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Accepted for/Published in: JMIR Aging

Date Submitted: Nov 11, 2025
Date Accepted: Mar 25, 2026

The final, peer-reviewed published version of this preprint can be found here:

Interactive Vision–Based 3D Augmented Reality System for In-Home Rehabilitation in Older Adults Following Total Joint Replacement: Cross-Sectional Survey of Patients and Service Providers

Salvia A, Phadke S, Kunz M, Fakolade A

Interactive Vision–Based 3D Augmented Reality System for In-Home Rehabilitation in Older Adults Following Total Joint Replacement: Cross-Sectional Survey of Patients and Service Providers

JMIR Aging 2026;9:e87572

DOI: 10.2196/87572

PMID: 42008620

Design Preferences for an Interactive Vision-Based 3D Augmented Reality System to Support In-Home Physical Rehabilitation: A Cross-sectional Online Survey Among Patients and Service Providers

  • Adriana Salvia; 
  • Siona Phadke; 
  • Manuela Kunz; 
  • Afolasade Fakolade

ABSTRACT

Background:

Most older adults are discharged directly home with prescribed paper-based home exercises after total joint replacement (TJR). Completing home exercise programs remains a significant challenge for older adults after TJR, often resulting in suboptimal rehabilitation outcomes. Augmented reality (AR) technologies offer a promising approach to addressing some of the challenges associated with traditional home-based exercise programs.

Objective:

To prioritize design features and outline practical/logistical considerations to guide the design of a proposed 3-dimensional AR system (3D ARS) to support home-based exercise programming for older adults after TJR.

Methods:

A cross-sectional online survey of 56 older adults with TJR and 89 healthcare providers across Canada. Data were analyzed using descriptive statistics.

Results:

Stakeholders prioritized key design features and practical/logistical considerations, including options for individualization and customized feedback, usability and accessibility features, and cost and equity considerations.

Conclusions:

These recommendations, generated using an inclusive and systematic process, will inform our future efforts to design, evaluate and implement a prototype 3D ARS, ultimately enhancing the post-TJR rehabilitation experiences of older adults. Clinical Trial: Not applicable


 Citation

Please cite as:

Salvia A, Phadke S, Kunz M, Fakolade A

Interactive Vision–Based 3D Augmented Reality System for In-Home Rehabilitation in Older Adults Following Total Joint Replacement: Cross-Sectional Survey of Patients and Service Providers

JMIR Aging 2026;9:e87572

DOI: 10.2196/87572

PMID: 42008620

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