Evidence map›Paper›PMID 31228176›Full record

ArticleJMIR rehabilitation and assistive technologies2019

Digital Versus Conventional Rehabilitation After Total Hip Arthroplasty: A Single-Center, Parallel-Group Pilot Study.

Fernando Dias Correia, André Nogueira, Ivo Magalhães, Joana Guimarães, Maria Moreira, Isabel Barradas, Maria Molinos, Laetitia Teixeira, Joaquim Pires, Rosmaninho Seabra and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03045549 (Home-based Rehabilitation With A Digital Biofeedback System Versus Conventional Rehabilitation After Total Hip Replacement), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% of its field
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.

NCT03045549 nacompletednot on this map

Home-based Rehabilitation With A Digital Biofeedback System Versus Conventional Rehabilitation After Total Hip Replacement: a Pilot Study

TypeinterventionalSponsorSword Health, SARan2016 to 2018Enrolled66ConditionsHip Osteoarthritis, Hip ArthrosisArmsDigital biofeedback system, Conventional home-based rehabilitation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  20. Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty.International journal of environmental research and public health · 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

12 authors at 5 institutions in 1 country.

Fernando Dias CorreiaNeurology Department, Hospital de Santo António-Centro Hospitalar do Porto, Porto, Portugal.ORCID http://orcid.org/0000-0001-8028-926X
André NogueiraSWORD Health, Porto, Portugal.ORCID http://orcid.org/0000-0002-1625-4406
Ivo MagalhãesSWORD Health, Porto, Portugal.ORCID http://orcid.org/0000-0002-7562-928X
Joana GuimarãesSWORD Health, Porto, Portugal.ORCID http://orcid.org/0000-0001-6091-3993
Maria MoreiraSWORD Health, Porto, Portugal.ORCID http://orcid.org/0000-0003-2608-5156
Isabel BarradasSWORD Health, Porto, Portugal.ORCID http://orcid.org/0000-0002-9511-5008
Maria Molinos *SWORD Health, Porto, Portugal.ORCID http://orcid.org/0000-0002-9679-4639
Laetitia TeixeiraDepartment of Population Studies, Abel Salazar Institute of Biomedical Sciences, Porto, Portugal.ORCID http://orcid.org/0000-0002-9276-3683
Joaquim PiresOrthopaedics Department, Hospital da Prelada-Domingos Braga da Cruz, Porto, Portugal.ORCID http://orcid.org/0000-0003-0148-920X
Rosmaninho SeabraOrthopaedics Department, Hospital da Prelada-Domingos Braga da Cruz, Porto, Portugal.ORCID http://orcid.org/0000-0002-9272-0149
Jorge LainsPhysical Rehabilitation Medicine Department, Rovisco Pais Medical and Rehabilitation Centre, Tocha, Portugal.ORCID http://orcid.org/0000-0002-8737-7569
Virgílio BentoEngineering Department, Instituto Universitário da Maia, Maia, Porto, Portugal.ORCID http://orcid.org/0000-0001-6025-8511
Hospital Braga · PTCentro De Medicina Veterinária Anjos De Assis · PTHospital de Santo António · PTInstituto Superior da Maia · PTUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe demand for total hip arthroplasty (THA) is rising. In the face of rapidly increasing health care costs, ensuring widespread, cost-effective rehabilitation is a priority. Technologies allowing independent home-based rehabilitation may be the key to facilitate access, improve effectiveness, and lower costs of care.

objectiveThe aim of this study was to assess the feasibility of a novel artificial intelligence-powered digital biofeedback system following THA and compare the clinical outcomes against supervised conventional rehabilitation.

methodsThis was a single-center, parallel-group pilot study, with an 8-week intervention program. Patients were assessed at baseline, during the program (at 4 and 8 weeks), and 3 and 6 months after surgery. The primary outcome was the Timed Up and Go (TUG) score and secondary outcomes were the Hip dysfunction and Osteoarthritis Outcome Scale (HOOS; a patient-reported outcome) and hip range of motion (ROM).

resultsA total of 66 patients were included: 35 digital physiotherapy (PT) versus 31 conventional. There were no differences at baseline between groups except for lower HOOS quality of life (QoL) subscale scores in the digital PT group. Clinically relevant improvements were noted in both groups at all time points. The digital PT group showed a retention rate of 86% (30/35). Per-protocol analysis revealed a superiority of the digital PT group for all outcome measures. Intention-to-treat analysis revealed the superiority of the digital PT group at all time points for TUG (change between baseline and 4 and 8 weeks: P<.001; change between baseline and 3 and 6 months: P=.001 and P=.005, respectively), with a difference between median changes of -4.79 seconds (95% CI -7.24 to -1.71) at 6 months post-THA. Between baseline and month 6, results were also superior in the digital PT group for the HOOS sports and QoL subscales and all ROM except for standing flexion.

conclusionsThis study demonstrates this novel solution holds promise in rehabilitation after THA, ensuring better clinical outcomes than conventional rehabilitation while reducing dependence on human resources.

trial registrationClinicalTrials.gov NCT03045549; https://clinicaltrials.gov/ct2/show/NCT03045549.

Indexed as

AI-powered rehabilitationbiofeedbackdigital physiotherapymotion trackerstelerehabilitationTHATHR

Identifiers

PMID31228176
PMCPMC6611148
OpenAlexW2947984306

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.