Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study

Detalhes bibliográficos
Autor(a) principal: Dias Correia, Fernando
Data de Publicação: 2021
Outros Autores: Molinos, Maria, Neves, Carlos, Janela, Dora, Carvalho, Diana, Luis, Sara, Francisco, Gerard E, Lains, Jorge, Bento, Virgilio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/2885
Resumo: ClinicalTrials.gov NCT04819022; https://clinicaltrials.gov/ct2/show/NCT04819022
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spelling Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Studycute ankle sprainsanklecohortdigital healthdigital therapyfatiguehome-based digital rehabilitationlongitudinaloutcomepainphysical rehabilitationphysical therapyprospectiverehabilitationsoft tissuespraintherapyClinicalTrials.gov NCT04819022; https://clinicaltrials.gov/ct2/show/NCT04819022Background: Ankle sprains are one of the most prevalent soft-tissue injuries worldwide. Physical therapy, especially progressive exercise, has proven effective in improving function, while preventing recurrence. Objective: We aim to present the results of a fully remote and digitally guided rehabilitation program for acute ankle sprains. Methods: We performed a prospective longitudinal cohort study of individuals eligible for workers' compensation, who were referred for digital rehabilitation therapy for a sprained ankle. Therapeutic exercise sessions were to be performed independently by the patient at home using the biofeedback device provided by SWORD Health. Primary endpoints were the change in self-reported Numerical Pain Rating Scale (NPRS) and Foot and Ankle Ability Measure-activities of daily living (FAAM-ADL) and FAAM-Sports scores. Participants were assessed at baseline, end of the program, and 6 months after program completion. Secondary outcomes included digital therapy dosage, pain and fatigue during sessions, and satisfaction. Results: In total, 93 (89.4%) patients completed the program and 79 (76.0%) were available for follow-up. Changes in the primary outcomes between baseline and the 6-month follow-up were both significant (P<.001) and clinically meaningful: mean difference of -2.72 points (95% CI -3.31 to -2.13) on the NPRS (49.8% reduction), 21.7 points (95% CI 17.13-26.27) on the FAAM-ADL (41.1% increase), and 37.8 points (95% CI 30.45-45.15) on the FAAM-Sports (151.8% increase). Longer waiting periods between the accident date and treatment initiation were found to negatively impact functional status at baseline and at the end of the program, triggering an extension in the program duration. The total training volume (12.5 hours, SD 10.5 hours) was similar to that of other interventions for ankle sprains, but the dosage per week was much higher (2.4 hours per week, SD 0.87 hours per week). The mean patient satisfaction score was 8.8 (SD 1.57) out of 10. Among program completers, 83.9% attained full recovery and were discharged with no residual disability. Conclusions: Being far less demanding in terms of human resources, the digital program presented constituted a viable, clinically effective, and convenient solution for ankle sprain rehabilitation, particularly during the pandemic. This is the first study presenting a fully remote home-based rehabilitation program for acute ankle sprains, with patients achieving sustained long-term results. This was a prospective cohort study and, as such, did not include a control group, but the results appear comparable to those published for face-to-face interventions.JMIR PublicationsRepositório Científico do Centro Hospitalar Universitário de Santo AntónioDias Correia, FernandoMolinos, MariaNeves, CarlosJanela, DoraCarvalho, DianaLuis, SaraFrancisco, Gerard ELains, JorgeBento, Virgilio2023-11-14T11:46:20Z2021-092021-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2885engCorreia FD, Molinos M, Neves C, et al. Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study. JMIR Rehabil Assist Technol. 2021;8(3):e31247. doi:10.2196/312472369-252910.2196/31247info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T07:45:30Zoai:repositorio.chporto.pt:10400.16/2885Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:42:39.294408Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
title Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
spellingShingle Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
Dias Correia, Fernando
cute ankle sprains
ankle
cohort
digital health
digital therapy
fatigue
home-based digital rehabilitation
longitudinal
outcome
pain
physical rehabilitation
physical therapy
prospective
rehabilitation
soft tissue
sprain
therapy
title_short Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
title_full Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
title_fullStr Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
title_full_unstemmed Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
title_sort Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study
author Dias Correia, Fernando
author_facet Dias Correia, Fernando
Molinos, Maria
Neves, Carlos
Janela, Dora
Carvalho, Diana
Luis, Sara
Francisco, Gerard E
Lains, Jorge
Bento, Virgilio
author_role author
author2 Molinos, Maria
Neves, Carlos
Janela, Dora
Carvalho, Diana
Luis, Sara
Francisco, Gerard E
Lains, Jorge
Bento, Virgilio
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Dias Correia, Fernando
Molinos, Maria
Neves, Carlos
Janela, Dora
Carvalho, Diana
Luis, Sara
Francisco, Gerard E
Lains, Jorge
Bento, Virgilio
dc.subject.por.fl_str_mv cute ankle sprains
ankle
cohort
digital health
digital therapy
fatigue
home-based digital rehabilitation
longitudinal
outcome
pain
physical rehabilitation
physical therapy
prospective
rehabilitation
soft tissue
sprain
therapy
topic cute ankle sprains
ankle
cohort
digital health
digital therapy
fatigue
home-based digital rehabilitation
longitudinal
outcome
pain
physical rehabilitation
physical therapy
prospective
rehabilitation
soft tissue
sprain
therapy
description ClinicalTrials.gov NCT04819022; https://clinicaltrials.gov/ct2/show/NCT04819022
publishDate 2021
dc.date.none.fl_str_mv 2021-09
2021-09-01T00:00:00Z
2023-11-14T11:46:20Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/2885
url http://hdl.handle.net/10400.16/2885
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Correia FD, Molinos M, Neves C, et al. Digital Rehabilitation for Acute Ankle Sprains: Prospective Longitudinal Cohort Study. JMIR Rehabil Assist Technol. 2021;8(3):e31247. doi:10.2196/31247
2369-2529
10.2196/31247
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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