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智能手表测量的每日步行步骤与全膝关节整形术后患者报告的功能结果之间的相关性:一项前性队列研究
Chaiwat Achawakulthep1, Songkran Khattiya1, Keerati Chareancholvanich1
1Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand.
在全膝关节整形术 (TKA) 后,患者报告的结果有所改善,但智能手表的步数几乎没有相关性. 这些措施反映了复苏的不同方面,应该被视为互补的,而不是等级的.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 患者报告的结果指标 (PROM) 是评估全膝关节整形术 (TKA) 恢复的标准.
- 智能手表的步数提供客观的,现实世界的活动数据.
- 在TKA后的PROM和步数之间的对齐仍然不清楚.
研究的目的:
- 评估TKA后每日步数变化与PROM之间的相关性.
- 确定客观活动数据是否补充了主观患者报告.
主要方法:
- 86名TKA患者使用消费级智能手表的前性队列研究.
- 在手术前和手术后3个月和6个月记录的PROM (牛津膝盖得分,KOOS-PS) 和每日步骤.
- 皮尔森相关性分析了步骤变化和PROM之间的关联.
主要成果:
- 在TKA后6个月观察到PROM (OKS,KOOS-PS) 的显著改善.
- 每日步数在TKA后略有增加.
- 在步数变化和PROM变化之间发现了微不足道的相关性.
结论:
- PROMs和智能手表衍生的步数反映了TKA恢复的不同方面.
- 客观活动数据和主观患者报告应该被解释为互补.
- 在TKA恢复评估中,任何一项措施都不应被视为对另一项措施的等级.
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