{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:55:09Z","timestamp":1792684509435,"version":"4.5.0"},"reference-count":44,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Postoperative rehabilitation following total hip arthroplasty is important for optimising functional recovery and pain relief. This study compares a mobile application providing functional recovery exercises and pain management education with in-person physical therapy in patients undergoing total hip arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective study was conducted with 2 cohorts (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200994) matched using propensity score matching. The App group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200947) used a mobile app for postoperative follow-up, while the control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200947) received conventional follow-up. Functional outcomes (Harris Hip Score [HHS], Merle D'Aubign\u00e9 [MDP], WOMAC) and pain intensity (visual analogue scale [VAS]) were assessed preoperatively, at one month, and 3\u2009months post-intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both groups showed significant improvements in all measurements compared to preoperative values. However, the App group showed significant improvements compared to the control group in the following outcome: HHS at 3\u2009months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.02), improved MDP mobility (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.02) and walking ability (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">&lt;<\/jats:italic>\n                      \u20090.0001), and lower VAS pain scores at one month (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.004) and 3\u2009months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The mobile app program with recovery exercises and pain management is more effective than in-person physiotherapy in improving function and reducing pain after total hip arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration:<\/jats:title>\n                    <jats:p>\n                      The study was registered with the US National Institutes of Health (NIH) under the number: NCT06606158.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT06606158\">https:\/\/clinicaltrials.gov\/study\/NCT06606158<\/jats:ext-link>\n                    <\/jats:p>\n                  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