Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study

Autor: Fernando D Correia, Maria Molinos, Carlos Neves, Dora Janela, Diana Carvalho, Sara Luis, Gerard E Francisco, Jorge Lains, Virgilio Bento
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JMIR Rehabilitation and Assistive Technologies, Vol 8, Iss 3, p e31247 (2021)
Druh dokumentu: article
ISSN: 2369-2529
DOI: 10.2196/31247
Popis: BackgroundAnkle sprains are one of the most prevalent soft-tissue injuries worldwide. Physical therapy, especially progressive exercise, has proven effective in improving function, while preventing recurrence. ObjectiveWe aim to present the results of a fully remote and digitally guided rehabilitation program for acute ankle sprains. MethodsWe performed a prospective longitudinal cohort study of individuals eligible for workers’ compensation, who were referred for digital rehabilitation therapy for a sprained ankle. Therapeutic exercise sessions were to be performed independently by the patient at home using the biofeedback device provided by SWORD Health. Primary endpoints were the change in self-reported Numerical Pain Rating Scale (NPRS) and Foot and Ankle Ability Measure–activities of daily living (FAAM–ADL) and FAAM–Sports scores. Participants were assessed at baseline, end of the program, and 6 months after program completion. Secondary outcomes included digital therapy dosage, pain and fatigue during sessions, and satisfaction. ResultsIn total, 93 (89.4%) patients completed the program and 79 (76.0%) were available for follow-up. Changes in the primary outcomes between baseline and the 6-month follow-up were both significant (P
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