دورية أكاديمية

A home-based tele-rehabilitation exercise system for patients after knee replacement surgery.

التفاصيل البيبلوغرافية
العنوان: A home-based tele-rehabilitation exercise system for patients after knee replacement surgery.
المؤلفون: Salehian F; Student Research Committee, Department of Health Information Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran., Mahmoudzadeh-Sagheb Z; Department of Health Information Management, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran., Yoosefinejad AK; Department of Physical Therapy, School of Rehabilitation Sciences, Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Shiraz, Iran., Zakerabasali S; Department of Health Information Management, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. zakerabasi@gmail.com.; Clinical Education Research Center, Health Human Resources Research Center, Department of Health Information Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. zakerabasi@gmail.com.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jul 31; Vol. 25 (1), pp. 605. Date of Electronic Publication: 2024 Jul 31.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee*/rehabilitation , Exercise Therapy*/methods , Telerehabilitation*, Humans ; Iran ; Home Care Services ; Male ; Female ; Patient Education as Topic/methods ; Treatment Outcome ; Osteoarthritis, Knee/surgery ; Osteoarthritis, Knee/rehabilitation ; Knee Joint/surgery ; Knee Joint/physiopathology
مستخلص: Background: Knee arthritis is a destructive disorder that affects the knee joints and causes pain and reduced mobility. Drug treatments, weight loss, and exercise control the symptoms of the disease, but these methods only delay the disease process and eventually, knee joint replacement surgery will be needed. After surgery, with the help of a proper physiotherapy program, full recovery takes an average of 6-12 months. However, currently, there is no similar tool to facilitate this process in Iran.
Objective: The purpose of this research is to design and develop the prototype of a rehabilitation system for patients after knee replacement surgery, which provides patients with information and appropriate physiotherapy programs.
Methods: This study was development-applied and was done in three stages. In the first stage, the needs and content of education and therapeutic exercises were prepared in the form of a checklist, and then the necessity of each item was checked in the evaluation sessions. In the second stage, the prototype of the system was developed using Adobe XD software and based on the requirements approved from the previous stage. In the third stage, the usability of the program was analyzed from the point of view of experts using the exploratory evaluation method with Nielsen's 13 principles of usability.
Results: At first, the system requirements were extracted and prepared in two checklists of content (51 exercises) and capabilities (60 items). Then after a survey of experts based on the Delphi technique, content information (43 exercises) and functional and non-functional requirements (53 items) were obtained. A survey of experts helped to finalize the information elements, categorize them, and prepare the final version of the checklists. Based on this, the system requirements were classified into 11 categories, and the training content was classified into 3 training periods. Finally, the design and development of the system was done. This system has admin, physician, and patient user interfaces. The result of usability showed that this system is efficient and there are only a few problems in the feature of helping users to detect and recover from errors.
Conclusion: It seems necessary to develop a system based on the principles of usability by therapists and rehabilitation specialists to train and monitor the remote rehabilitation process of patients after knee joint replacement at home. And the importance of involving stakeholders in the design and development of remote rehabilitation systems is not hidden from anyone. Kara system has all of the above.
(© 2024. The Author(s).)
References: BMC Musculoskelet Disord. 2020 Feb 4;21(1):71. (PMID: 32019529)
Acta Orthop. 2018 Apr;89(2):141-144. (PMID: 29202644)
Physiother Can. 2010 Summer;62(3):206-14. (PMID: 21629598)
J Adv Nurs. 2020 Jun;76(6):1436-1448. (PMID: 32133684)
Rehabil Process Outcome. 2021 Apr 21;10:11795727211010501. (PMID: 34497456)
HSS J. 2018 Jul;14(2):192-201. (PMID: 29983663)
Health Sci Rep. 2022 Oct 03;5(6):e863. (PMID: 36210869)
J Med Internet Res. 2021 Sep 2;23(9):e28320. (PMID: 34473068)
BMC Musculoskelet Disord. 2016 Jul 18;17:294. (PMID: 27431239)
J Arthroplasty. 2019 Oct;34(10):2204-2209. (PMID: 31280916)
Acta Orthop. 2010 Jun;81(3):271-2. (PMID: 20446827)
J Arthroplasty. 2002 Apr;17(3):267-73. (PMID: 11938500)
Sensors (Basel). 2020 Mar 18;20(6):. (PMID: 32197503)
Trials. 2021 Jul 13;22(1):445. (PMID: 34256830)
AORN J. 2017 Apr;105(4):355-364. (PMID: 28336024)
JMIR Rehabil Assist Technol. 2019 Feb 28;6(1):e13111. (PMID: 30816849)
Osteoarthritis Cartilage. 2013 Sep;21(9):1257-63. (PMID: 23973139)
Lancet. 2013 May 11;381(9878):1600-2. (PMID: 23663938)
Bone Joint Res. 2021 Mar;10(3):203-217. (PMID: 33734821)
J Telemed Telecare. 2018 Dec;24(10):661-668. (PMID: 30343654)
HSS J. 2020 Dec;16(Suppl 2):358-365. (PMID: 33380968)
J Clin Nurs. 2022 Nov;31(21-22):3178-3189. (PMID: 34859523)
BMC Musculoskelet Disord. 2023 Jan 3;24(1):4. (PMID: 36597077)
JMIR Mhealth Uhealth. 2019 Oct 21;7(10):e15323. (PMID: 31638594)
JMIR Res Protoc. 2017 Mar 01;6(3):e32. (PMID: 28249832)
Int J Nurs Stud. 2021 Mar;115:103845. (PMID: 33360248)
Arch Orthop Trauma Surg. 2021 Sep;141(9):1575-1582. (PMID: 33547927)
Int J Telerehabil. 2010 Oct 27;2(2):31-4. (PMID: 25945175)
Clin Orthop Relat Res. 2006 Feb;443:266-72. (PMID: 16462450)
JMIR Mhealth Uhealth. 2020 Nov 20;8(11):e22136. (PMID: 33216004)
Int J Orthop Trauma Nurs. 2015 Feb;19(1):36-44. (PMID: 25787815)
Dan Med Bull. 2010 Jul;57(7):A4166. (PMID: 20591341)
J Med Syst. 2017 Jun;41(6):90. (PMID: 28421308)
Pain Manag. 2013 May;3(3):177-88. (PMID: 24654761)
فهرسة مساهمة: Keywords: Knee joint replacement; Prototype; System; TKR; Telerehabilitation; Total knee replacement; Usability
تواريخ الأحداث: Date Created: 20240731 Date Completed: 20240801 Latest Revision: 20240803
رمز التحديث: 20240803
مُعرف محوري في PubMed: PMC11289961
DOI: 10.1186/s12891-024-07731-4
PMID: 39085850
قاعدة البيانات: MEDLINE