Home-based Rehabilitation with A Novel Digital Biofeedback System versus Conventional In-person Rehabilitation after Total Knee Replacement: A feasibility study
Open accessAbstract
In-person home-based rehabilitation and telerehabilitation can be as effective as clinic-based rehabilitation after total knee arthroplasty (TKA), but require heavy logistics and are highly dependent on human supervision. New technologies that allow independent home-based rehabilitation without constant human supervision may help solve this problem. This was a single-center, feasibility study comparing a digital biofeedback system that meets these needs against conventional in-person home-based rehabilitation after TKA over an 8-week program. Primary outcome was the change in the Timed Up and Go score between the end of the program and baseline. Fifty-nine patients completed the study (30 experimental group; 29 conventional rehabilitation). The study demonstrated a superiority of the experimental group for all outcomes. Adverse events were similar in both groups. This is the first study to demonstrate that a digital rehabilitation solution can achieve better outcomes than conventional in-person rehabilitation, while less demanding in terms of human resources.
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The authors have previously demonstrated the utility of a completely remote digital care program integrating exercise, education, and cognitive behavioral therapy in several MSK conditions, including for upper limb.
“Previously, we have demonstrated the utility of a completely remote digital care program (DCP) integrating exercise, education, and cognitive behavioral therapy (CBT) in several MSK conditions [42,43,44,45], including for upper limb [46,47,48].”
From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [44]
The Introduction (page unavailable) describes home-based digital exercise rehabilitation after total knee replacement, and the Discussion reports better outcomes in that group. The paper does not establish a program combining exercise, education, and CBT across several MSK conditions or for the upper limb. The Results also report three face-to-face therapist contacts, so this program was not completely remote. (LLM, conf=0.89)
Experimental — accuracy not yet measuredTelerehabilitation provides comparable results to outpatient physical therapy and face-to-face home rehabilitation, while reducing costs.
“Telerehabilitation has shown to provide comparable results to outpatient physical therapy [35–39] and to face-to-face home rehabilitation [40, 41], while reducing costs [42–44].”
From Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study (2022) · cites this paper as [41]
This DCP was previously validated for feasibility and effectiveness in post-surgery MSK rehabilitation.
“This DCP was previously validated (feasibility and effectiveness) in post-surgery MSK rehabilitation [38, 41, 45, 46].”
From Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study (2022) · cites this paper as [41]
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- Authors
- Correia, F. D., Nogueira, A., Magalhães, I., Guimarães, J., Moreira, M., Barradas, I., Teixeira, L., Tulha, J., Seabra, R., Lains, J., & Bento, V.
- Affiliations
- Hospital de Santo António (PT)
- Sword Health, SA (Portugal) (PT)
- Universidade do Porto (PT)
- Hospital da Prelada (PT)
- Corresponding author
- Correia, Fernando Dias
- ORCID
- Venue
- Scientific Reports
- Published
- 2018-07-26
- Volume
- 8
- Issue
- 1
- Pages
- 11299-11299
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC6062628
- OpenAlex
- W2883522275
- Cited by
- 110
- References
- 52
- Citations by year
- 2026: 12 · 2025: 13 · 2024: 10 · 2023: 19 · 2022: 25 · 2021: 11 · 2020: 12 · 2019: 7 · 2016: 1
- FWCI
- 7.80
- Type
- journal article
- Language
- en
- Update notices
- correction (2026-06-23)
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Funders
- European Commission (H2020, 672814)
- Horizon 2020 Framework Programme
- Topics
- Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
- Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- total knee arthroplasty, home-based rehabilitation, telerehabilitation, Timed Up and Go test, walking speed, postoperative rehabilitation, feasibility
- MeSH terms
- Telerehabilitation, Aged, Feasibility Studies, Feedback, Female, Humans, Locomotion, Male, Middle Aged, Time, Treatment Outcome, Arthroplasty, Replacement, Knee, Drug-Related Side Effects and Adverse Reactions
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