Ender Ersin Avcı, Gazi Akgün, Mehmet Esat Uygur, Mine Gülden Polat, İlkşan Demirbüken
{"title":"智能鞋垫改善部分负重依从性：有效性，可靠性和可行性研究。","authors":"Ender Ersin Avcı, Gazi Akgün, Mehmet Esat Uygur, Mine Gülden Polat, İlkşan Demirbüken","doi":"10.1016/j.fas.2025.04.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Partial weight bearing (PWB) plays a critical role in early stages of rehabilitation following lower-extremity orthopedic surgery. However, it has been reported patients often have difficulty complying with PWB restrictions, particularly in home setting. The newly designed smart insole system aims to address this issue by remotely monitoring the patient's weight-bearing loads and providing real-time feedback for non-compliant weight-bearing to support PWB compliance. The aim of this study was to assess the validity and reliability of the system in measuring weight-bearing loads and to investigate its feasibility in improving PWB compliance.</p><p><strong>Methods: </strong>The research involved two phases: an experimental design to test validity and reliability in a clinical setting, and a randomized controlled design to test feasibility with remote monitoring at home. Validity and reliability were assessed on a healthy subject using simultaneous load measurements from a smart insole and a force plate under three metronome conditions (30,40, and 60bpm). In the feasibility phase, twelve patients who had undergone microfracture surgery for talar osteochondral lesions were recruited at 4 weeks postoperatively. Participants used Android smartphones and met Ferkel & Scaglione classification criteria I, IIA, and IIB. They were randomized into groups with feedback (FB) or without feedback (NFB) and their compliance with PWB limits was monitored remotely 24-hours for one week using the Insole system.</p><p><strong>Results: </strong>The insole demonstrated high reliability (SEM:1.67 N, ICC<sub>1.1</sub>:0.97) and, excellent agreement with the force plate (R<sup>2</sup>=0.9175, p < 0.001). The FB group achieved higher compliance with prescribed PWB thresholds compared to the NFB group.</p><p><strong>Conclusions: </strong>The newly developed insole system is a valid and reliable rehabilitation tool for accurately measuring weight bearing loads. The system's ability to provide continuous remote patient monitoring and real-time feedback on non-compliant weight bearing has proven to be effective in PWB compliance, which is critical in the postoperative recovery period.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving partial weight bearing compliance with a smart insole: Validity, reliability, and feasibility study.\",\"authors\":\"Ender Ersin Avcı, Gazi Akgün, Mehmet Esat Uygur, Mine Gülden Polat, İlkşan Demirbüken\",\"doi\":\"10.1016/j.fas.2025.04.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Partial weight bearing (PWB) plays a critical role in early stages of rehabilitation following lower-extremity orthopedic surgery. However, it has been reported patients often have difficulty complying with PWB restrictions, particularly in home setting. The newly designed smart insole system aims to address this issue by remotely monitoring the patient's weight-bearing loads and providing real-time feedback for non-compliant weight-bearing to support PWB compliance. The aim of this study was to assess the validity and reliability of the system in measuring weight-bearing loads and to investigate its feasibility in improving PWB compliance.</p><p><strong>Methods: </strong>The research involved two phases: an experimental design to test validity and reliability in a clinical setting, and a randomized controlled design to test feasibility with remote monitoring at home. Validity and reliability were assessed on a healthy subject using simultaneous load measurements from a smart insole and a force plate under three metronome conditions (30,40, and 60bpm). In the feasibility phase, twelve patients who had undergone microfracture surgery for talar osteochondral lesions were recruited at 4 weeks postoperatively. Participants used Android smartphones and met Ferkel & Scaglione classification criteria I, IIA, and IIB. They were randomized into groups with feedback (FB) or without feedback (NFB) and their compliance with PWB limits was monitored remotely 24-hours for one week using the Insole system.</p><p><strong>Results: </strong>The insole demonstrated high reliability (SEM:1.67 N, ICC<sub>1.1</sub>:0.97) and, excellent agreement with the force plate (R<sup>2</sup>=0.9175, p < 0.001). The FB group achieved higher compliance with prescribed PWB thresholds compared to the NFB group.</p><p><strong>Conclusions: </strong>The newly developed insole system is a valid and reliable rehabilitation tool for accurately measuring weight bearing loads. The system's ability to provide continuous remote patient monitoring and real-time feedback on non-compliant weight bearing has proven to be effective in PWB compliance, which is critical in the postoperative recovery period.</p>\",\"PeriodicalId\":48743,\"journal\":{\"name\":\"Foot and Ankle Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-04-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot and Ankle Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.fas.2025.04.007\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot and Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.fas.2025.04.007","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
背景：部分负重（PWB）在下肢骨科手术后早期康复中起着至关重要的作用。然而，据报道，患者通常难以遵守PWB限制，特别是在家庭环境中。新设计的智能鞋垫系统旨在解决这一问题，通过远程监测患者的负重负荷，并为不合规的负重提供实时反馈，以支持PWB合规。本研究的目的是评估该系统测量负重负荷的有效性和可靠性，并探讨其在改善PWB依从性方面的可行性。方法：研究分为两个阶段：试验设计用于测试临床环境的效度和信度，随机对照设计用于测试家庭远程监测的可行性。在三种节拍器条件下（30,40和60bpm），使用智能鞋垫和力板同时测量负载，对健康受试者进行有效性和可靠性评估。在可行性阶段，我们在术后4周招募了12例进行距骨软骨病变微骨折手术的患者。参与者使用Android智能手机，符合Ferkel & Scaglione分类标准I、IIA和IIB。他们被随机分为有反馈组（FB）和无反馈组（NFB），并使用Insole系统远程监测他们对PWB限值的依从性，持续一周24小时。结果：该鞋垫具有较高的可靠性（SEM:1.67 N, icc1: 1.1:0.97），与测力板具有良好的一致性（R2=0.9175, p ）。结论：新研制的鞋垫系统是一种有效可靠的康复工具，可准确测量负重载荷。该系统提供连续远程患者监测和对不合规负重的实时反馈的能力已被证明是有效的PWB合规，这在术后恢复期至关重要。
Improving partial weight bearing compliance with a smart insole: Validity, reliability, and feasibility study.
Background: Partial weight bearing (PWB) plays a critical role in early stages of rehabilitation following lower-extremity orthopedic surgery. However, it has been reported patients often have difficulty complying with PWB restrictions, particularly in home setting. The newly designed smart insole system aims to address this issue by remotely monitoring the patient's weight-bearing loads and providing real-time feedback for non-compliant weight-bearing to support PWB compliance. The aim of this study was to assess the validity and reliability of the system in measuring weight-bearing loads and to investigate its feasibility in improving PWB compliance.
Methods: The research involved two phases: an experimental design to test validity and reliability in a clinical setting, and a randomized controlled design to test feasibility with remote monitoring at home. Validity and reliability were assessed on a healthy subject using simultaneous load measurements from a smart insole and a force plate under three metronome conditions (30,40, and 60bpm). In the feasibility phase, twelve patients who had undergone microfracture surgery for talar osteochondral lesions were recruited at 4 weeks postoperatively. Participants used Android smartphones and met Ferkel & Scaglione classification criteria I, IIA, and IIB. They were randomized into groups with feedback (FB) or without feedback (NFB) and their compliance with PWB limits was monitored remotely 24-hours for one week using the Insole system.
Results: The insole demonstrated high reliability (SEM:1.67 N, ICC1.1:0.97) and, excellent agreement with the force plate (R2=0.9175, p < 0.001). The FB group achieved higher compliance with prescribed PWB thresholds compared to the NFB group.
Conclusions: The newly developed insole system is a valid and reliable rehabilitation tool for accurately measuring weight bearing loads. The system's ability to provide continuous remote patient monitoring and real-time feedback on non-compliant weight bearing has proven to be effective in PWB compliance, which is critical in the postoperative recovery period.
期刊介绍：
Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society.
The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
