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(How) Can an App Support Physiotherapy for Frozen Shoulder Patients?

机译:(如何)应用程序可以支持肩周炎患者的物理治疗吗?

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People affected by the frozen shoulder syndrome show limited shoulder mobility which is often accompanied by pain. The frozen shoulder syndrome often lasts from months to years, and mostly affects people in the age group of 40 to 70 years. The frozen shoulder syndrome severely reduces the quality of life and the ability to work. A common treatment method is physiotherapy. Patients are referred to a physiotherapist, who selects specific exercises adapted for the specific patient. Physiotherapy requires patient compliance, time, and effort. Correct exercise performance and compliance are the main issues in physiotherapy. A smarlphone app could support patients by providing detailed exercise instructions and motivation through exercise logging, as is common for fitness and sport. In this work, such an app for frozen shoulder syndrome, the ShoulderApp, is evaluated in two user studies. The main contribution is that the user studies were conducted in an ambulatory assessment setting, which allows to draw conclusions about real-world usage, usability and user acceptance. The app was regularly used and study participants were satisfied. Additionally, we researched the usability and usage of interactive 3D and multi-modal exercise instructions, motivational aspects, exercise correctness and the interplay of physiotherapy and app usage. Measurements of shoulder mobility are the key assessment tool for the state and progress of the frozen shoulder syndrome. A smartphone sensor-based measurement tool, which only required a simple band in addition to the smart-phone, was developed and evaluated. Interventions with the ShoulderApp were evaluated in a three-week short-term intervention and an 18-week midterm evaluation with 5 patients each. For the evaluation of the results, we used standardized questionnaires, SUS, TAM-2, and USE. In addition, semi-structured interviews and automatic logging of user-interactions in the app were included as the outcome measurements. Overall, the results for both the short-term and mid-term user studies showed that the ShoulderApp could support physiotherapy for frozen shoulder patients. The positive results of the studies show the potential of a generalization of the ShoulderApp concept to the large group of musculoskeletal disorders such as lower back pain and knee injuries.
机译:受冰冻肩综合症影响的人的肩部活动能力有限,通常伴有疼痛。肩周炎综合征通常持续数月至数年,并且主要影响40至70岁年龄段的人。肩周炎综合症严重降低了生活质量和工作能力。常见的治疗方法是理疗。将患者转介给理疗师,然后由理疗师选择适合特定患者的特定锻炼方法。物理疗法需要患者顺从性,时间和精力。正确的运动表现和依从性是物理治疗中的主要问题。 smarlphone应用程序可以通过健身记录和运动记录来提供详细的运动指导和动机,从而为患者提供支持。在这项工作中,在两个用户研究中评估了这种肩周炎综合征应用程序ShoulderApp。主要贡献在于,用户研究是在动态评估环境中进行的,该评估环境可以得出有关实际使用情况,可用性和用户接受度的结论。该应用程序已定期使用,研究参与者对此感到满意。此外,我们研究了交互式3D和多模式锻炼指导的可用性和用法,动机方面,锻炼正确性以及理疗与应用程序使用之间的相互作用。肩关节活动度的测量是评估肩周炎综合征状态和进展的关键评估工具。开发并评估了基于智能手机传感器的测量工具,该工具除了智能手机外还需要一个简单的频段。在三周的短期干预中评估了ShoulderApp的干预措施,在18周的中期评估中对每位5名患者进行了评估。为了评估结果,我们使用了标准问卷,SUS,TAM-2和USE。此外,应用中还包括半结构化访谈和应用中用户互动的自动记录功能,作为结果衡量指标。总体而言,短期和中期用户研究的结果均表明ShoulderApp可以支持针对肩周炎患者的物理治疗。研究的积极结果表明,将ShoulderApp概念推广到大量的肌肉骨骼疾病(如下背部疼痛和膝盖受伤)的潜力。

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