Evidence map›Paper›PMID 30702438›Full record

ArticleJMIR mHealth and uHealth2019

Feasibility and Patient Experience of a Home-Based Rehabilitation Program Driven by a Tablet App and Mobility Monitoring for Patients After a Total Hip Arthroplasty.

Jildou Hoogland, Annet Wijnen, Tjerk Munsterman, Carina LE Gerritsma, Baukje Dijkstra, Wierd P Zijlstra, Janneke Annegarn, Francisco Ibarra, Wiebren Zijlstra, Martin Stevens

Registry-linked trialAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04625244 (Can Video Assisted Therapy Replace In-Person Occupational Therapy After Hand Surgery), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04625244 nacompletednot on this mapstarted 2021, after this paper: background citation

Can Video Assisted Therapy Replace In-Person Occupational Therapy After Hand Surgery: a Noninferiority Study

TypeinterventionalSponsorCarilion ClinicRan2021 to 2024Enrolled67ConditionsThumb OsteoarthritisArmsVideo assisted home therapy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. Mobility improvement in the first 6 postoperative weeks in orthogeriatric fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jildou HooglandDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0003-0865-5709
Annet WijnenDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0002-3899-2952
Tjerk MunstermanDepartment of Physiotherapy, Martini Hospital Groningen, Groningen, Netherlands.ORCID 0000-0001-6598-9911
Carina LE GerritsmaDepartment of Orthopedics, Martini Hospital Groningen, Groningen, Netherlands.ORCID 0000-0003-4788-8951
Baukje DijkstraDepartment of Orthopedics, Medical Center Leeuwarden, Leeuwarden, Netherlands.ORCID 0000-0002-0480-2161
Wierd P ZijlstraDepartment of Orthopedics, Medical Center Leeuwarden, Leeuwarden, Netherlands.ORCID 0000-0001-6410-3824
Janneke AnnegarnDepartment of Personal Health, Philips Research, Eindhoven, Netherlands.ORCID 0000-0002-5637-906X
Francisco IbarraUniversity of Trento, Trento, Italy.ORCID 0000-0002-0845-5638
Wiebren ZijlstraInstitute of Movement and Sport Gerontology, German Sport University Cologne, Cologne, Germany.ORCID 0000-0002-3038-1575
Martin StevensDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0001-8183-6894

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent developments in technology are promising for providing home-based exercise programs.

objectiveThe objective of this study was to evaluate the feasibility and patient experience of a home-based rehabilitation program after total hip arthroplasty (THA) delivered using videos on a tablet personal computer (PC) and a necklace-worn motion sensor to continuously monitor mobility-related activities.

methodsWe enrolled 30 independently living patients aged 18-75 years who had undergone THA as a treatment for primary or secondary osteoarthritis (OA) between December 2015 and February 2017. Patients followed a 12-week exercise program with video instructions on a tablet PC and daily physical activity registration through a motion sensor. Patients were asked to do strengthening and walking exercises at least 5 days a week. There was weekly phone contact with a physiotherapist. Adherence and technical problems were recorded during the intervention. User evaluation was done in week 4 (T1) and at the end of the program (T2).

resultsOverall, 26 patients completed the program. Average adherence for exercising 5 times a week was 92%. Reasons mentioned most often for nonadherence were vacation or a day or weekend off 25% (33/134) and work 15% (20/134). The total number of technical issues was 8. The average score on the user evaluation questionnaire (range 0-5) was 4.6 at T1 and 4.5 at T2. The highest score was for the subscale "coaching" and the lowest for the subscale "sensor."

conclusionsA home-based rehabilitation program driven by a tablet app and mobility monitoring seems feasible for THA patients. Adherence was good and patient experience was positive. The novel technology was well accepted. When the home-based rehabilitation program proves to be effective, it could be used as an alternative to formal physiotherapy. However, further research on its effectiveness is needed.

Indexed as

Patient SatisfactionAgedArthroplasty, Replacement, HipCohort StudiesComputers, HandheldExerciseFeasibility StudiesFemaleHome Care ServicesHumansMaleMiddle AgedNetherlandsOsteoarthritis, HipPatientsProspective Studieshome-based rehabilitationmobile phoneosteoarthritisphysiotherapytotal hip arthroplasty

Identifiers

PMID30702438
PMCPMC6374724

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.