关键词: Hip Knee Orthopaedic surgery Post-operative recovery Spine Wearable monitoring

Mesh : Humans Knee Joint Gait Spine Orthopedic Procedures Wearable Electronic Devices

来  源:   DOI:10.1186/s13018-023-04303-5   PDF(Pubmed)

Abstract:
BACKGROUND: Surgical procedures involving the hip, knee, or spine represent a majority of orthopaedic procedures performed electively in the health care system. Postoperative care is a key aspect of surgery and mobilisation without injury is the primary objective. Recent advances in wearable technologies allow objective evaluation of walking metrics to inform and guide postoperative care following orthopaedic surgery.
OBJECTIVE: The aim of this scoping review is to explore current applications of wearable devices, objective data capture and gait analysis in monitoring postoperative recovery following commonly performed elective orthopaedic procedures of the hip, knee and spine.
METHODS: A search against pre-defined criteria was performed on the following scientific databases from date of inception to February 28th, 2021: Medline (via OvidSP), Embase (via OvidSP) and Cochrane Library (via CENTRAL). Data were collected according to a predetermined checklist including study participants, surgery, wearable device (model), sensor location, and monitoring parameters such as mobility metrics, monitoring timepoints and monitoring duration for each study included in our review. Quality was assessed independently using the Newcastle Ottawa Scale (NOS).
CONCLUSIONS: To our knowledge, this is the first review of wearable monitoring (of postoperative recovery) following hip, knee and spine surgery. Patients undergoing elective orthopaedic procedures may benefit from wearable monitoring of their walking health and mobility metrics.
摘要:
背景:涉及髋部的外科手术,膝盖,或脊柱代表了在医疗保健系统中选择性进行的大多数骨科手术。术后护理是手术的关键方面,而无伤害的动员是主要目标。可穿戴技术的最新进展允许对步行指标进行客观评估,以告知和指导骨科手术后的术后护理。
目的:本范围审查的目的是探索可穿戴设备的当前应用,客观的数据捕获和步态分析监测术后恢复后,通常进行择期骨科手术的髋关节,膝盖和脊柱。
方法:从开始日期到2月28日,对以下科学数据库进行了针对预定义标准的搜索,2021年:Medline(通过OvidSP),Embase(通过OvidSP)和Cochrane库(通过CENTRAL)。根据包括研究参与者在内的预定清单收集数据。手术,可穿戴设备(型号),传感器位置,并监控移动性指标等参数,纳入我们综述的每项研究的监测时间点和监测持续时间.使用纽卡斯尔渥太华量表(NOS)独立评估质量。
结论:据我们所知,这是髋关节后可穿戴监测(术后恢复)的第一次审查,膝盖和脊柱手术。接受选择性骨科手术的患者可以受益于对他们的步行健康和移动性度量的可穿戴监测。
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