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全膝关节置换术后智能手机技术和可穿戴技术的应用

Utilization of Smartphone Technology and Wearable Technology Following TKA.

作者信息

Gordon Adam M, Hussain Awais, Mont Michael A

机构信息

Questrom School of Business, Boston University, Boston, Massachusetts.

Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, New York.

出版信息

J Knee Surg. 2025 Jul;38(8):393-396. doi: 10.1055/a-2525-4672. Epub 2025 Jan 27.

Abstract

The widespread adoption of smartphones and wearable technology has introduced innovative approaches in health care, particularly in postoperative rehabilitation. These technologies hold significant promise for improving recovery following lower extremity arthroplasty, especially total knee arthroplasty (TKA). Despite growing interest, the evidence on their effectiveness and long-term impact remains variable.This narrative review evaluates the utilization of smartphone applications, wearable devices, and their combined use in postoperative recovery after TKA. Key studies assessing adherence, functional outcomes, patient satisfaction, and health care utilization were analyzed to synthesize insights into their effectiveness compared to traditional rehabilitation approaches.Smartphone applications have demonstrated improvements in adherence to rehabilitation plans, pain management, and functional outcomes. For instance, interventions using text-based prompts or interactive platforms enhanced physical activity, reduced narcotic use, and improved patient-reported outcomes such as PROM adherence and range of motion (ROM). Similarly, wearable devices provided accurate feedback on activity levels and step counts, promoting early mobility and strength recovery. Combined approaches leveraging both technologies further enhanced adherence, functional recovery, and patient engagement while reducing health care utilization.The integration of smartphone and wearable technologies in TKA rehabilitation shows potential for improving recovery outcomes. While findings generally indicate noninferiority or superiority to conventional methods, limitations exist in standardization, data accuracy, and long-term benefits. Future research should focus on refining these technologies, establishing standardized guidelines, and evaluating their cost-effectiveness in diverse populations. Smartphone and wearable technologies represent safe and effective tools for enhancing postoperative outcomes in TKA patients. Their integration into clinical practice could optimize rehabilitation protocols, improve patient engagement, and potentially reduce health care costs.

摘要

智能手机和可穿戴技术的广泛应用为医疗保健带来了创新方法,尤其是在术后康复方面。这些技术在改善下肢关节置换术后的恢复情况,特别是全膝关节置换术(TKA)方面具有巨大潜力。尽管人们对此的兴趣日益浓厚,但关于它们的有效性和长期影响的证据仍然参差不齐。本叙述性综述评估了智能手机应用程序、可穿戴设备及其在TKA术后恢复中的联合应用。分析了评估依从性、功能结局、患者满意度和医疗保健利用情况的关键研究,以综合了解它们与传统康复方法相比的有效性。智能手机应用程序已证明在康复计划的依从性、疼痛管理和功能结局方面有所改善。例如,使用基于文本的提示或交互式平台的干预措施增加了身体活动,减少了麻醉药物的使用,并改善了患者报告的结局,如患者报告结局量表(PROM)的依从性和关节活动范围(ROM)。同样,可穿戴设备提供了关于活动水平和步数的准确反馈,促进了早期活动和力量恢复。利用这两种技术的联合方法进一步提高了依从性、功能恢复和患者参与度,同时减少了医疗保健的利用。智能手机和可穿戴技术在TKA康复中的整合显示出改善恢复结局的潜力。虽然研究结果总体上表明其不劣于或优于传统方法,但在标准化、数据准确性和长期效益方面存在局限性。未来的研究应专注于改进这些技术,制定标准化指南,并评估它们在不同人群中的成本效益。智能手机和可穿戴技术是提高TKA患者术后结局的安全有效工具。将它们整合到临床实践中可以优化康复方案,提高患者参与度,并有可能降低医疗保健成本。

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