Abstract

E-rehabilitation is the term used to define medical rehabilitation programs that are implemented at home with the use of information and communication technologies. The aim was to test whether sensor position and the sitting position of the patient influence the accuracy of knee range of movement (ROM) data displayed by the BPMpathway e-rehabilitation system. A preliminary study was conducted in a laboratory setting with healthy adults. Knee ROM data was measured with the BPMpathway e-rehabilitation system and simultaneously with a BIOPAC twin-axis digital goniometer. The main outcome was the root mean squared error (RMSE). A 20% increase or reduction in sitting height led to a RMSE increase. A ventral shift of the BPMpathway sensor by 45° and 90° caused significant measurement errors. A vertical shift was associated with a diminution of the measurement errors. The lowest RMSE (2.4°) was achieved when the sensor was placed below the knee. The knee ROM data measured by the BPMpathway system is comparable to the data of the concurrent system, provided the instructions of the manufacturer are respected concerning the sitting position of the subject for knee exercises, and disregarding the same instructions for sensor positioning, by placing the sensor directly below the knee.

Highlights

  • Total knee (TKA) and hip arthroplasty (THA) are considered the treatments of choice for osteoarthritis patients with pain and substantial functional impairments who have not achieved acceptable pain relief and functional improvement after conservative treatment modalities [1,2]

  • Studies have shown that standardized home programs were not inferior to inpatient or outpatient physiotherapy in regard to their effects on functional status, health related quality of life (HRQOL) and range of movement (ROM) of the operated joint [10,11,12,13]

  • E-rehabilitation or telerehabilitation are the terms used to define medical rehabilitation programs that are implemented at home with the use of information and communication technologies (ICT) [14]

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Summary

Introduction

Total knee (TKA) and hip arthroplasty (THA) are considered the treatments of choice for osteoarthritis patients with pain and substantial functional impairments who have not achieved acceptable pain relief and functional improvement after conservative treatment modalities [1,2]. As the population in different countries ages, there is an expected increase in the demand for THA and TKA procedures in the coming decades [3,4]. This increasing demand will present the healthcare systems and health care providers with new challenges. After TKA and THA, physiotherapy and exercise lead to improvements in physical function [5,6,7,8]. Physiotherapy exercise provided at home is an appealing approach with the possibility of wider acceptability and uptake in the near future [9]. Studies have shown that standardized home programs were not inferior to inpatient or outpatient physiotherapy in regard to their effects on functional status, health related quality of life (HRQOL) and range of movement (ROM) of the operated joint [10,11,12,13]

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