划以改善功能结局、减轻照顾者压力并提高依从性方面的有效性。
进行了一项为期两个月的随机对照试验。符合条件的参与者被随机分为使用移动应用程序进行居家康复计划的实验组或使用运动手册进行居家康复计划的对照组。主要结局指标为改良功能性步行分类（MFAC）、老年人活动量表（EMS）和下肢功能量表（LEFS）。次要结局指标为运动依从性和改良照顾者压力指数（M-CSI）。结局指标在出院前训练阶段、出院后1个月和2个月时收集。
共招募了50名参与者，实验组19名，对照组20名。11名参与者退出了研究。实验组在第一个月的运动依从性高于对照组（）。在第一个月和第二个月，MFAC、EMS、LEFS和M-CSI在组间无差异。
与针对髋部骨折老年患者的标准居家康复计划相比，使用移动应用程序提高了运动依从性，但并未改善身体性能、自我效能，也未减轻照顾者压力。需要进一步研究以探讨移动应用程序的益处。（ClinicalTrials.gov标识符：NCT04053348。）
