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Article

Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study

1
Department of Physical Therapy, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands
2
CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands
3
Department of Orthopaedic Surgery and Traumatology, Maastricht University Medical Center, 6229 HX, Maastricht, The Netherlands
4
Department of Epidemiology, Faculty of Health, Medicine and Life Sciences, School for Public Health and Primary Care, Maastricht University, 6211 LK Maastricht, The Netherlands
*
Author to whom correspondence should be addressed.
Sensors 2020, 20(15), 4317; https://doi.org/10.3390/s20154317
Received: 15 June 2020 / Revised: 23 July 2020 / Accepted: 30 July 2020 / Published: 2 August 2020
Low physical activity (PA) levels are common in hospitalized patients. Digital health tools could be valuable in preventing the negative effects of inactivity. We therefore developed Hospital Fit; which is a smartphone application with an accelerometer, designed for hospitalized patients. It enables objective activity monitoring and provides patients with insights into their recovery progress and offers a tailored exercise program. The aim of this study was to investigate the potential of Hospital Fit to enhance PA levels and functional recovery following orthopedic surgery. PA was measured with an accelerometer postoperatively until discharge. The control group received standard physiotherapy, while the intervention group used Hospital Fit in addition to physiotherapy. The time spent active and functional recovery (modified Iowa Level of Assistance Scale) on postoperative day one (POD1) were measured. Ninety-seven patients undergoing total knee or hip arthroplasty were recruited. Hospital Fit use, corrected for age, resulted in patients standing and walking on POD1 for an average increase of 28.43 min (95% confidence interval (CI): 5.55–51.32). The odds of achieving functional recovery on POD1, corrected for the American Society of Anesthesiologists classification, were 3.08 times higher (95% CI: 1.14–8.31) with Hospital Fit use. A smartphone app combined with an accelerometer demonstrates the potential to enhance patients’ PA levels and functional recovery during hospitalization. View Full-Text
Keywords: activity monitoring; physical activity; functional recovery; hospitalization; mHealth; wearable sensors; arthroplasty; physiotherapy activity monitoring; physical activity; functional recovery; hospitalization; mHealth; wearable sensors; arthroplasty; physiotherapy
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MDPI and ACS Style

van Dijk-Huisman, H.C.; Weemaes, A.T.R.; Boymans, T.A.E.J.; Lenssen, A.F.; de Bie, R.A. Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study. Sensors 2020, 20, 4317. https://doi.org/10.3390/s20154317

AMA Style

van Dijk-Huisman HC, Weemaes ATR, Boymans TAEJ, Lenssen AF, de Bie RA. Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study. Sensors. 2020; 20(15):4317. https://doi.org/10.3390/s20154317

Chicago/Turabian Style

van Dijk-Huisman, Hanneke C.; Weemaes, Anouk T.R.; Boymans, Tim A.E.J.; Lenssen, Antoine F.; de Bie, Rob A. 2020. "Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study" Sensors 20, no. 15: 4317. https://doi.org/10.3390/s20154317

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