Advanced rehabilitation technology in orthopaedics—a narrative review

International Orthopaedics, 2021 · DOI: https://doi.org/10.1007/s00264-020-04814-4 · Published: October 13, 2020

Orthopedics Rehabilitation Telehealth & Digital Health

Simple Explanation

This review explores the use of advanced technologies in orthopaedic rehabilitation, aiming to identify and summarize evidence for their effectiveness. The review categorizes technologies into hospital-based and home-based rehabilitation, discussing their applications and impact on clinical outcomes. The review suggests that advanced rehabilitation technology is promising in orthopaedics, with generally supportive evidence for its efficacy.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Level 5, Narrative Review

Key Findings

1
Hospital-based technologies like robotic devices are widely used in spinal cord injury rehabilitation, with expectations for future applications in other conditions.
2
Home-based technologies such as inertial sensors and commercial gaming consoles are relatively inexpensive and user-friendly, making them more accessible for patients.
3
Telerehabilitation methods like videoconferencing promote patient-therapist relationships and patient motivation, although practical implementation from a clinician's perspective may vary.

Research Summary

This narrative review examines advanced rehabilitation technologies used in orthopaedics, outlining their capabilities to support traditional therapy. Hospital-based technologies are used for conditions such as spinal cord injury, while home-based technologies offer accessible and user-friendly options. Advanced rehabilitation technology shows promise in orthopaedics, but there is a need for more research to determine usability, cost-effectiveness, and efficacy through randomized controlled trials.

Practical Implications

Improved Patient Access

Home-based technologies and telerehabilitation can enhance patient access to rehabilitation services, particularly for those with mobility issues or living in remote areas.

Enhanced Monitoring and Feedback

Technologies like inertial sensors and apps provide quantitative data and real-time feedback, potentially improving patient compliance and outcomes.

Personalized Rehabilitation Programs

Advanced technologies, including virtual reality, can be used to personalize treatment, track progress, and motivate patients, leading to more effective rehabilitation.