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Review
. 2022 Dec 12;57(5):624-634.
doi: 10.1007/s43465-022-00785-3. eCollection 2023 May.

"Wearable Sensors to Guide Remote Rehabilitation Following Knee Arthroplasty Surgery"

Samuel W King  1   2   3 , Momin Eltayeb  3 , Bernard H van Duren  1   3 , Sameer Jain  1   3 , Joel Kerry  3 , Hemant G Pandit  1   3 , Jeya Palan  1   3
Affiliations
Review

"Wearable Sensors to Guide Remote Rehabilitation Following Knee Arthroplasty Surgery"

Samuel W King et al. Indian J Orthop. .

Abstract

Background: Total knee arthroplasty requires effective rehabilitation to achieve optimal results, but institutions often rely on unsupervised home exercises due to cost constraints. Wearable sensors have become increasingly popular as a potential method of monitoring patients remotely to ensure efficacy and compliance. This review assesses the current evidence for their use in remotely monitored rehabilitation following knee arthroplasty.

Methods: A systematic review of the literature from 1st January 2000 to 17th February 2022 was undertaken. Devices were categorised as joint-specific or physical activity sensors. Studies were classified as those providing remotely supervised rehabilitation as an additional or as an alternative intervention.

Results: Remotely supervised rehabilitation using wearable sensors demonstrated similar outcomes when provided as an alternative to standard care in most studies. One group found improved outcomes for knee-specific sensors compared with standard care. There were improved physical activity and healthcare resource use outcomes described in the literature where sensors were used in addition to standard care.

Discussion: This review found evidence for the use of wearable sensors in remotely supervised rehabilitation following knee arthroplasty surgery. This included methodological heterogeneity, differing definitions of standard care, and variable follow-up periods. Robust randomised control trial data with a longer follow-up period are needed.

Keywords: Knee arthroplasty; Knee replacement; Remote rehabilitation; Telerehabilitation; Wearable sensors.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Literature search strategy utilised
Fig. 2
Fig. 2
PRISMA flow diagram demonstrating results of literature review
See this image and copyright information in PMC

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