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探索改善膝骨关节炎护理的方法:移动应用程序在加强治疗性锻炼中的作用——一项系统综述

Exploring ways to improve knee osteoarthritis care: The role of mobile apps in enhancing therapeutic exercise-a systematic review.

作者信息

Paolucci Teresa, Pezzi Letizia, Bressi Federica, Russa Raffaele La, Zobel Bruno Beomonte, Bertoni Gianluca, Farì Giacomo, Bernetti Andrea

机构信息

Department of Oral, Medical and Biotechnological Sciences, Physical Medicine and Rehabilitation, University G. D'Annunzio, Chieti, Italy.

Rehabilitation Unit, ASST Cremona-Ospedale di Cremona, Cremona, Italy.

出版信息

Digit Health. 2024 Dec 19;10:20552076241297296. doi: 10.1177/20552076241297296. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVE

Osteoarthritis (OA), particularly knee OA, is a leading cause of disability and poses significant challenges in healthcare management. Mobile applications (apps) have emerged as potential tools to support therapeutic exercise by providing tailored programs, instructional content, and progress tracking. This systematic review evaluates the efficacy of mobile apps in enhancing therapeutic exercise for knee OA management.

METHODS

A systematic review was conducted, analyzing randomized controlled trials (RCTs) to assess the impact of mobile apps on pain and knee function in patients with OA. The review followed the Cochrane Handbook guidelines and was registered with PROSPERO. Inclusion criteria focused on RCTs involving adults aged 40 and above with knee OA, and outcomes were measured based on pain intensity and knee function.

RESULTS

Five RCTs met the inclusion criteria. The results varied: while some studies demonstrated minor improvements in pain and function with app-based interventions, others showed comparable effectiveness to traditional methods. The review highlights the potential of mobile apps to offer benefits in managing knee OA, though outcomes were inconsistent due to intervention and population heterogeneity.

CONCLUSION

Despite the low certainty of evidence, mobile app-based interventions appear to have a positive impact on reducing pain and improving physical function in patients with knee OA. Continued research is essential to better understand the effectiveness and long-term impact of mobile technology in OA management, underscoring the value of digital health interventions in enhancing patient care.

摘要

目的

骨关节炎(OA),尤其是膝骨关节炎,是导致残疾的主要原因,给医疗管理带来了重大挑战。移动应用程序(应用)已成为通过提供量身定制的计划、教学内容和进展跟踪来支持治疗性锻炼的潜在工具。本系统评价评估了移动应用在增强膝骨关节炎管理的治疗性锻炼方面的疗效。

方法

进行了一项系统评价,分析随机对照试验(RCT)以评估移动应用对骨关节炎患者疼痛和膝关节功能的影响。该评价遵循Cochrane手册指南,并在国际前瞻性系统评价注册库(PROSPERO)进行了注册。纳入标准侧重于涉及40岁及以上膝骨关节炎成年人的随机对照试验,并根据疼痛强度和膝关节功能来衡量结果。

结果

五项随机对照试验符合纳入标准。结果各不相同:虽然一些研究表明基于应用的干预措施在疼痛和功能方面有轻微改善,但其他研究表明其有效性与传统方法相当。该评价强调了移动应用在管理膝骨关节炎方面提供益处的潜力,不过由于干预措施和人群的异质性,结果并不一致。

结论

尽管证据的确定性较低,但基于移动应用的干预措施似乎对减轻膝骨关节炎患者的疼痛和改善身体功能有积极影响。持续的研究对于更好地理解移动技术在骨关节炎管理中的有效性和长期影响至关重要,这凸显了数字健康干预在改善患者护理方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4a9/11660278/acef7cda0528/10.1177_20552076241297296-fig1.jpg

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