A randomized controlled trial of postoperative rehabilitation using digital healthcare system after rotator cuff repair

A digital healthcare system based on augmented reality (AR) has promising uses for postoperative rehabilitation. We compare effectiveness of AR-based and conventional rehabilitation in patients after rotator cuff repair (RCR). This study randomly allocates 115 participants who underwent RCR to digit...

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Bibliographic Details
Published in:NPJ digital medicine 2023-05, Vol.6 (1), p.95-95, Article 95
Main Authors: Shim, Ga Yang, Kim, Eun Hye, Baek, Yun Jeong, Chang, Won Kee, Kim, Bo Ram, Oh, Joo Han, Lee, Jong In, Hwang, Ji Hye, Lim, Jae-Young
Format: Article
Language:English
Subjects:
692/1537/805
692/700/1518
692/700/228/491
692/700/565/491
Biomedicine
Biotechnology
Clinical trials
Digital technology
Joint and ligament injuries
Medicine
Medicine & Public Health
Muscle strength
Orthopedics
Postoperative period
Rehabilitation
Rotator cuff
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Summary:A digital healthcare system based on augmented reality (AR) has promising uses for postoperative rehabilitation. We compare effectiveness of AR-based and conventional rehabilitation in patients after rotator cuff repair (RCR). This study randomly allocates 115 participants who underwent RCR to digital healthcare rehabilitation group (DR group) and conventional rehabilitation group (CR group). The DR group performs AR-based home exercises using UINCARE Home+, whereas the CR group performs brochure-based home exercises. The primary outcome is a change in the Simple Shoulder Test (SST) score between baseline and 12 weeks postoperatively. The secondary outcomes are the Disabilities of the Arm, Shoulder and Hand (DASH) score; Shoulder Pain And Disability Index (SPADI) score; EuroQoL 5-Dimension 5-Level (EQ5D5L) questionnaire score; pain; range of motion (ROM); muscle strength; and handgrip strength. The outcomes are measured at baseline, and at 6, 12, and 24 weeks postoperatively. The change in SST score between baseline and 12 weeks postoperatively is significantly greater in the DR group than in the CR group ( p  = 0.025). The SPADI, DASH, and EQ5D5L scores demonstrate group×time interactions ( p  = 0.001, = 0.04, and = 0.016, respectively). However, no significant differences over time are observed between the groups in terms of pain, ROM, muscle strength, and handgrip strength. The outcomes show significant improvement in both groups (all p  
ISSN:2398-6352
2398-6352
DOI:10.1038/s41746-023-00842-7