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The applications of wearable devices in the rehabilitation of ankle injuries: a systematic review and meta-analysis

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posted on 2023-01-31, 10:11 authored by Xiaoya Wang, Jihong Qiu, Daniel FongDaniel Fong

Wearable devices have been used to treat ankle injuries, explicitly affecting rehabilitation. To systematically review trials that summarize and evaluate the effectiveness of rehabilitation treatment after an ankle injury. Three databases were searched, PubMed (1974-2021), Embase, and Web of Science (1950-2021). The intervention was any wearable device. The outcome measures were Activities Scale for Kids performance (ASKp), Foot and Ankle Outcome Score (FAOS), American Orthopaedic Foot and Ankle Society (AOFAS), Olerud-Molander Ankle Score (OMAS), and Circumference as measured by any validated outcome measure. Two independent authors used Cochrane risk-of-bias tool. Four papers were included, involving 476 participants, with a mean age of 29.3 ± 6.7 years. The mean duration of wearable devices was 3.83 weeks, and the mean length of training was 3.75 weeks. Wearable devices achieved better results compared with control on the functional performance (standardized mean difference [SMD] 0.66; 95% confidence interval [CI] 0.29 to 1.04; I2 = 76%; P < 0.001), as well as ankle score (SMD 0.78; 95% CI 0.22 to 1.35; I2 = 82%; P < 0.001). The definitive judgment could not be made due to the variability in training, training duration, and outcomes measurement. Wearable devices are a promising approach that has positive effects on ankle injuries in terms of functional performance and reducing the extent of swelling. There is insufficient evidence from randomized controlled trials (RCTs) to support this for ankle injury patients using wearable devices. Therefore, there is an urgent need for well-conducted randomized controlled trials investigating more adaptive orthoses to achieve more effective strategies for early functional rehabilitation. PROSPERO registration number: CRD42021246289.

History

School

  • Sport, Exercise and Health Sciences

Published in

Medicine in Novel Technology and Devices

Volume

17

Publisher

Elsevier

Version

  • VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Acceptance date

2023-01-16

Publication date

2023-01-20

Copyright date

2023

eISSN

2590-0935

Language

  • en

Depositor

Dr Daniel Fong. Deposit date: 17 January 2023

Article number

100210

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