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[数字疗法在髌股疼痛治疗中的有效性]

[Effectiveness of digital therapy in patellofemoral pain treatment].

作者信息

Hinz Maleen, Wagner Daniel, Kölle Theresa, Mayer-Roth Tobias A, Maiwald Christian

机构信息

Institut für Angewandte Bewegungswissenschaften, Professur Forschungsmethoden und Analyseverfahren in der Biomechanik, Technische Universität Chemnitz, Thüringer Weg 11, 09126, Chemnitz, Deutschland.

Hessingpark Clinic GmbH, Augsburg, Deutschland, 86199.

出版信息

Orthopadie (Heidelb). 2025 Aug 8. doi: 10.1007/s00132-025-04704-w.

Abstract

BACKGROUND

Patellar pathologies are a common manifestation of musculoskeletal disorders. Digital health applications (DiGA), such as Mawendo, offer an alternative therapeutic approach to physiotherapy.

AIM OF THE STUDY

This study aimed to evaluate the effectiveness of the DiGA-Mawendo compared to conventional physiotherapy in patients with patellofemoral pain, based on the KOOS subscales.

METHODS

A total of 253 participants were randomly assigned to either a DiGA or physiotherapy group over a period of 12 weeks. The primary endpoints were the KOOS subscales, which were analyzed descriptively and using ANCOVA models.

RESULTS

DiGA-Mawendo showed significantly better outcomes in all subscales, exceeding the minimum clinically important difference (MCID) in each case.

DISCUSSION

DiGA demonstrated a clinically relevant, multidimensional therapeutic effect across all subscales. Its flexible use and high effectiveness support its complementary role in healthcare delivery.

摘要

背景

髌骨病变是肌肉骨骼疾病的常见表现。数字健康应用程序(DiGA),如Mawendo,为物理治疗提供了另一种治疗方法。

研究目的

本研究旨在基于膝关节损伤和骨关节炎疗效评分(KOOS)子量表,评估DiGA-Mawendo与传统物理治疗相比,对髌股关节疼痛患者的有效性。

方法

在12周的时间里,共有253名参与者被随机分配到DiGA组或物理治疗组。主要终点是KOOS子量表,对其进行描述性分析并使用协方差分析模型。

结果

DiGA-Mawendo在所有子量表中均显示出显著更好的结果,在每种情况下均超过了最小临床重要差异(MCID)。

讨论

DiGA在所有子量表中均表现出临床相关的多维治疗效果。其灵活的使用方式和高效性支持了它在医疗服务中的补充作用。

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