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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
Dysrhythmias IV: Characteristics of Bradyarrhythmias01:18

Dysrhythmias IV: Characteristics of Bradyarrhythmias

Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...

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Updated: May 19, 2026

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Home-Based Digital Exercise Program for Patients After Open Repair of Acute Achilles Tendon Rupture: Noninferiority

Hui Wang1, Tianyi Wu2, Jiye He1

  • 1Department of Orthopedics, Shanghai Xinhua Hospital, Shanghai, China.

JMIR Mhealth and Uhealth
|March 19, 2026
PubMed
Summary

Home-based digital exercise programs (DEP) are as effective as clinic-based physiotherapy for Achilles tendon repair recovery. This digital approach offers comparable outcomes and improved cost-effectiveness for patients.

Keywords:
achilles tendon rupturecost-effectivenessdigital exercise programhome-based rehabilitationphysiotherapy

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Area of Science:

  • Orthopedics
  • Digital Health
  • Rehabilitation Medicine

Background:

  • Achilles tendon rupture severely impacts patient mobility and quality of life.
  • Effective postoperative rehabilitation is essential for restoring function and activity.
  • Home-based digital rehabilitation offers an accessible alternative to traditional physiotherapy, but evidence comparing it to clinic-based care after Achilles tendon repair is limited.

Purpose of the Study:

  • To evaluate if a home-based digital exercise program (DEP) is noninferior to clinic-based physiotherapy (CP) for ankle range of motion, strength, patient-reported outcomes, and cost-effectiveness after open Achilles tendon repair.

Main Methods:

  • A randomized controlled trial involving 200 adult patients undergoing open Achilles tendon repair.
  • Patients were assigned to a 12-week home-based DEP via an app or traditional 12-week clinic-based physiotherapy.
  • Primary outcome was ankle range of motion at 12 weeks; secondary outcomes included strength, patient scores, adherence, satisfaction, cost-effectiveness, and adverse events.

Main Results:

  • The DEP group demonstrated noninferiority to the CP group for ankle range of motion at 12 weeks (mean difference -0.08°, P<.001).
  • No significant differences were observed in secondary clinical outcomes, though patients reported higher convenience with DEP.
  • The DEP significantly reduced total rehabilitation costs compared to CP (CNY 59,260.77 vs 68,432.80), with comparable adverse events.

Conclusions:

  • Home-based digital exercise programs provide comparable clinical outcomes to traditional physiotherapy for Achilles tendon repair.
  • Digital rehabilitation offers a significant improvement in cost-effectiveness.
  • These findings support the adoption of tele-supervised digital rehabilitation as a safe and effective alternative for postoperative care.