Raje Sohini, Shetty Amratha G, Shetty Shrija, Bhuptani Brijraj, Arun Maiya G
Centre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal, India.
Spry Therapeutics Private Limited, Mumbai, India.
J Orthop. 2024 Mar 15;54:108-115. doi: 10.1016/j.jor.2024.03.008. eCollection 2024 Aug.
Total Knee Arthroplasty (TKA) aids in reducing pain and improving knee mobility, function, and quality of life in osteoarthritis knee (OA Knee). Techology-based rehabiliation has proved to be promising post-TKA. The objective of this systematic review was to summarize the digital technology after TKA.
The PRISMA Checklist was used for the present systematic review. Randomized and non-randomized studies were included. Joanna Briggs Critical Appraisal Checklist was used to assess risk of bias by two independent reviewers. The data was summarized narratively for the digital technologies utilized.
177 studies were screened from the databases, and 14 studies were included. The risk of bias assessment showed low to moderate-quality evidence. The technologies were divided into 2 broad categories-mobile-based and web-based- although the individual studies had unique technologies utilizing sensors, motion trackers, and game-based and video-based.
Various digital technologies focus on providing exercise intervention post-TKA. Clinicians can use face-to-face and technology-based approaches for TKA rehabilitation for a comprehensive subjective and objective assessment post-TKA based on low to moderate quality studies.
全膝关节置换术(TKA)有助于减轻骨关节炎膝关节(OA膝关节)的疼痛,改善膝关节活动度、功能和生活质量。基于技术的康复治疗在TKA术后已被证明具有前景。本系统评价的目的是总结TKA术后的数字技术。
本系统评价使用PRISMA清单。纳入随机和非随机研究。由两名独立评价者使用乔安娜·布里格斯批判性评价清单评估偏倚风险。对所使用的数字技术进行叙述性总结。
从数据库中筛选出177项研究,纳入14项研究。偏倚风险评估显示证据质量为低到中等。这些技术分为两大类——基于移动设备的和基于网络的——尽管个别研究有利用传感器、运动追踪器以及基于游戏和视频的独特技术。
各种数字技术专注于在TKA术后提供运动干预。基于低到中等质量的研究,临床医生可采用面对面和基于技术的方法进行TKA康复,以对TKA术后进行全面的主观和客观评估。