Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study
IntroductionMobile applications targeting physiotherapeutic care after total joint replacements are increasing in popularity among end-users. However, these applications were primarily conceived out of financial interest and lack an evidence-based programs tailored to the specific needs of the targe...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1283202/full |
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| author | Hassan Tarek Hakam Hassan Tarek Hakam Hassan Tarek Hakam Nikolai Ramadanov Nikolai Ramadanov Awda Garzuzi Mikhail Salzmann Mikhail Salzmann Hannes Hofmann Hannes Hofmann Felix Muehlensiepen Felix Muehlensiepen Roland Becker Roland Becker Robert Prill Robert Prill Robert Prill |
| author_facet | Hassan Tarek Hakam Hassan Tarek Hakam Hassan Tarek Hakam Nikolai Ramadanov Nikolai Ramadanov Awda Garzuzi Mikhail Salzmann Mikhail Salzmann Hannes Hofmann Hannes Hofmann Felix Muehlensiepen Felix Muehlensiepen Roland Becker Roland Becker Robert Prill Robert Prill Robert Prill |
| author_sort | Hassan Tarek Hakam |
| collection | DOAJ |
| description | IntroductionMobile applications targeting physiotherapeutic care after total joint replacements are increasing in popularity among end-users. However, these applications were primarily conceived out of financial interest and lack an evidence-based programs tailored to the specific needs of the target population. The primary objective of this study is to describe the conception of an evidence-based mobile health application that targets early postoperative physiotherapeutic care after total knee replacement (TKR).MethodsA literature search of eHealth applications targeting physical therapy after TKR was carried out. Articles were then screened and suggestions as well as recommendations were extracted to inform the design of a new application. The beta version of the application was then passed onto experts for evaluation. Final changes were then undertaken to account for the expert's opinions.ResultsSeveral reviews with recommendations for the design of applications targeting patients after total joint replacement were identified. Primarily, mobile applications targeting rehabilitative care after TKR need to be tailored to the needs of the elderly population. Additionally, no unified rehabilitative physiotherapeutic (PT) program was found reflecting a discrepancy regarding what exercises are most useful. A comparison of different programs yielded no significant difference favoring one single exercise regimen.DiscussionAs the elderly population was shown to be less proficient regarding the use of new technologies, the application at hand was explicitly made simple. Elements of different PT programs were incorporated and quadriceps strengthening exercises were included. application was composed based on the findings of the reviewed literature and then subsequently modified to incorporate the expert's suggestions. Experts mainly expressed concerns regarding the safety of patients during unsupervised physical therapy as well as the safety of the recorded data. Thus, password protection and a split between the physician's and the patient's interface was created. |
| format | Article |
| id | doaj-art-f902dcc8e0324d718331795db916eeb0 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-f902dcc8e0324d718331795db916eeb02025-01-27T14:27:10ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.12832021283202Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative studyHassan Tarek Hakam0Hassan Tarek Hakam1Hassan Tarek Hakam2Nikolai Ramadanov3Nikolai Ramadanov4Awda Garzuzi5Mikhail Salzmann6Mikhail Salzmann7Hannes Hofmann8Hannes Hofmann9Felix Muehlensiepen10Felix Muehlensiepen11Roland Becker12Roland Becker13Robert Prill14Robert Prill15Robert Prill16Center of Orthopedics and Traumatology, Brandenburg Medical School (MHB-Fontane), University Clinic of Brandenburg, Brandenburg, GermanyFaculty of Health Sciences, University Clinic of Brandenburg, Brandenburg, GermanyCenter of Evidence Based Practice in Brandenburg (EBB), A JBI Affiliated Group, Brandenburg, GermanyCenter of Orthopedics and Traumatology, Brandenburg Medical School (MHB-Fontane), University Clinic of Brandenburg, Brandenburg, GermanyFaculty of Health Sciences, University Clinic of Brandenburg, Brandenburg, GermanySelf employed, Berlin, GermanyCenter of Orthopedics and Traumatology, Brandenburg Medical School (MHB-Fontane), University Clinic of Brandenburg, Brandenburg, GermanyFaculty of Health Sciences, University Clinic of Brandenburg, Brandenburg, GermanyCenter of Orthopedics and Traumatology, Brandenburg Medical School (MHB-Fontane), University Clinic of Brandenburg, Brandenburg, GermanyFaculty of Health Sciences, University Clinic of Brandenburg, Brandenburg, GermanyCenter of Evidence Based Practice in Brandenburg (EBB), A JBI Affiliated Group, Brandenburg, GermanyCenter for Health Services Research, Faculty for Health Sciences, University Clinic of Brandenburg, Berlin, GermanyCenter of Orthopedics and Traumatology, Brandenburg Medical School (MHB-Fontane), University Clinic of Brandenburg, Brandenburg, GermanyFaculty of Health Sciences, University Clinic of Brandenburg, Brandenburg, GermanyCenter of Orthopedics and Traumatology, Brandenburg Medical School (MHB-Fontane), University Clinic of Brandenburg, Brandenburg, GermanyFaculty of Health Sciences, University Clinic of Brandenburg, Brandenburg, GermanyCenter of Evidence Based Practice in Brandenburg (EBB), A JBI Affiliated Group, Brandenburg, GermanyIntroductionMobile applications targeting physiotherapeutic care after total joint replacements are increasing in popularity among end-users. However, these applications were primarily conceived out of financial interest and lack an evidence-based programs tailored to the specific needs of the target population. The primary objective of this study is to describe the conception of an evidence-based mobile health application that targets early postoperative physiotherapeutic care after total knee replacement (TKR).MethodsA literature search of eHealth applications targeting physical therapy after TKR was carried out. Articles were then screened and suggestions as well as recommendations were extracted to inform the design of a new application. The beta version of the application was then passed onto experts for evaluation. Final changes were then undertaken to account for the expert's opinions.ResultsSeveral reviews with recommendations for the design of applications targeting patients after total joint replacement were identified. Primarily, mobile applications targeting rehabilitative care after TKR need to be tailored to the needs of the elderly population. Additionally, no unified rehabilitative physiotherapeutic (PT) program was found reflecting a discrepancy regarding what exercises are most useful. A comparison of different programs yielded no significant difference favoring one single exercise regimen.DiscussionAs the elderly population was shown to be less proficient regarding the use of new technologies, the application at hand was explicitly made simple. Elements of different PT programs were incorporated and quadriceps strengthening exercises were included. application was composed based on the findings of the reviewed literature and then subsequently modified to incorporate the expert's suggestions. Experts mainly expressed concerns regarding the safety of patients during unsupervised physical therapy as well as the safety of the recorded data. Thus, password protection and a split between the physician's and the patient's interface was created.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1283202/fullmobile health applicationphysical therapyrehabilitationtotal knee arthroplastytelerehabilitation |
| spellingShingle | Hassan Tarek Hakam Hassan Tarek Hakam Hassan Tarek Hakam Nikolai Ramadanov Nikolai Ramadanov Awda Garzuzi Mikhail Salzmann Mikhail Salzmann Hannes Hofmann Hannes Hofmann Felix Muehlensiepen Felix Muehlensiepen Roland Becker Roland Becker Robert Prill Robert Prill Robert Prill Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study Frontiers in Surgery mobile health application physical therapy rehabilitation total knee arthroplasty telerehabilitation |
| title | Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study |
| title_full | Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study |
| title_fullStr | Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study |
| title_full_unstemmed | Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study |
| title_short | Conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement, a qualitative study |
| title_sort | conception of a mobile health application targeting early postoperative physiotherapeutic care after total knee replacement a qualitative study |
| topic | mobile health application physical therapy rehabilitation total knee arthroplasty telerehabilitation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1283202/full |
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