Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Outcomes
2.2. Cost–Consequence Analysis
2.3. Statistics
3. Results
3.1. Participants
3.2. Adverse Events
3.3. Outcomes
3.4. Cost–Consequence Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Zhang, W.; Moskowitz, R.W.; Nuki, G.; Abramson, S.; Altman, R.D.; Arden, N.; Bierma-Zeinstra, S.; Brandt, K.D.; Croft, P.; Doherty, M.; et al. OARSI Recommendations for the Management of Hip and Knee Osteoarthritis, Part II: OARSI Evidence-Based, Expert Consensus Guidelines. Osteoarthr. Cartil. 2008, 16, 137–162. [Google Scholar] [CrossRef] [PubMed]
- Kurtz, S.; Ong, K.; Lau, E.; Mowat, F.; Halpern, M. Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030. J. Bone Jt. Surg. 2007, 89, 780–785. [Google Scholar] [CrossRef]
- Khan, F.; Ng, L.; Gonzalez, S.; Hale, T.; Turner-Stokes, L. Multidisciplinary Rehabilitation Programmes Following Joint Replacement at the Hip and Knee in Chronic Arthropathy. Cochrane Database Syst. Rev. 2008, 2008, CD004957. [Google Scholar] [CrossRef] [PubMed]
- Marks, R.; Allegrante, J.P. Chronic Osteoarthritis and Adherence to Exercise: A Review of the Literature. J. Aging Phys. Act. 2005, 13, 434–460. [Google Scholar] [CrossRef]
- Bakaa, N.; Chen, L.H.; Carlesso, L.; Richardson, J.; Macedo, L. Reporting of Post-Operative Rehabilitation Interventions for Total Knee Arthroplasty: A Scoping Review. BMC Musculoskelet. Disord. 2021, 22, 602. [Google Scholar] [CrossRef]
- Cyr, M.E.; Etchin, A.G.; Guthrie, B.J.; Benneyan, J.C. Access to Specialty Healthcare in Urban versus Rural US Populations: A Systematic Literature Review. BMC Health Serv. Res. 2019, 19, 974. [Google Scholar] [CrossRef]
- Lang, S.; McLelland, C.; MacDonald, D.; Hamilton, D.F. Do Digital Interventions Increase Adherence to Home Exercise Rehabilitation? A Systematic Review of Randomised Controlled Trials. Arch. Physiother. 2022, 12, 24. [Google Scholar] [CrossRef]
- Schaffer, J.L.; Rasmussen, P.A.; Faiman, M.R. The Emergence of Distance Health Technologies. J. Arthroplast. 2018, 33, 2345–2351. [Google Scholar] [CrossRef]
- Alexandre, D.J.A.; Ramalho, G.S.; Civile, V.T.; Carvas Junior, N.; Cury Fernandes, M.B.; Cacione, D.G.; Trevisani, V.F.M. Telerehabilitation versus Conventional Face-to-Face Land-Based Exercises Following Hip or Knee Arthroplasty (Protocol). Cochrane Database Syst. Rev. 2021. [Google Scholar] [CrossRef]
- Correia, F.D.; Nogueira, A.; Magalhães, I.; Guimarães, J.; Moreira, M.; Barradas, I.; Molinos, M.; Teixeira, L.; Tulha, J.; Seabra, R.; et al. Medium-Term Outcomes of Digital Versus Conventional Home-Based Rehabilitation after Total Knee Arthroplasty: Prospective, Parallel-Group Feasibility Study. JMIR Rehabil. Assist. Technol. 2019, 6, e13111. [Google Scholar] [CrossRef]
- Lebleu, J.; Poilvache, H.; Mahaudens, P.; De Ridder, R.; Detrembleur, C. Predicting physical activity recovery after hip and knee arthroplasty? A longitudinal cohort study. Braz. J. Phys. Ther. 2021, 25, 30–39. [Google Scholar] [CrossRef] [PubMed]
- Wang, Q.; Lee, R.L.-T.; Hunter, S.; Chan, S.W.-C. The Effectiveness of Internet-Based Telerehabilitation among Patients after Total Joint Arthroplasty: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. J. Telemed. Telecare 2021, 29, 247–260. [Google Scholar] [CrossRef] [PubMed]
- Kittelson, A.J.; Elings, J.; Colborn, K.; Hoogeboom, T.J.; Christensen, J.C.; van Meeteren, N.L.U.; van Buuren, S.; Stevens-lapsley, J.E. Reference Chart for Knee Flexion Following Total Knee Arthroplasty: A Novel Tool for Monitoring Postoperative Recovery. BMC Musculoskelet. Disord. 2020, 21, 482. [Google Scholar] [CrossRef] [PubMed]
- Konopka, J.F.; Lee, Y.; Su, E.P.; McLawhorn, A.S. Quality-Adjusted Life Years after Hip and Knee Arthroplasty: Health-Related Quality of Life after 12,782 Joint Replacements. JBJS Open Access 2018, 3, e0007. [Google Scholar] [CrossRef] [PubMed]
- Bouckaert, N.; Cleemput, I.; Devriese, S.; Gerkens, S. An EQ-5D-5L Value Set for Belgium. PharmacoEconomics-Open 2022, 6, 823–836. [Google Scholar] [CrossRef] [PubMed]
- Fatoye, F.; Gebrye, T.; Fatoye, C.; Mbada, C. A Systematic Review of Economic Models for Cost Effectiveness of Physiotherapy Interventions Following Total Knee and Hip Replacement. Physiotherapy 2022, 116, 90–96. [Google Scholar] [CrossRef]
- Irina, C.; Mattias, N.; Stefaan, V.D.S.; Nancy, T. Belgische Richtlijnen Voor Economische Evaluaties en Budget Impact Analyses: Tweede Editie. Health Technology Assessment (HTA); KCE Reports; Federaal Kenniscentrum voor de Gezondheidszorg (KCE): Brussel, Belgium, 2012; p. 183A. [Google Scholar] [CrossRef]
- National Institude for Health and Care Excellence (NICE) Evidence Standards Framework for Digital Health Technologies 2022. Available online: https://www.nice.org.uk/corporate/ecd7 (accessed on 12 May 2023).
- Eysenbach, G. The Law of Attrition. J. Med. Internet Res. 2005, 7, e11. [Google Scholar] [CrossRef]
- Timmers, T.; Janssen, L.; van der Weegen, W.; Das, D.; Marijnissen, W.-J.; Hannink, G.; van der Zwaard, B.C.; Plat, A.; Thomassen, B.; Swen, J.-W.; et al. The Effect of an App for Day-to-Day Postoperative Care Education on Patients with Total Knee Replacement: Randomized Controlled Trial. JMIR Mhealth Uhealth 2019, 7, e15323. [Google Scholar] [CrossRef]
- Frost, R.; Levati, S.; McClurg, D.; Brady, M.; Williams, B. What Adherence Measures Should Be Used in Trials of Home-Based Rehabilitation Interventions? A Systematic Review of the Validity, Reliability, and Acceptability of Measures. Arch. Phys. Med. Rehabil. 2017, 98, 1241–1256.e45. [Google Scholar] [CrossRef]
- Konnyu, K.J.; Thoma, L.M.; Cao, W.; Aaron, R.K.; Panagiotou, O.A.; Bhuma, M.R.; Adam, G.P.; Balk, E.M.; Pinto, D. Rehabilitation for Total Knee Arthroplasty: A Systematic Review. Am. J. Phys. Med. Rehabil. 2023, 102, 19–33. [Google Scholar] [CrossRef]
- Lewis, M.; Sutton, A. Understanding Exercise Behaviour: Examining the Interaction of Exercise Motivation and Personality in Predicting Exercise Frequency. J. Sport Behav. 2011, 34, 82–97. [Google Scholar]
- Wright, B.J.; Galtieri, N.J.; Fell, M. Non-Adherence to Prescribed Home Rehabilitation Exercises for Musculoskeletal Injuries: The Role of the Patient-Practitioner Relationship. J. Rehabil. Med. 2014, 46, 153–158. [Google Scholar] [CrossRef]
- Nussbaum, S.; McClellan, M.; Metlay, G. Principles for a Framework for Alternative Payment Models. JAMA 2018, 319, 653–654. [Google Scholar] [CrossRef] [PubMed]
- Wainwright, T.W. Enhanced Recovery after Surgery (ERAS) for Hip and Knee Replacement-Why and How It Should Be Implemented Following the COVID-19 Pandemic. Medicina 2021, 57, 81. [Google Scholar] [CrossRef] [PubMed]
- Bradley, B.; Middleton, S.; Davis, N.; Williams, M.; Stocker, M.; Hockings, M.; Isaac, D.L. Discharge on the Day of Surgery Following Unicompartmental Knee Arthroplasty within the United Kingdom NHS. Bone Jt. J. 2017, 99-B, 788–792. [Google Scholar] [CrossRef] [PubMed]
- Healy, W.L.; Della Valle, C.J.; Iorio, R.; Berend, K.R.; Cushner, F.D.; Dalury, D.F.; Lonner, J.H. Complications of Total Knee Arthroplasty: Standardized List and Definitions of The Knee Society. Clin. Orthop. Relat. Res. 2013, 471, 215–220. [Google Scholar] [CrossRef]
- Heo, S.M.; Harris, I.; Naylor, J.; Lewin, A.M. Complications to 6 Months Following Total Hip or Knee Arthroplasty: Observations from an Australian Clinical Outcomes Registry. BMC Musculoskelet. Disord. 2020, 21, 602. [Google Scholar] [CrossRef]
- Jaibaji, M.; Volpin, A.; Haddad, F.S.; Konan, S. Is Outpatient Arthroplasty Safe? A Systematic Review. J. Arthroplast. 2020, 35, 1941–1949. [Google Scholar] [CrossRef]
- Thompson, J.W.; Wignadasan, W.; Ibrahim, M.; Plastow, R.; Beasley, L.; Haddad, F.S. The Introduction of Day-Case Total Knee Arthroplasty in a National Healthcare System: A Review of the Literature and Development of a Hospital Pathway. Surgeon 2022, 20, 103–114. [Google Scholar] [CrossRef]
- Loef, M.; Gademan, M.G.J.; Latijnhouwers, D.A.J.M.; Kroon, H.M.; Kaptijn, H.H.; Marijnissen, W.J.C.M.; Nelissen, R.G.H.H.; Vliet Vlieland, T.P.M.; Kloppenburg, M. Comparison of KOOS Scores of Middle-Aged Patients Undergoing Total Knee Arthroplasty to the General Dutch Population Using KOOS Percentile Curves: The LOAS Study. J. Arthroplast. 2021, 36, 2779–2787.e4. [Google Scholar] [CrossRef]
- LeBrun, D.G.; Martino, B.; Biehl, E.; Fisher, C.M.; Gonzalez Della Valle, A.; Ast, M.P. Telerehabilitation Has Similar Clinical and Patient-Reported Outcomes Compared to Traditional Rehabilitation Following Total Knee Arthroplasty. Knee Surg. Sport. Traumatol. Arthrosc. 2022, 30, 4098–4103. [Google Scholar] [CrossRef] [PubMed]
- Van Onsem, S.; Verstraete, M.; Dhont, S.; Zwaenepoel, B.; Van Der Straeten, C.; Victor, J. Improved Walking Distance and Range of Motion Predict Patient Satisfaction after TKA. Knee Surg. Sport. Traumatol. Arthrosc. 2018, 26, 3272–3279. [Google Scholar] [CrossRef] [PubMed]
- Belgian Hip and Knee Arthroplasty Registry 2015. Available online: https://www.sorbcot.be/attachments/article/5/Rapport%20Orthopride%202017.pdf (accessed on 12 May 2023).
- Sharareh, B.; Schwarzkopf, R. Effectiveness of Telemedical Applications in Postoperative Follow-Up after Total Joint Arthroplasty. J. Arthroplast. 2014, 29, 918–922.e1. [Google Scholar] [CrossRef]
- Correia, F.D.; Nogueira, A.; Magalhães, I.; Guimarães, J.; Moreira, M.; Barradas, I.; Teixeira, L.; Tulha, J.; Seabra, R.; Lains, J.; et al. Home-Based Rehabilitation with a Novel Digital Biofeedback System versus Conventional In-Person Rehabilitation after Total Knee Replacement: A Feasibility Study. Sci. Rep. 2018, 8, 11299. [Google Scholar] [CrossRef]
- Scheper, H.; Derogee, R.; Mahdad, R.; van der Wal, R.J.P.; Nelissen, R.G.H.H.; Visser, L.G.; de Boer, M.G.J. A Mobile App for Postoperative Wound Care after Arthroplasty: Ease of Use and Perceived Usefulness. Int. J. Med. Inform. 2019, 129, 75–80. [Google Scholar] [CrossRef] [PubMed]
- Fusco, F.; Turchetti, G. Telerehabilitation after Total Knee Replacement in Italy: Cost-Effectiveness and Cost-Utility Analysis of a Mixed Telerehabilitation-Standard Rehabilitation Programme Compared with Usual Care. BMJ Open 2016, 6, e009964. [Google Scholar] [CrossRef]
- Tousignant, M.; Moffet, H.; Nadeau, S.; Mérette, C.; Boissy, P.; Corriveau, H.; Marquis, F.; Cabana, F.; Ranger, P.; Belzile, É.L.; et al. Cost Analysis of In-Home Telerehabilitation for Post-Knee Arthroplasty. J. Med. Internet Res. 2015, 17, e83. [Google Scholar] [CrossRef] [PubMed]
- Serikova-Esengeldina, D.; Glushkova, N.; Abdushukurova, G.; Mussakhanova, A.; Mukhamejanova, A.; Khismetova, Z.; Bokov, D.; Ivankov, A.; Goremykina, M.; Semenova, Y. Cost-Utility Analysis of Total Knee Arthroplasty Alone and in Comparison with Post-Surgical Rehabilitation and Conservative Treatment in the Republic of Kazakhstan. Cost Eff. Resour. Alloc. 2022, 20, 47. [Google Scholar] [CrossRef] [PubMed]
Characteristic | Cohort (n = 127) |
---|---|
Age (years), mean (SD) | 62 (9) |
Gender (%) | |
Female | 51 |
Male | 49 |
BMI, mean (SD) | 31 (5) |
Average | W1-2 | W3-4 | W5-6 | W7-8 | W9-10 | W11-12 | |
---|---|---|---|---|---|---|---|
Exercises performed (%) | 77 | 67 | 85 | 85 | 77 | 77 | 70 |
Daily questionnaire filled (%) | 80 | 76 | 89 | 88 | 85 | 82 | 77 |
Assessment video performed (%) | 71 | 93 | 86 | 75 | 76 | / | / |
Category | Frequency n (%) |
---|---|
Medication change | 18 (27) |
Medication info and reassure | 8 (12) |
Wound care | 6 (9) |
Wound info and reassure | 10 (15) |
Symptoms info and reassure | 12 (17) |
Referral | 10 (15) |
Other | 3 (4) |
Preop | 3 Months | 6 Months | 6 m/Preop Difference | |||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | Mean | SD | |
Oxford Knee | 24 | 8 | 33 | 8 | 38 | 7 | 14 | 9 |
KOOS Symptoms | 51 | 18 | 61 | 18 | 70 | 19 | 20 | 21 |
KOOS Pain | 44 | 19 | 67 | 20 | 78 | 19 | 36 | 20 |
KOOS ADL | 49 | 20 | 71 | 21 | 78 | 18 | 31 | 22 |
KOOS QoL | 30 | 18 | 50 | 20 | 56 | 22 | 26 | 27 |
KSS Satisfaction | 15 | 7 | 25 | 8 | 30 | 8 | 16 | 11 |
QALY | 0.59 | 0.26 | 0.77 | 0.22 | 0.85 | 0.12 | 0.26 | 0.25 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Lebleu, J.; Pauwels, A.; Anract, P.; Parratte, S.; Van Overschelde, P.; Van Onsem, S. Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study. J. Pers. Med. 2023, 13, 824. https://doi.org/10.3390/jpm13050824
Lebleu J, Pauwels A, Anract P, Parratte S, Van Overschelde P, Van Onsem S. Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study. Journal of Personalized Medicine. 2023; 13(5):824. https://doi.org/10.3390/jpm13050824
Chicago/Turabian StyleLebleu, Julien, Andries Pauwels, Philippe Anract, Sébastien Parratte, Philippe Van Overschelde, and Stefaan Van Onsem. 2023. "Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study" Journal of Personalized Medicine 13, no. 5: 824. https://doi.org/10.3390/jpm13050824