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
{"title":"+PERTO®在全膝关节置换术康复中的应用：一项试点研究。","authors":"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","doi":"10.3390/healthcare13060605","DOIUrl":null,"url":null,"abstract":"<p><strong>Background/objectives: </strong>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<sup>®</sup> 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<sup>®</sup> program in patients undergoing total knee arthroplasty.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>There was a significant reduction in pain (<i>p</i> = 0.041) and improvement in knee functionality (<i>p</i> = 0.010), physical performance (<i>p</i> = 0.038), and quality of life (<i>p</i> < 0.05). Patient satisfaction was high (QSEnf-10: 3.8/4), and the usability of +PERTO<sup>®</sup> was considered excellent (SUS: 96.6/100).</p><p><strong>Conclusions: </strong>The +PERTO<sup>®</sup> 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.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942610/pdf/","citationCount":"0","resultStr":"{\"title\":\"Implementation of +PERTO<sup>®</sup> in Rehabilitation for Total Knee Arthroplasty: A Pilot Study.\",\"authors\":\"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\",\"doi\":\"10.3390/healthcare13060605\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background/objectives: </strong>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<sup>®</sup> 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<sup>®</sup> program in patients undergoing total knee arthroplasty.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>There was a significant reduction in pain (<i>p</i> = 0.041) and improvement in knee functionality (<i>p</i> = 0.010), physical performance (<i>p</i> = 0.038), and quality of life (<i>p</i> < 0.05). Patient satisfaction was high (QSEnf-10: 3.8/4), and the usability of +PERTO<sup>®</sup> was considered excellent (SUS: 96.6/100).</p><p><strong>Conclusions: </strong>The +PERTO<sup>®</sup> program proved to be an effective and innovative solution to support rehabilitation after TKA, promoting improvements in pain, functionality, and quality of life. 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Implementation of +PERTO® in Rehabilitation for Total Knee Arthroplasty: A Pilot Study.
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.
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”.
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