School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China.
Medicine (Baltimore). 2023 Nov 10;102(45):e35921. doi: 10.1097/MD.0000000000035921.
To investigate the efficacy of technology-assisted rehabilitation compared to that of usual care programs after total hip arthroplasty (THA) through randomized controlled trials (RCTs).
The Medline (PubMed), Cochrane Library, Embase and Web of Science databases were searched for RCTs regarding the efficacy of technology-assisted rehabilitation following THA. Data were analyzed using Stata 12.0 software.
Eleven RCTs involving 1327 patients were included in the meta-analysis. The pooled effect size showed that compared to usual care, telerehabilitation significantly improved the Harris score (standardized mean difference [SMD] 0.74, 95% confidence interval [CI] 0.58 to 0.90) and functional independence measure (FIM) score (SMD 1.26, 95% CI 0.48 to 2.03). In addition, video-based therapy could significantly improve walk test results (SMD 0.43, 95% CI 0.11 to 0.75).
The findings suggest that technology-assisted rehabilitation, especially telerehabilitation, have been shown to improve the physical function of patients following THA compared to conventional rehabilitation. More robust studies are needed to validate the long-term efficacy and safety of innovative technology-assisted training strategies.
通过随机对照试验（RCT）研究全髋关节置换术（THA）后，技术辅助康复与常规护理方案的疗效。
检索 Medline（PubMed）、Cochrane 图书馆、Embase 和 Web of Science 数据库中关于 THA 后技术辅助康复疗效的 RCT。使用 Stata 12.0 软件分析数据。
纳入 11 项 RCT，共 1327 例患者进行荟萃分析。汇总效应量显示，与常规护理相比，远程康复显著改善了 Harris 评分（标准化均数差 [SMD] 0.74，95%置信区间 [CI] 0.58 至 0.90）和功能独立性测量（FIM）评分（SMD 1.26，95%CI 0.48 至 2.03）。此外，基于视频的治疗可显著改善步行测试结果（SMD 0.43，95%CI 0.11 至 0.75）。
研究结果表明，与常规康复相比，技术辅助康复，特别是远程康复，可改善 THA 后患者的身体功能。需要更多的稳健研究来验证创新技术辅助训练策略的长期疗效和安全性。
