A Smartwatch Paired With A Mobile Application Provides Postoperative Self-Directed Rehabilitation Without Compromising Total Knee Arthroplasty Outcomes: A Randomized Controlled Trial

Tripuraneni, Krishna R.; Foran, Jared R.H.; Munson, Natalie R.; Racca, Natalie E.; Carothers, Joshua T.

doi:10.1016/j.arth.2021.08.007

Cited by 32 publications

(29 citation statements)

References 25 publications

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“…Greater cost savings from these technologies must be demonstrated before sustained uptake by health systems can be expected. Finally, only one study in this review measured follow-up to 1 year ( 25 ). Thus, this review is limited in its ability to analyze the long-term impact of this technology on recovery.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple studies evaluated this technology's ability to increase physical activity following TKA. In two RCTs, self-directed rehabilitation with a wearable device linked to a smartphone app showed non-inferiority to standard rehabilitation following TKA (24,25). A third non-RCT showed that, when added to standard physiotherapy, a similar activity monitor linked to a smartphone app could improve physical activity in hospitalized patients prior to discharge (26).…”

Section: Discussionmentioning

confidence: 99%

“…The study is judged to be at some concern in the domain of deviation from intended interventions Tripuraneni et al (25) RoB 2.0…”

Section: Referencementioning

confidence: 99%

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The role of commercially available smartphone apps and wearable devices in monitoring patients after total knee arthroplasty: a systematic review

et al. 2022

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Purpose Commercially available smartphone apps and wearable devices have proven valuable in a variety of clinical settings, yet their utility in measuring physical activity and monitoring patient status following total knee arthroplasty (TKA) remains unclear. Methods A systematic review was performed to assess the evidence supporting the use of smartphone apps and wearable devices to assist rehabilitation interventions following TKA. A search was conducted in the PubMed, Cochrane, Medline, and Web of Science databases in September 2021. Results One hundred and seventy-six studies were retrieved, of which 15 met inclusion criteria, including 6 randomized control trials. Four of these studies utilized smartphone apps, seven utilized wearable devices, and four utilized a combination of both. A total of 1607 TKA patients participated in the included studies. For primary outcomes, three reported on device accuracy, three on recovery prediction, two on functional recovery, two on physical activity promotion, two on patient compliance, two on pain control, and one on healthcare utilization. Conclusion Commercially available smartphone apps and wearable devices were shown to capably monitor physical activity and improve patient engagement following TKA, making them potentially viable adjuncts or replacements to traditional rehabilitation programs. Components of interventions such as step goals, app-based patient engagement platforms, and patient-specific benchmarks for recovery may improve effectiveness. However, future research should focus on the economics of implementation, long-term outcomes, and optimization of compliance and accuracy when using these devices.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The role of commercially available smartphone apps and wearable devices in monitoring patients after total knee arthroplasty: a systematic review

et al. 2022

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“…Smart watch devices have evolved over time to collect increasing amounts of data on biophysical variables. Their cutting-edge functionality and widespread adoption positions them as a potential tool to objectively gather patient data, supplement the delivery of high-value healthcare and revolutionize large-scale trials [43,44]. For example, the Heartline™ Study is a partnership between Apple and Johnson and Johnson, enrolling up to 180,000 smart watch naive participants over the age of 65 to evaluate the performance of the Apple Watch in detecting AF in a real-world setting [45].…”

Section: Discussionmentioning

confidence: 99%

Smart Watches: Capturing Our Hearts

P¹,

A²,

L³

2022

J Cardiothorac Surg Ther

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Smart watches are growing in popularity, with about one-in-five Americans reporting daily use of a smart watch or fitness tracker. Smart watches continue to gain functionality as technology improves, and have established their utility in several applications of physiological tracking including detection of atrial fibrillation, a common arrhythmia. Because they serve as a substitute for a typical wrist watch and have potentially lifesaving health and fitness features, smart watches present a unique opportunity to monitor and objectively track cardiac rhythm and sleep patterns. This current review seeks to explore the potential benefits and limits of smart watches in select cardiac applications, namely detecting arrhythmias and measuring heart rate variability (HRV). Because sleep quality and quantity often have an impact on cardiovascular systems, we also discuss smart watch sleep-cycle tracking functions.

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“…Early outcomes of smartphone-based care platforms demonstrate similar outcomes when compared to traditional physiotherapy care after partial/total knee and total hip arthroplasty. 34-36 Furthermore, the use of an automated digital remote guidance and telemonitoring platform appears to reduce the cost of service provision by $656.52/patient (p = 0.006), and was associated with a 45.4% non-significant relative reduction in 90-day hospital admissions and 54.4% significant relative reduction of 90-day complications. 37…”

Section: Smartphone Applications and Rehabilitationmentioning

confidence: 99%

Follow-up after arthroplasty surgery

Hansjee

Giebaly

Shaarani

et al. 2022

The Bone & Joint Journal

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We aim to explore the potential technologies for monitoring and assessment of patients undergoing arthroplasty by examining selected literature focusing on the technology currently available and reflecting on possible future development and application. The reviewed literature indicates a large variety of different hardware and software, widely available and used in a limited manner, to assess patients’ performance. There are extensive opportunities to enhance and integrate the systems which are already in existence to develop patient-specific pathways for rehabilitation. Cite this article: Bone Joint J 2022;104-B(10):1104–1109.

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A Smartwatch Paired With A Mobile Application Provides Postoperative Self-Directed Rehabilitation Without Compromising Total Knee Arthroplasty Outcomes: A Randomized Controlled Trial

Cited by 32 publications

References 25 publications

The role of commercially available smartphone apps and wearable devices in monitoring patients after total knee arthroplasty: a systematic review

The role of commercially available smartphone apps and wearable devices in monitoring patients after total knee arthroplasty: a systematic review

Smart Watches: Capturing Our Hearts

Follow-up after arthroplasty surgery

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