Observation of tele-rehabilitation effectiveness of internet of things-based(Iot-based)pulsed electromagnetic fields combined exercise therapy for patients with knee osteoarthritis
Objective To explore the clinical effectiveness of Internet of Things-based(Iot-based)pulsed electromagnetic fields combined exercise therapy in patients with knee osteoarthritis.Methods From October 2022 to March 2023,43 patients with knee osteoarthritis(KOA)aged≥40 years were analyzed,including 13 males and 30 females.The average age was(62.66±11.97)years,ranging from 42 to 80 years.Therapy of four weeks was applied,including Iot-based pulsed electromagnetic fields combined exercise therapy.All subjects were evaluated before and 4 weeks after treatment.Primary outcome index:Western Ontario and McMaster Universities Osteoarthritis(WOMAC)scale.Secondary outcomes:Pain Numerical Rating Scale,Quality of Life Questionnaire(Short Form-36,SF-36),Instrumental Activity of Daily Living(IADL),Self-Rating Anxiety(SAS),Self-Rating Depression(SDS),Timed"Up&Go"(TUG),Patients'satisfaction with the treatment and adverse reactions.Results After 4 weeks of tele-rehabilitation,the total WOMAC score,pain,stiffness and functional scores of all patients were decreased compared with those before treatment.After 4 weeks of tele-rehabilitation,pain decreased from 13.85±9.09 to 9.69±8.63(P<0.05),stiffness decreased from 5.04±3.14 to 4.46±3.78(P<0.05),NRS decreased from 4.40±2.52 to 2.42±2.30(P<0.05),SAS decreased from 40.62±8.89 to 35.88±7.55(P<0.05),SDS decreased from 46.18±11.94 to 39.05±8.37(P<0.05),TUG decreased from 10.73±6.10 to 8.88±3.66(P<0.05),and SF-36 increased from 107.61±20.62 to 115.01±16.06(P<0.05).No adverse reactions occurred in all patients,and patient satisfaction was 100%.Conclusions Iot-based pulsed electromagnetic fields combined exercise therapy can significantly reduce knee pain,stiffness,anxiety and depression in patients with KOA,and significantly improve walking ability and quality of life.
Osteoarthritis,kneeInternet of thingsMagnetotherapyExercise therapyTelerehabilitation
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