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Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study

2021-09Journal article Open access
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dc.contributor.authorDias Correia, Fernando
dc.contributor.authorMolinos, Maria
dc.contributor.authorNeves, Carlos
dc.contributor.authorJanela, Dora
dc.contributor.authorCarvalho, Diana
dc.contributor.authorLuis, Sara
dc.contributor.authorFrancisco, Gerard E
dc.contributor.authorLains, Jorge
dc.contributor.authorBento, Virgilio
dc.date.accessioned2023-11-14T11:46:20Z
dc.date.available2023-11-14T11:46:20Z
dc.date.issued2021-09
dc.descriptionClinicalTrials.gov NCT04819022; https://clinicaltrials.gov/ct2/show/NCT04819022pt_PT
dc.description.abstractBackground: Ankle sprains are one of the most prevalent soft-tissue injuries worldwide. Physical therapy, especially progressive exercise, has proven effective in improving function, while preventing recurrence. Objective: We aim to present the results of a fully remote and digitally guided rehabilitation program for acute ankle sprains. Methods: We performed a prospective longitudinal cohort study of individuals eligible for workers' compensation, who were referred for digital rehabilitation therapy for a sprained ankle. Therapeutic exercise sessions were to be performed independently by the patient at home using the biofeedback device provided by SWORD Health. Primary endpoints were the change in self-reported Numerical Pain Rating Scale (NPRS) and Foot and Ankle Ability Measure-activities of daily living (FAAM-ADL) and FAAM-Sports scores. Participants were assessed at baseline, end of the program, and 6 months after program completion. Secondary outcomes included digital therapy dosage, pain and fatigue during sessions, and satisfaction. Results: In total, 93 (89.4%) patients completed the program and 79 (76.0%) were available for follow-up. Changes in the primary outcomes between baseline and the 6-month follow-up were both significant (P<.001) and clinically meaningful: mean difference of -2.72 points (95% CI -3.31 to -2.13) on the NPRS (49.8% reduction), 21.7 points (95% CI 17.13-26.27) on the FAAM-ADL (41.1% increase), and 37.8 points (95% CI 30.45-45.15) on the FAAM-Sports (151.8% increase). Longer waiting periods between the accident date and treatment initiation were found to negatively impact functional status at baseline and at the end of the program, triggering an extension in the program duration. The total training volume (12.5 hours, SD 10.5 hours) was similar to that of other interventions for ankle sprains, but the dosage per week was much higher (2.4 hours per week, SD 0.87 hours per week). The mean patient satisfaction score was 8.8 (SD 1.57) out of 10. Among program completers, 83.9% attained full recovery and were discharged with no residual disability. Conclusions: Being far less demanding in terms of human resources, the digital program presented constituted a viable, clinically effective, and convenient solution for ankle sprain rehabilitation, particularly during the pandemic. This is the first study presenting a fully remote home-based rehabilitation program for acute ankle sprains, with patients achieving sustained long-term results. This was a prospective cohort study and, as such, did not include a control group, but the results appear comparable to those published for face-to-face interventions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCorreia FD, Molinos M, Neves C, et al. Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study. JMIR Rehabil Assist Technol. 2021;8(3):e31247. doi:10.2196/31247pt_PT
dc.identifier.doi10.2196/31247pt_PT
dc.identifier.issn2369-2529
dc.identifier.urihttp://hdl.handle.net/10400.16/2885
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJMIR Publicationspt_PT
dc.relation.publisherversionhttps://rehab.jmir.org/2021/3/e31247/pt_PT
dc.subjectcute ankle sprainspt_PT
dc.subjectanklept_PT
dc.subjectcohortpt_PT
dc.subjectdigital healthpt_PT
dc.subjectdigital therapypt_PT
dc.subjectfatiguept_PT
dc.subjecthome-based digital rehabilitationpt_PT
dc.subjectlongitudinalpt_PT
dc.subjectoutcomept_PT
dc.subjectpainpt_PT
dc.subjectphysical rehabilitationpt_PT
dc.subjectphysical therapypt_PT
dc.subjectprospectivept_PT
dc.subjectrehabilitationpt_PT
dc.subjectsoft tissuept_PT
dc.subjectsprainpt_PT
dc.subjecttherapypt_PT
dc.titleDigital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceCanadapt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPagee31247pt_PT
oaire.citation.titleJMIR Rehabilitation and Assistive Technologiespt_PT
oaire.citation.volume8pt_PT
person.familyNameDias Correia
person.givenNameFernando
person.identifier.orcid0000-0001-8028-926X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication019a51ef-fb6c-4f1e-9c70-59f02bde8139
relation.isAuthorOfPublication.latestForDiscovery019a51ef-fb6c-4f1e-9c70-59f02bde8139

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