Implementation of +PERTO^® in Rehabilitation for Total Knee Arthroplasty: A Pilot Study.

IF 2.4 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Healthcare Pub Date : 2025-03-11 DOI:10.3390/healthcare13060605

Tiago Emanuel Soares de Araújo, Elsa Paula Santos Rodrigues, Ana Raquel Varejão Files, João Miguel Almeida Ventura-Silva, Jorge Eduardo Ferreira Mendes, André Filipe Morais Pinto Novo, Olga Maria Pimenta Lopes Ribeiro

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引用次数: 0

Abstract

Background/objectives: Total knee Arthroplasty (TKA) is a prevalent treatment modality for degenerative knee diseases. Nevertheless, the success of the intervention is contingent on effective rehabilitation. The +PERTO^® program (a Technological Rehabilitation Nursing Program) was developed as a mobile application comprising three phases to support patients during the perioperative period by providing exercises, information, and direct communication with healthcare professionals. The present study aims to evaluate the effects and usability of the +PERTO^® program in patients undergoing total knee arthroplasty.

Methods: In 2024, a hospital in northern Portugal conducted a pilot trial with eleven patients undergoing elective total knee arthroplasty. Researchers collected data both before surgery and six weeks after discharge. To evaluate effectiveness, software satisfaction, and usability, they used several assessment tools, including the Oxford Knee Score (OKS), SF-36v2, Visual Analog Scale (VAS), Short Physical Performance Battery (SPPB), QSEnf-10, and System Usability Scale (SUS). Researchers analyzed the data using both descriptive and inferential statistics. The hospital's ethics committee and board of directors approved the study.

Results: There was a significant reduction in pain (p = 0.041) and improvement in knee functionality (p = 0.010), physical performance (p = 0.038), and quality of life (p < 0.05). Patient satisfaction was high (QSEnf-10: 3.8/4), and the usability of +PERTO^® was considered excellent (SUS: 96.6/100).

Conclusions: The +PERTO^® program proved to be an effective and innovative solution to support rehabilitation after TKA, promoting improvements in pain, functionality, and quality of life. This digital program stands out for its high rate of usability and its ability to modernize healthcare by providing a patient-centered approach.

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+PERTO®在全膝关节置换术康复中的应用：一项试点研究。

背景/目的：全膝关节置换术（TKA）是膝关节退行性疾病的普遍治疗方式。然而，干预的成功取决于有效的康复。+PERTO®程序（一种技术康复护理程序）是一种移动应用程序，包括三个阶段，通过提供练习、信息和与医疗保健专业人员的直接沟通来支持围手术期患者。本研究旨在评估+PERTO®程序在全膝关节置换术患者中的效果和可用性。方法：2024年，葡萄牙北部的一家医院对11名患者进行了选择性全膝关节置换术的试点试验。研究人员收集了手术前和出院后六周的数据。为了评估有效性、软件满意度和可用性，他们使用了几种评估工具，包括牛津膝关节评分（OKS）、SF-36v2、视觉模拟量表（VAS）、短物理性能电池（SPPB）、QSEnf-10和系统可用性量表（SUS）。研究人员使用描述性和推断性统计分析数据。医院的伦理委员会和董事会批准了这项研究。结果：患者疼痛显著减轻（p = 0.041），膝关节功能显著改善（p = 0.010），运动能力显著改善（p = 0.038），生活质量显著改善（p < 0.05）。患者满意度高（QSEnf-10: 3.8/4）， +PERTO®的可用性被认为是优秀的（SUS: 96.6/100）。结论：+PERTO®方案被证明是支持TKA后康复的有效和创新的解决方案，促进疼痛，功能和生活质量的改善。该数字程序以其高可用性和通过提供以患者为中心的方法实现医疗现代化的能力而脱颖而出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Healthcare Medicine-Health Policy

CiteScore

3.50

自引率

7.10%

发文量

审稿时长

47 days

期刊介绍： Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.