The Australian e-Health Research Centre at CSIRO, together with Johnson & Johnson Medical Devices Australia, have designed and developed Activate TKR, an orthopaedic support technology platform, which comprises a mobile phone application (app), a wearable activity tracker, and a clinical web portal.
The Challenge: Patients aren’t completing rehab following total knee replacements
The app aims to assist patients in managing their surgery preparation, speed up recovery and to bridge the communication gaps between clinicians and patients.
There was a 77 per cent increase in TKR surgeries from 2003 to 2014 in Australia, and this trend is likely to continue due to factors such as the aging population and increased obesity rates.
Studies have shown that rehabilitation exercises following TKR surgery can lead to faster recovery times, however many patients fail to implement an effective preparation or rehabilitation plan.
The Response: A digital platform to help patients manage their rehab
We have developed and are trialling a digital support platform to cater for increased patient engagement with TKR rehabilitation services (surgical preparation and recovery). The digital tool (mobile app) includes information on the surgery and preparation, patient coaching, assistance with physiotherapy, plus use of wearables to motivate patients to self monitor and stay engaged. As part of the platform (web portal), clinicians can configure individual physiotherapy programs and monitor patient progress remotely.
In addition, the app digital platform provides flexibility in TKR care delivery, particularly in rural remote areas, or for patients with busy lifestyles and has potential to achieve the same clinical outcomes as normal ‘business as usual’ care.
The Results: RCT Trials launched in 2016
An RCT was launched in November 2016 and currently ongoing trial with four hospitals in NSW and QLD, targeting 150 patients undergoing TKR surgery. The information captured on the digital tool includes information on the surgery and preparation, patient coaching, assistance with physiotherapy, plus use of wearables to motivate patients to self monitor and engage. The study will show how the technology impacted patients and carers.
Outputs expected in 2018/ 2019
- Preliminary trial data analysis (clinical efficacy, patient/ care satisfaction, economics) outputs expected in 2018/ 2019
- Qualitative research findings
Our new TKR rehab app aims to assist patients manage their surgery preparation and speed up recovery.
Total Knee Replacement App