Digitally Assisted Versus Conventional Home-Based Rehabilitation After Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial
| Autor: | Virgílio Bento, Sara Luis, Pedro Costa, Carlos Roberto Ribeiro de Carvalho, Jorge Lains, Rosmaninho Seabra, Diana Carvalho, Maria Molinos, Fernando Dias Correia, Gerard E. Francisco |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation law.invention Rotator Cuff Injuries Arthroscopy Primary outcome Randomized controlled trial law Clinical endpoint Medicine Humans Rotator cuff Prospective Studies Physical Therapy Modalities Aged Rehabilitation business.industry Evidence-based medicine Recovery of Function Middle Aged Mobile Applications medicine.anatomical_structure Home based rehabilitation Physical therapy Female business Range of motion |
| Zdroj: | American journal of physical medicinerehabilitation. 101(3) |
| ISSN: | 1537-7385 |
| Popis: | The aim of this study was to evaluate the clinical impact of a 12-wk home-based digitally assisted rehabilitation program after arthroscopic rotator cuff repair against conventional home-based rehabilitation.The digital therapy group performed independent technology-assisted sessions complemented with 13 face-to-face sessions, and the conventional therapy group had conventional face-to-face physical therapy (30 sessions). Primary outcome was functional change between baseline and 12 wks, measured through the Constant-Murley score. Secondary outcomes were the change in the QuickDASH Scale and shoulder range of motion.Fifty participants enrolled; 41 completed the 12-wk program (23 digital therapy group vs. 18 conventional therapy group), and 32 (15 vs. 17) were available for the 12-mo follow-up assessment. No differences were found between groups regarding study endpoints at the end of the 12-wk program. However, follow-up results revealed the superiority of the digital therapy group for QuickDASH (P = 0.043), as well as an interaction between time and group in the Constant-Murley score (P = 0.047) in favor of the digital therapy group.The results demonstrate that digital therapeutics can be used to achieve similar, if not superior, short- and long-term outcomes as conventional approaches after arthroscopic rotator cuff repair, while being far less human resource intensive than conventional care.Level of evidence: II. |
| Databáze: | OpenAIRE |
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