journal article·2022-02-25Open access

Feasibility and Effect of a Wearable Motion Sensor Device in Facilitating In-Home Rehabilitation Program in Patients after Total Knee Arthroplasty: A Preliminary Study

Yu-Pin Chen, Chung-Ying Lin, Yi-Jie Kuo, Oscar Kuang-Sheng Lee

Applied Sciences· Volume 12· Issue 5

Abstract

Postoperative home-based rehabilitation programs are essential for facilitating functional recovery after total knee replacement (TKA). This study aimed to verify the feasibility of applying a wearable motion sensor device (MSD) to assist patients in performing home-based exercises after TKA. The interrater reliability of the measurement for knee mobility and the time spent completing the 5-times sit-to-stand test (5TSST) by two experienced physicians and using the MSD in 12 healthy participants was first assessed. A prospective control trial was then conducted, in which 12 patients following TKA were allocated to two groups: the home-based exercise group and the MSD-assisted rehabilitation group. Changes in knee range of motion, pain, functional score, performance, and exercise completion rates were compared between the groups over two months of follow-up. MSD-measured knee mobility and 5TSST exhibited excellent reliability compared with the physician measurements. Furthermore, patients in the MSD-assisted rehabilitation group reported higher training compliance than participants in the home-based exercise group, which led to better outcomes in the knee extension angle and maximal and average angular velocity in 5TSST. MSD-assisted home-based rehabilitation following TKA is a feasible treatment model for telerehabilitation because it enhances patients’ compliance to training, which improves functional recovery.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Total Knee Arthroplasty Outcomes · Knee injuries and reconstruction techniques · Osteoarthritis Treatment and Mechanisms

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan

Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan

Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan

Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan

Department of Orthopedics, China Medical University Hospital, Taichung 404, Taiwan

Funding

Taipei Medical University

References (37)

Show source-provided references
1. Disability-adjusted life expectancy lost due to pain severity and usual analgesic treatment among older adults with osteoarthritis in Spain
2. Epidemiology of osteoarthritis10.1016/j.cger.2010.03.001 ↗
3. Quality-Adjusted Life Years After Hip and Knee Arthroplasty: Health-Related Quality of Life After 12,782 Joint Replacements10.2106/JBJS.OA.18.00007 ↗
4. Projected increase in total knee arthroplasty in the United States—An alternative projection model10.1016/j.joca.2017.07.022 ↗
5. Physiotherapy provision following discharge after total hip and total knee replacement: A survey of current practice at high-volume NHS hospitals in England and wales10.1002/msc.1027 ↗
6. Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: A randomized controlled trial10.2106/JBJS.G.01108 ↗
7. Multidisciplinary rehabilitation after primary total knee arthroplasty: A randomized controlled study of its effects on functional capacity and quality of life10.1177/0269215509346089 ↗
8. Artz, N., Elvers, K.T., Lowe, C.M., Sackley, C., Jepson, P., and Beswick, A.D. (2015). Effectiveness of physiotherapy exercise following total knee replacement: Systematic review and meta-analysis. BMC Musculoskelet. Disord., 16.10.1186/s12891-015-0469-6 ↗
9. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: A single-blind randomized controlled trial10.1016/j.apmr.2003.08.080 ↗
10. Digital innovations and emerging technologies for enhanced recovery programmes10.1093/bja/aex140 ↗
11. Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services
12. Effect of Inpatient Rehabilitation vs a Monitored Home-Based Program on Mobility in Patients With Total Knee Arthroplasty: The HIHO Randomized Clinical Trial10.1001/jama.2017.1224 ↗
13. Changes in physical activity following total hip or knee arthroplasty: A matched case-control study from the EPIC-Norfolk cohort10.1177/0269215517704270 ↗
14. Home-Based Physical Therapy Intervention With Adherence-Enhancing Strategies Versus Clinic-Based Management for Patients With Ankle Sprains10.2522/ptj.20060260 ↗
15. Interactive wearable systems for upper body rehabilitation: A systematic review10.1186/s12984-017-0229-y ↗
16. Ongvisatepaiboon, K., Chan, J.H., and Vanijja, V. (2015, January 7–10). Smartphone-Based Tele-Rehabilitation System for Frozen Shoulder Using a Machine Learning Approach. Proceedings of the 2015 IEEE Symposium Series on Computational Intelligence, Cape Town, South Africa.10.1109/SSCI.2015.120 ↗
17. Sensor-based arm skill training in chronic stroke patients: Results on treatment outcome, patient motivation, and system usability10.1109/TNSRE.2010.2047608 ↗
18. Lemmens, R.J., Janssen-Potten, Y.J., Timmermans, A.A., Smeets, R.J., and Seelen, H.A. (2015). Recognizing complex upper extremity activities using body worn sensors. PLoS ONE, 10.10.1371/journal.pone.0118642 ↗
19. Filippeschi, A., Schmitz, N., Miezal, M., Bleser, G., Ruffaldi, E., and Stricker, D. (2017). Survey of Motion Tracking Methods Based on Inertial Sensors: A Focus on Upper Limb Human Motion. Sensors, 17.10.3390/s17061257 ↗
20. Wearable Motion Sensor Device to Facilitate Rehabilitation in Patients With Shoulder Adhesive Capsulitis: Pilot Study to Assess Feasibility10.2196/17032 ↗
21. (2022, January 04). Open Source IMU and AHRS Algorithms. Available online: https://x-io.co.uk/open-source-imu-and-ahrs-algorithms/.
22. Five times sit-to-stand test in subjects with total knee replacement: Reliability and relationship with functional mobility tests10.1016/j.gaitpost.2017.10.028 ↗
23. Sit-to-Stand Movement as a Performance-Based Measure for Patients With Total Knee Arthroplasty10.2522/ptj.20090119 ↗
24. Health-related quality of life and appropriateness of knee or hip joint replacement10.1001/archinte.166.2.220 ↗
25. Analysis of subjective knee complaints using visual analog scales10.1177/036354659101900204 ↗
26. The measurement of observer agreement for categorical data10.2307/2529310 ↗
27. Sluijs, E.M., Kok, G.J., and van der Zee, J. (1993). Correlates of exercise compliance in physical therapy. Phys. Ther., 73.10.1093/ptj/73.11.771 ↗
28. Escolar-Reina, P., Medina-Mirapeix, F., Gascón-Cánovas, J.J., Montilla-Herrador, J., Jimeno-Serrano, F.J., de Oliveira Sousa, S.L., del Baño-Aledo, M.E., and Lomas-Vega, R. (2010). How do care-provider and home exercise program characteristics affect patient adherence in chronic neck and back pain: A qualitative study. BMC Health Serv. Res., 10.10.1186/1472-6963-10-60 ↗
29. The monitoring of activity at home after total hip arthroplasty10.1302/0301-620X.98B11.BJJ-2016-0194.R1 ↗
30. Bahadori, S., Immins, T., and Wainwright, T.W. (2018). A review of wearable motion tracking systems used in rehabilitation following hip and knee replacement. J. Rehabil. Assist. Technol. Eng., 5.10.1177/2055668318771816 ↗
31. A wearable mobility assessment device for total knee replacement: A longitudinal feasibility study10.1016/j.ijsu.2015.04.032 ↗
32. Chiang, C.Y., Chen, K.H., Liu, K.C., Hsu, S.J., and Chan, C.T. (2017). Data Collection and Analysis Using Wearable Sensors for Monitoring Knee Range of Motion after Total Knee Arthroplasty. Sensors, 17.10.3390/s17020418 ↗
33. Analysis of rising from a chair after total knee arthroplasty
34. Success or failure of chronic pain rehabilitation: The importance of good interaction—A qualitative study under patients and professionals10.3109/09638288.2014.881566 ↗
35. Telemedicine in Orthopaedic Surgery: Challenges and Opportunities10.2106/JBJS.20.00452 ↗
36. Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial10.2106/JBJS.19.00695 ↗
37. The reality of homes fit for heroes: Design challenges for rehabilitation technology at home10.1108/17549450200900014 ↗