Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Apr 4, 2023
Date Accepted: Dec 1, 2023
Mobile and computer-based applications for rehabilitation monitoring and self-management after knee arthroplasty: A scoping review
ABSTRACT
Background:
Successful post-knee replacement rehabilitation requires adequate access to health information, social support, and periodic monitoring by a health professional. Mobile health (mHealth) and computer-based technologies are in use in high income countries for provision of rehabilitation and remote monitoring.
Objective:
To inform future mHealth intervention development, we conducted a scoping review to map the features, functionality, and framework of existing technologies, and to determine user’s perspective on telerehabilitation and the use of technology for self-management.
Methods:
We followed the Joanna Briggs Institute methodology for scoping reviews. We searched EMBASE, Medline, PsycINFO via OVID and Cochrane Central trials database for manuscripts published 2001 onwards. We included, original research articles reporting the use of mobile or computer-based technologies, used by patients, health care providers, researchers or family member. Studies were divided into three categories based on the purpose. We extracted general information on study design, features of the technology, proposed function, and perspectives of healthcare providers and patients. Protocol for this review is registered (https://doi.org/10.17605/OSF.IO/SRXKC).
Results:
Our search resulted in 4544 articles of which 105 studies conducted in high income settings contributed to the qualitative summary (n= 58, tele-rehabilitation program, n=29, validation studies, and n=31, perception of users). The primary functions of remote rehabilitation were education and enablement, measuring outcomes, monitoring progress, communication, and goal setting. Assessment of range of motion was the commonly validated technology. Few studies (n=4) reported end-user involvement during the development stage. We summarised the reasons for satisfaction and dissatisfaction among users across various technologies.
Conclusions:
Several mobile and computer-based technologies exist to facilitate post knee replacement rehabilitation care for patients and healthcare providers.
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