Sensor-based telerehabilitation system increases patient adherence after knee surgery.
<h4>Objectives</h4>Implementing evidence-based recommendations with the option of patient-individualised and situation-specific adaptations in telerehabilitation may increase adherence with improved clinical outcome.<h4>Methods</h4>As part of a registry-embedded hybrid design...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-02-01
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| Series: | PLOS Digital Health |
| Online Access: | https://doi.org/10.1371/journal.pdig.0000175 |
| _version_ | 1797695601849139200 |
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| author | Jürgen Höher Betty Lischke Wolf Petersen Natalie Mengis Daniel Niederer Thomas Stein Thomas Stoffels Robert Prill Caroline Schmidt-Lucke |
| author_facet | Jürgen Höher Betty Lischke Wolf Petersen Natalie Mengis Daniel Niederer Thomas Stein Thomas Stoffels Robert Prill Caroline Schmidt-Lucke |
| author_sort | Jürgen Höher |
| collection | DOAJ |
| description | <h4>Objectives</h4>Implementing evidence-based recommendations with the option of patient-individualised and situation-specific adaptations in telerehabilitation may increase adherence with improved clinical outcome.<h4>Methods</h4>As part of a registry-embedded hybrid design (part 1), digital medical device (DMD)-usage in a home-based setting was analysed in a multinational registry. The DMD combines an inertial motion-sensor system with instructions for exercises and functional tests on smartphones. A prospective, single-blinded, patient-controlled, multicentre intervention study (DRKS00023857) compared implementation capacity of the DMD to standard physiotherapy (part 2). Usage patterns by health care providers (HCP) were assessed (part 3).<h4>Results and conclusion</h4>Registry raw data (10,311 measurements) were analysed from 604 DMD-users, demonstrating clinically expected rehabilitation progression post knee injuries. DMD-users performed tests for range-of-motion, coordination and strength/speed enabling insight to stage-specific rehabilitation (χ2 = 44.9, p<0.001). Intention-to-treat-analysis (part 2) revealed DMD-users to have significantly higher adherence to the rehabilitation intervention compared to the matched patient-control-group (86% [77-91] vs. 74% [68-82], p<0.05). DMD-users performed recommended exercises at home with higher intensity (p<0.05). HCP used DMD for clinical decision making. No adverse events related to the DMD were reported. Adherence to standard therapy recommendations can be increased using novel high quality DMD with high potential to improve clinical rehabilitation outcome, enabling evidence-based telerehabilitation. |
| first_indexed | 2024-03-12T03:14:39Z |
| format | Article |
| id | doaj.art-f5c090e8c628458f8cda070ad0b847fb |
| institution | Directory Open Access Journal |
| issn | 2767-3170 |
| language | English |
| last_indexed | 2024-03-12T03:14:39Z |
| publishDate | 2023-02-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Digital Health |
| spelling | doaj.art-f5c090e8c628458f8cda070ad0b847fb2023-09-03T14:14:29ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702023-02-0122e000017510.1371/journal.pdig.0000175Sensor-based telerehabilitation system increases patient adherence after knee surgery.Jürgen HöherBetty LischkeWolf PetersenNatalie MengisDaniel NiedererThomas SteinThomas StoffelsRobert PrillCaroline Schmidt-Lucke<h4>Objectives</h4>Implementing evidence-based recommendations with the option of patient-individualised and situation-specific adaptations in telerehabilitation may increase adherence with improved clinical outcome.<h4>Methods</h4>As part of a registry-embedded hybrid design (part 1), digital medical device (DMD)-usage in a home-based setting was analysed in a multinational registry. The DMD combines an inertial motion-sensor system with instructions for exercises and functional tests on smartphones. A prospective, single-blinded, patient-controlled, multicentre intervention study (DRKS00023857) compared implementation capacity of the DMD to standard physiotherapy (part 2). Usage patterns by health care providers (HCP) were assessed (part 3).<h4>Results and conclusion</h4>Registry raw data (10,311 measurements) were analysed from 604 DMD-users, demonstrating clinically expected rehabilitation progression post knee injuries. DMD-users performed tests for range-of-motion, coordination and strength/speed enabling insight to stage-specific rehabilitation (χ2 = 44.9, p<0.001). Intention-to-treat-analysis (part 2) revealed DMD-users to have significantly higher adherence to the rehabilitation intervention compared to the matched patient-control-group (86% [77-91] vs. 74% [68-82], p<0.05). DMD-users performed recommended exercises at home with higher intensity (p<0.05). HCP used DMD for clinical decision making. No adverse events related to the DMD were reported. Adherence to standard therapy recommendations can be increased using novel high quality DMD with high potential to improve clinical rehabilitation outcome, enabling evidence-based telerehabilitation.https://doi.org/10.1371/journal.pdig.0000175 |
| spellingShingle | Jürgen Höher Betty Lischke Wolf Petersen Natalie Mengis Daniel Niederer Thomas Stein Thomas Stoffels Robert Prill Caroline Schmidt-Lucke Sensor-based telerehabilitation system increases patient adherence after knee surgery. PLOS Digital Health |
| title | Sensor-based telerehabilitation system increases patient adherence after knee surgery. |
| title_full | Sensor-based telerehabilitation system increases patient adherence after knee surgery. |
| title_fullStr | Sensor-based telerehabilitation system increases patient adherence after knee surgery. |
| title_full_unstemmed | Sensor-based telerehabilitation system increases patient adherence after knee surgery. |
| title_short | Sensor-based telerehabilitation system increases patient adherence after knee surgery. |
| title_sort | sensor based telerehabilitation system increases patient adherence after knee surgery |
| url | https://doi.org/10.1371/journal.pdig.0000175 |
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