Stepping up recovery: integrating patient reported outcome measures and wearable technology for 90-day rehabilitation following total hip arthroplasty
Introduction There is conflicting data in the literature regarding the clinical utility of wearable devices. This study examined the association between patient reported outcome measures (PROMs) and step and stair flight counts obtained from wearable devices in postoperative total hip arthroplasty (...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2024-12, Vol.145 (1), p.80, Article 80 |
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| creator | Huffman, Nickelas Pasqualini, Ignacio Khan, Shujaa T. Klika, Alison K. McLaughlin, John P. Higuera-Rueda, Carlos A. Deren, Matthew E. Piuzzi, Nicolas S. |
| description | Introduction
There is conflicting data in the literature regarding the clinical utility of wearable devices. This study examined the association between patient reported outcome measures (PROMs) and step and stair flight counts obtained from wearable devices in postoperative total hip arthroplasty (THA) patients.
Methods
Data was collected from a multicenter prospective longitudinal cohort study from October 2018 to February 2022. A smartphone-based platform with smartwatch was utilized for collection of daily step and stair flight counts. Subjects (N = 1644) completed the Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) and numerical rating scale (NRS) pain scores preoperatively and at 1 and 3 months postoperatively. Patients who reported living in a multi-level home (N = 931) were included in analysis of stair flight counts. Pearson correlation coefficients were calculated to determine correlations between step and stair flight counts with NRS pain and HOOS JR scores.
Results
Step counts demonstrated a weak negative correlation to NRS pain scores at preoperative (r = − 0.15, p |
| doi_str_mv | 10.1007/s00402-024-05618-6 |
| format | Article |
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There is conflicting data in the literature regarding the clinical utility of wearable devices. This study examined the association between patient reported outcome measures (PROMs) and step and stair flight counts obtained from wearable devices in postoperative total hip arthroplasty (THA) patients.
Methods
Data was collected from a multicenter prospective longitudinal cohort study from October 2018 to February 2022. A smartphone-based platform with smartwatch was utilized for collection of daily step and stair flight counts. Subjects (N = 1644) completed the Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) and numerical rating scale (NRS) pain scores preoperatively and at 1 and 3 months postoperatively. Patients who reported living in a multi-level home (N = 931) were included in analysis of stair flight counts. Pearson correlation coefficients were calculated to determine correlations between step and stair flight counts with NRS pain and HOOS JR scores.
Results
Step counts demonstrated a weak negative correlation to NRS pain scores at preoperative (r = − 0.15, p < 0.0001), 1-month (r = − 0.15, p < 0.0001), and 3-months follow-up (r = − 0.06, p = 0.05). Step counts demonstrated a weak positive correlation with HOOS JR scores at preoperative (r = 0.16, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.13, p < 0.0001). Stair flight counts demonstrated a weak negative correlation with NRS pain preoperatively (r = − 0.19, p < 0.0001) and at 1-month (r = − 0.11, p = 0.003). Stair flight counts positively correlated with HOOS JR scores at preoperative (r = 0.24, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.09, p = 0.02).
Conclusion
The utilization of wearable technology can enhance the evaluation of patient outcomes after THA, primarily due to the observed correlation between data collected from wearables and PROMs. Our study highlights the importance of the use of objective data, in addition to subjective patient reported data, when analyzing postoperative patient progress, which propels forward the field of postoperative THA patient care.]]></description><identifier>ISSN: 1434-3916</identifier><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-024-05618-6</identifier><identifier>PMID: 39708092</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - rehabilitation ; Clinical outcomes ; Female ; Humans ; Joint replacement surgery ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis, Hip - surgery ; Pain Measurement ; Patient Reported Outcome Measures ; Prospective Studies ; Recovery of Function ; Smartphone ; Wearable computers ; Wearable Electronic Devices</subject><ispartof>Archives of orthopaedic and trauma surgery, 2024-12, Vol.145 (1), p.80, Article 80</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>Copyright Springer Nature B.V. Dec 2025</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2074-6a020d5282bc158ea6dd9699558952976afec8c781ec0a7d716b672c92e492f33</cites><orcidid>0000-0003-3007-7538</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-024-05618-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-024-05618-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39708092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huffman, Nickelas</creatorcontrib><creatorcontrib>Pasqualini, Ignacio</creatorcontrib><creatorcontrib>Khan, Shujaa T.</creatorcontrib><creatorcontrib>Klika, Alison K.</creatorcontrib><creatorcontrib>McLaughlin, John P.</creatorcontrib><creatorcontrib>Higuera-Rueda, Carlos A.</creatorcontrib><creatorcontrib>Deren, Matthew E.</creatorcontrib><creatorcontrib>Piuzzi, Nicolas S.</creatorcontrib><title>Stepping up recovery: integrating patient reported outcome measures and wearable technology for 90-day rehabilitation following total hip arthroplasty</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description><![CDATA[Introduction
There is conflicting data in the literature regarding the clinical utility of wearable devices. This study examined the association between patient reported outcome measures (PROMs) and step and stair flight counts obtained from wearable devices in postoperative total hip arthroplasty (THA) patients.
Methods
Data was collected from a multicenter prospective longitudinal cohort study from October 2018 to February 2022. A smartphone-based platform with smartwatch was utilized for collection of daily step and stair flight counts. Subjects (N = 1644) completed the Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) and numerical rating scale (NRS) pain scores preoperatively and at 1 and 3 months postoperatively. Patients who reported living in a multi-level home (N = 931) were included in analysis of stair flight counts. Pearson correlation coefficients were calculated to determine correlations between step and stair flight counts with NRS pain and HOOS JR scores.
Results
Step counts demonstrated a weak negative correlation to NRS pain scores at preoperative (r = − 0.15, p < 0.0001), 1-month (r = − 0.15, p < 0.0001), and 3-months follow-up (r = − 0.06, p = 0.05). Step counts demonstrated a weak positive correlation with HOOS JR scores at preoperative (r = 0.16, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.13, p < 0.0001). Stair flight counts demonstrated a weak negative correlation with NRS pain preoperatively (r = − 0.19, p < 0.0001) and at 1-month (r = − 0.11, p = 0.003). Stair flight counts positively correlated with HOOS JR scores at preoperative (r = 0.24, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.09, p = 0.02).
Conclusion
The utilization of wearable technology can enhance the evaluation of patient outcomes after THA, primarily due to the observed correlation between data collected from wearables and PROMs. Our study highlights the importance of the use of objective data, in addition to subjective patient reported data, when analyzing postoperative patient progress, which propels forward the field of postoperative THA patient care.]]></description><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Humans</subject><subject>Joint replacement surgery</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Pain Measurement</subject><subject>Patient Reported Outcome Measures</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Smartphone</subject><subject>Wearable computers</subject><subject>Wearable Electronic Devices</subject><issn>1434-3916</issn><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1TAQhiNERUvhBVggS2zYhI6dxBd2qOImVeoCWFuOMzknlWMH26HKi_C8-PSUi1h0NZb-bz6P9FfVCwpvKIC4SAAtsBpYW0PHqaz5o-qMtk1bN4ryx_-8T6unKd0AUCYVPKlOGyVAgmJn1c8vGZdl8juyLiSiDT8wbm_J5DPuosmHYCkDfS7pEmLGgYQ12zAjmdGkNWIixg_kFk00vUOS0e59cGG3kTFEoqAezFaW96af3JSLLPiSOBduD_YcsnFkPy3ExLyPYXEm5e1ZdTIal_D5_Tyvvn14__XyU311_fHz5bur2jIQbc0NMBg6JllvaSfR8GFQXKmuk6pjSnAzopVWSIoWjBgE5T0XzCqGrWJj05xXr4_eJYbvK6as5ylZdM54DGvSDW1F0TSyK-ir_9CbsEZfrrujRCu5gEKxI2VjSCniqJc4zSZumoI-tKaPrenSmr5rTfOy9PJevfYzDn9WftdUgOYIpBL5Hca_fz-g_QVnVqUU</recordid><startdate>20241221</startdate><enddate>20241221</enddate><creator>Huffman, Nickelas</creator><creator>Pasqualini, Ignacio</creator><creator>Khan, Shujaa T.</creator><creator>Klika, Alison K.</creator><creator>McLaughlin, John P.</creator><creator>Higuera-Rueda, Carlos A.</creator><creator>Deren, Matthew E.</creator><creator>Piuzzi, Nicolas S.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3007-7538</orcidid></search><sort><creationdate>20241221</creationdate><title>Stepping up recovery: integrating patient reported outcome measures and wearable technology for 90-day rehabilitation following total hip arthroplasty</title><author>Huffman, Nickelas ; Pasqualini, Ignacio ; Khan, Shujaa T. ; Klika, Alison K. ; McLaughlin, John P. ; Higuera-Rueda, Carlos A. ; Deren, Matthew E. ; Piuzzi, Nicolas S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2074-6a020d5282bc158ea6dd9699558952976afec8c781ec0a7d716b672c92e492f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Humans</topic><topic>Joint replacement surgery</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Hip - surgery</topic><topic>Pain Measurement</topic><topic>Patient Reported Outcome Measures</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Smartphone</topic><topic>Wearable computers</topic><topic>Wearable Electronic Devices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huffman, Nickelas</creatorcontrib><creatorcontrib>Pasqualini, Ignacio</creatorcontrib><creatorcontrib>Khan, Shujaa T.</creatorcontrib><creatorcontrib>Klika, Alison K.</creatorcontrib><creatorcontrib>McLaughlin, John P.</creatorcontrib><creatorcontrib>Higuera-Rueda, Carlos A.</creatorcontrib><creatorcontrib>Deren, Matthew E.</creatorcontrib><creatorcontrib>Piuzzi, Nicolas S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huffman, Nickelas</au><au>Pasqualini, Ignacio</au><au>Khan, Shujaa T.</au><au>Klika, Alison K.</au><au>McLaughlin, John P.</au><au>Higuera-Rueda, Carlos A.</au><au>Deren, Matthew E.</au><au>Piuzzi, Nicolas S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stepping up recovery: integrating patient reported outcome measures and wearable technology for 90-day rehabilitation following total hip arthroplasty</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2024-12-21</date><risdate>2024</risdate><volume>145</volume><issue>1</issue><spage>80</spage><pages>80-</pages><artnum>80</artnum><issn>1434-3916</issn><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract><![CDATA[Introduction
There is conflicting data in the literature regarding the clinical utility of wearable devices. This study examined the association between patient reported outcome measures (PROMs) and step and stair flight counts obtained from wearable devices in postoperative total hip arthroplasty (THA) patients.
Methods
Data was collected from a multicenter prospective longitudinal cohort study from October 2018 to February 2022. A smartphone-based platform with smartwatch was utilized for collection of daily step and stair flight counts. Subjects (N = 1644) completed the Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) and numerical rating scale (NRS) pain scores preoperatively and at 1 and 3 months postoperatively. Patients who reported living in a multi-level home (N = 931) were included in analysis of stair flight counts. Pearson correlation coefficients were calculated to determine correlations between step and stair flight counts with NRS pain and HOOS JR scores.
Results
Step counts demonstrated a weak negative correlation to NRS pain scores at preoperative (r = − 0.15, p < 0.0001), 1-month (r = − 0.15, p < 0.0001), and 3-months follow-up (r = − 0.06, p = 0.05). Step counts demonstrated a weak positive correlation with HOOS JR scores at preoperative (r = 0.16, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.13, p < 0.0001). Stair flight counts demonstrated a weak negative correlation with NRS pain preoperatively (r = − 0.19, p < 0.0001) and at 1-month (r = − 0.11, p = 0.003). Stair flight counts positively correlated with HOOS JR scores at preoperative (r = 0.24, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.09, p = 0.02).
Conclusion
The utilization of wearable technology can enhance the evaluation of patient outcomes after THA, primarily due to the observed correlation between data collected from wearables and PROMs. Our study highlights the importance of the use of objective data, in addition to subjective patient reported data, when analyzing postoperative patient progress, which propels forward the field of postoperative THA patient care.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39708092</pmid><doi>10.1007/s00402-024-05618-6</doi><orcidid>https://orcid.org/0000-0003-3007-7538</orcidid></addata></record> |
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| subjects | Aged Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - rehabilitation Clinical outcomes Female Humans Joint replacement surgery Longitudinal Studies Male Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis, Hip - surgery Pain Measurement Patient Reported Outcome Measures Prospective Studies Recovery of Function Smartphone Wearable computers Wearable Electronic Devices |
| title | Stepping up recovery: integrating patient reported outcome measures and wearable technology for 90-day rehabilitation following total hip arthroplasty |
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