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BACKGROUND Knee osteoarthritis (OA) and low back pain are prevalent in Asia, posing significant challenges. Total Knee Arthroplasty (TKA) is the gold standard for managing degenerative knee arthritis, with post-TKA rehabilitation crucial for improving function and quality of life. Rehabilitation following TKA plays a crucial role in improving functional performance and quality of life for individuals in this population. However, access to rehabilitation services, healthcare facilities, and follow-up appointments can be limited, particularly in regions with resource constraints or remote areas. While digital rehabilitation solutions are well-established in developed nations, there is a pressing need to introduce technological advancements in countries like Pakistan. Tele-rehabilitation, if incorporated into standard therapy, has the potential to benefit the community by reducing dependence on limited human resources while ensuring better clinical outcome OBJECTIVE This study evaluated the effects of supervised sensorimotor training with and without lifestyle modifications via telerehabilitation monitoring on joint position sense, balance, muscle architecture, and knee joint function in Total knee arthroplasty patients. METHODS This single-center, prospective randomized controlled trial included fifty-two participants, divided equally into intervention and control groups. Both groups received twelve weeks of supervised strengthening exercises, neuromuscular electrical stimulation, and sensorimotor training, three times weekly for 45 minutes. The intervention group additionally received a manual on lifestyle modification (exercise, diet, education) assessed via a web portal. Primary outcomes were joint position sense, muscle thickness of rectus femoris, and balance. Secondary outcomes included knee function and quality of life. Measurements were taken pre-surgery, 12 weeks post-training, and 8 weeks post-home-based lifestyle modification. Data analysis was conducted using SPSS 25. RESULTS The mean participant age was 64.1 ± 5.4 years. Significant intragroup improvements (p<0.001) were observed from baseline at both 14 and 22 weeks. Intergroup comparisons showed significant improvements (p<0.001) in the intervention group across all measures, indicating substantial benefits of the lifestyle modification program. CONCLUSIONS Both groups showed improvements with sensorimotor training, but the intervention group, incorporating lifestyle modifications, achieved superior results in knee function, performance, and quality of life. Integrating lifestyle modifications with sensorimotor training enhances rehabilitation outcomes post-TKA. In addition, the intervention group, supported by telerehabilitation monitoring, showed better adherence to the home-based lifestyle modification program compared to the control group, highlighting the potential benefits of telerehabilitation in enhancing compliance and engagement in lifestyle modification rehabilitation programs. CLINICALTRIAL It has been officially registered with the clinical study identifier NCT05018494 in the ClinicalTrials.gov Protocols Registration and Results System on May 8, 2021
BACKGROUND Knee osteoarthritis (OA) and low back pain are prevalent in Asia, posing significant challenges. Total Knee Arthroplasty (TKA) is the gold standard for managing degenerative knee arthritis, with post-TKA rehabilitation crucial for improving function and quality of life. Rehabilitation following TKA plays a crucial role in improving functional performance and quality of life for individuals in this population. However, access to rehabilitation services, healthcare facilities, and follow-up appointments can be limited, particularly in regions with resource constraints or remote areas. While digital rehabilitation solutions are well-established in developed nations, there is a pressing need to introduce technological advancements in countries like Pakistan. Tele-rehabilitation, if incorporated into standard therapy, has the potential to benefit the community by reducing dependence on limited human resources while ensuring better clinical outcome OBJECTIVE This study evaluated the effects of supervised sensorimotor training with and without lifestyle modifications via telerehabilitation monitoring on joint position sense, balance, muscle architecture, and knee joint function in Total knee arthroplasty patients. METHODS This single-center, prospective randomized controlled trial included fifty-two participants, divided equally into intervention and control groups. Both groups received twelve weeks of supervised strengthening exercises, neuromuscular electrical stimulation, and sensorimotor training, three times weekly for 45 minutes. The intervention group additionally received a manual on lifestyle modification (exercise, diet, education) assessed via a web portal. Primary outcomes were joint position sense, muscle thickness of rectus femoris, and balance. Secondary outcomes included knee function and quality of life. Measurements were taken pre-surgery, 12 weeks post-training, and 8 weeks post-home-based lifestyle modification. Data analysis was conducted using SPSS 25. RESULTS The mean participant age was 64.1 ± 5.4 years. Significant intragroup improvements (p<0.001) were observed from baseline at both 14 and 22 weeks. Intergroup comparisons showed significant improvements (p<0.001) in the intervention group across all measures, indicating substantial benefits of the lifestyle modification program. CONCLUSIONS Both groups showed improvements with sensorimotor training, but the intervention group, incorporating lifestyle modifications, achieved superior results in knee function, performance, and quality of life. Integrating lifestyle modifications with sensorimotor training enhances rehabilitation outcomes post-TKA. In addition, the intervention group, supported by telerehabilitation monitoring, showed better adherence to the home-based lifestyle modification program compared to the control group, highlighting the potential benefits of telerehabilitation in enhancing compliance and engagement in lifestyle modification rehabilitation programs. CLINICALTRIAL It has been officially registered with the clinical study identifier NCT05018494 in the ClinicalTrials.gov Protocols Registration and Results System on May 8, 2021
Augmented reality (AR) and virtual reality (VR) modules are emerging as revolutionary tools for improving mindfulness, emotional intelligence, and mental health. These immersive technologies provide a one-of-a-kind and engaging platform for simulating real-life settings and guiding users through a variety of experiences aimed at regulating emotions and improving mental health. These modules can teach and reinforce mindfulness practices by immersing users in virtual worlds, allowing them to get a better awareness of their emotions, manage stress, and build emotional resilience. AR and VR modules are proving to be strong tools for personal growth and well-being, whether through guided meditation, stress reduction exercises, or interactive situations aimed at increasing empathy and self-awareness. This chapter comprehensively explores the transformational potential of AR and VR modules in building mindfulness, enhancing emotional intelligence, and contributing to overall mental well-being.
Population aging is accelerating globally, with the population of people over 60 expected to double by 2050, reaching 2.1 billions. This phenomenon, together with increased longevity due to advances in salud, education and reduced fertility rates, presents unique challenges and opportunities for society. Against this backdrop, the design of digital interventions that promote active and healthy aging becomes a priority. This work proposes the initial development of a web application aimed at supporting memory in older adults, applying a holistic approach that integrates knowledge from various disciplines. The application is based on principles of accessibility, usability and user-centered design, seeking not only to improve cognition, but also to offer a tool that facilitates social inclusion and improves the quality of life of older adults. By focusing on accessibility and inclusive design, this project contributes directly to technological intervention strategies in the field of aging, marking a step forward in the development of solutions that respond effectively to the needs of a growing population.
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