关键词: adherence assistive technology community physiotherapy digital health exercise exergames gamification geriatric rehabilitation healthcare delivery knee motivation outpatient physiotherapy postoperative prehabilitation, knee replacement preoperative rehabilitation self-regulated exercise software telerehabilitation usability validation

来  源:   DOI:10.2196/48055   PDF(Pubmed)

Abstract:
BACKGROUND: Rehabilitation, or \"prehabilitation,\" is essential in preparing for and recovering from knee replacement surgery. The recent demand for these services has surpassed available resources, a situation further strained by the COVID-19 pandemic, which has led to a pivot toward digital solutions such as web- or app-based videos and wearables. These solutions, however, face challenges with user engagement, calibration requirements, and skin contact issues. This study evaluated the practicality of a low-contact, gamified device designed to assist with prehabilitation exercises.
OBJECTIVE: The study aimed to assess the practicality and user-friendliness of a newly designed physiotherapy device (Slider) that enables exercise monitoring without the need for direct contact with the skin.
METHODS: A total of 17 patients awaiting knee replacement surgery at a UK National Health Service (NHS) hospital participated in this study. They used the device over a 2-week period and subsequently provided feedback through a usability and acceptability questionnaire.
RESULTS: The study was completed by all participants, with a majority (13/17, 76%) finding the device intuitive and easy to use. The majority of patients were satisfied with the device\'s ability to meet their presurgery physiotherapy requirements (16/17, 94%) and expressed a willingness to continue using it (17/17, 100%). No safety issues or adverse effects were reported by the participants.
CONCLUSIONS: The results indicate that the device was found to be a feasible option for patients to conduct presurgery physiotherapy exercises independently, away from a clinical setting. Further research involving a larger and more diverse group of participants is recommended to validate these findings more robustly.
摘要:
背景:康复,或“康复前,“对于准备和恢复膝关节置换手术至关重要。最近对这些服务的需求已经超过了可用资源,COVID-19大流行进一步紧张的情况,这已经导致转向数字解决方案,如基于网络或应用程序的视频和可穿戴设备。这些解决方案,然而,面对用户参与的挑战,校准要求,皮肤接触问题。这项研究评估了低接触的实用性,设计用于辅助康复锻炼的游戏化装置。
目的:该研究旨在评估新设计的物理治疗设备(Slider)的实用性和用户友好性,该设备可在不需要与皮肤直接接触的情况下进行运动监测。
方法:共有17名在英国国民健康服务(NHS)医院等待膝关节置换手术的患者参与了这项研究。他们在2周内使用了该设备,随后通过可用性和可接受性问卷提供了反馈。
结果:研究由所有参与者完成,大多数(13/17,76%)认为该设备直观且易于使用。大多数患者对设备满足其手术前理疗要求的能力感到满意(16/17,94%),并表示愿意继续使用它(17/17,100%)。参与者没有报告安全性问题或不良反应。
结论:结果表明,该设备被发现是患者独立进行手术前理疗练习的可行选择,远离临床环境。建议进一步研究涉及更大,更多样化的参与者群体,以更有力地验证这些发现。
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