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Digital Versus Conventional Rehabilitation After Total Hip Arthroplasty: A Single-Center, Parallel-Group Pilot Study

2019-06-21Journal article Open access
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dc.contributor.authorDias Correia, Fernando
dc.contributor.authorNogueira, André
dc.contributor.authorMagalhães, Ivo
dc.contributor.authorGuimarães, Joana
dc.contributor.authorMoreira, Maria Excelsa
dc.contributor.authorBarradas, Isabel
dc.contributor.authorMolinos, Maria
dc.contributor.authorTeixeira, Laetitia
dc.contributor.authorPires, Joaquim
dc.contributor.authorSeabra, Rosmaninho
dc.contributor.authorLains, Jorge
dc.contributor.authorBento, Virgílio
dc.date.accessioned2020-05-27T15:13:17Z
dc.date.available2020-05-27T15:13:17Z
dc.date.issued2019-06-21
dc.description.abstractBackground: The demand for total hip arthroplasty (THA) is rising. In the face of rapidly increasing health care costs, ensuring widespread, cost-effective rehabilitation is a priority. Technologies allowing independent home-based rehabilitation may be the key to facilitate access, improve effectiveness, and lower costs of care. Objective: The aim of this study was to assess the feasibility of a novel artificial intelligence-powered digital biofeedback system following THA and compare the clinical outcomes against supervised conventional rehabilitation. Methods: This was a single-center, parallel-group pilot study, with an 8-week intervention program. Patients were assessed at baseline, during the program (at 4 and 8 weeks), and 3 and 6 months after surgery. The primary outcome was the Timed Up and Go (TUG) score and secondary outcomes were the Hip dysfunction and Osteoarthritis Outcome Scale (HOOS; a patient-reported outcome) and hip range of motion (ROM). Results: A total of 66 patients were included: 35 digital physiotherapy (PT) versus 31 conventional. There were no differences at baseline between groups except for lower HOOS quality of life (QoL) subscale scores in the digital PT group. Clinically relevant improvements were noted in both groups at all time points. The digital PT group showed a retention rate of 86% (30/35). Per-protocol analysis revealed a superiority of the digital PT group for all outcome measures. Intention-to-treat analysis revealed the superiority of the digital PT group at all time points for TUG (change between baseline and 4 and 8 weeks: P<.001; change between baseline and 3 and 6 months: P=.001 and P=.005, respectively), with a difference between median changes of -4.79 seconds (95% CI -7.24 to -1.71) at 6 months post-THA. Between baseline and month 6, results were also superior in the digital PT group for the HOOS sports and QoL subscales and all ROM except for standing flexion. Conclusions: This study demonstrates this novel solution holds promise in rehabilitation after THA, ensuring better clinical outcomes than conventional rehabilitation while reducing dependence on human resources.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDias Correia F, Nogueira A, Magalhães I, et al. Digital Versus Conventional Rehabilitation After Total Hip Arthroplasty: A Single-Center, Parallel-Group Pilot Study. JMIR Rehabil Assist Technol. 2019;6(1):e14523. Published 2019 Jun 21. doi:10.2196/14523pt_PT
dc.identifier.doi10.2196/14523pt_PT
dc.identifier.issn2369-2529
dc.identifier.urihttp://hdl.handle.net/10400.16/2405
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJMIR Publicationspt_PT
dc.relationAdvanced Analytics Platform for Stroke Patients Rehabilitation
dc.relation.publisherversionhttps://rehab.jmir.org/2019/1/e14523/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAI-powered rehabilitationpt_PT
dc.subjectTHApt_PT
dc.subjectTHRpt_PT
dc.subjectbiofeedbackpt_PT
dc.subjectdigital physiotherapypt_PT
dc.subjectmotion trackerspt_PT
dc.subjecttelerehabilitationpt_PT
dc.titleDigital Versus Conventional Rehabilitation After Total Hip Arthroplasty: A Single-Center, Parallel-Group Pilot Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleAdvanced Analytics Platform for Stroke Patients Rehabilitation
oaire.awardURIinfo:eu-repo/grantAgreement/EC/H2020/672814/EU
oaire.citation.conferencePlaceCanadapt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPagee14523pt_PT
oaire.citation.titleJMIR rehabilitation and assistive technologiespt_PT
oaire.citation.volume6pt_PT
oaire.fundingStreamH2020
person.familyNameDias Correia
person.familyNameNogueira
person.familyNameMagalhães
person.familyNameGuimarães
person.familyNameMoreira
person.familyNameBarradas
person.familyNameMolinos
person.familyNameTeixeira
person.familyNamepires
person.familyNameSeabra
person.familyNameLains
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person.givenNameFernando
person.givenNameAndré
person.givenNameIvo
person.givenNameJoana
person.givenNameMaria Excelsa
person.givenNameIsabel
person.givenNameMaria
person.givenNameLaetitia
person.givenNameJoaquim
person.givenNameRosmaninho
person.givenNameJorge
person.givenNameVirgílio
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person.identifier.orcid0000-0001-6025-8511
person.identifier.ridM-4124-2013
person.identifier.scopus-author-id42762288100
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameEuropean Commission
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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