Innovative Approaches to Telerehabilitation After Total Hip Arthroplasty: Evaluation of the Effectiveness of a Mobile Application With Exercise Monitoring

Aim. To evaluate the effectiveness of telerehabilitation using the Inventivo platform and the MedQuest mobile application after hip replacement in comparison with traditional rehabilitation.Materials and methods. A prospective comparative study was conducted with the participation of 50 patients who underwent primary total hip replacement. The patients were randomized into two groups: experimental (n=25, telerehabilitation) and control (n=25, standard rehabilitation). The assessment was carried out using the SF-12 questionnaires, the Bartel index, the MRC scale, the visual analog pain scale, the scale of subjective assessment of the limitation of pain movements and goniometry.Results and discussion. The experimental group demonstrated a statistically significant improvement compared to the control group in terms of quality of life (SF-12), pain intensity (VAS) and muscle strength (MRC) (p < 0.05). Using MedQuest reduced the survey time by an average of 16 minutes and reduced the use of paper media by 70%. The use of artificial intelligence has made it possible to use a larger number of ICF codes.Conclusions. Telerehabilitation using the Inventivo platform and the MedQuest application showed higher efficiency compared to traditional rehabilitation after hip replacement. Digital technologies have optimized the process of collecting and processing clinical data, opening up new opportunities for the use of artificial intelligence in rehabilitation. Mass implementation of telerehabilitation can increase the availability and quality of medical care, especially in remote areas.