{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:13:18Z","timestamp":1781525598955,"version":"3.54.1"},"reference-count":76,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,2,10]],"date-time":"2024-02-10T00:00:00Z","timestamp":1707523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Osteoarthritis (OA) poses a growing challenge for the aging population, especially in the hip and knee joints, contributing significantly to disability and societal costs. Exploring the integration of wearable technology, this study addresses the limitations of traditional rehabilitation assessments in capturing real-world experiences and dynamic variations. Specifically, it focuses on continuously monitoring physical activity in hip and knee OA patients using automated unsupervised evaluations within the rehabilitation process. We analyzed data from 1144 patients who used a mobile health application after surgery; the activity data were collected using the Garmin Vivofit 4. Several parameters, such as the total number of steps per day, the peak 6-minute consecutive cadence (P6MC) and peak 1-minute cadence (P1M), were computed and analyzed on a daily basis. The results indicated that cadence-based measurements can effectively, and earlier, differ among patients with hip and knee conditions, as well as in the recovery process. Comparisons based on recovery status and type of surgery reveal distinctive trajectories, emphasizing the effectiveness of P6MC and P1M in detecting variations earlier than total steps per day. Furthermore, cadence-based measurements showed a lower inter-day variability (40%) compared to the total number of steps per day (80%). Automated assessments, including P1M and P6MC, offer nuanced insights into the patients\u2019 dynamic activity profiles.<\/jats:p>","DOI":"10.3390\/s24041163","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T03:50:27Z","timestamp":1707709827000},"page":"1163","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Incorporating Wearable Technology for Enhanced Rehabilitation Monitoring after Hip and Knee Replacement"],"prefix":"10.3390","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6737-4830","authenticated-orcid":false,"given":"Julien","family":"Lebleu","sequence":"first","affiliation":[{"name":"moveUp, 1000 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4222-4518","authenticated-orcid":false,"given":"Kim","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of PXL\u2014Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium"},{"name":"REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andries","family":"Pauwels","sequence":"additional","affiliation":[{"name":"moveUp, 1000 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucie","family":"Dekimpe","sequence":"additional","affiliation":[{"name":"moveUp, 1000 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Mapinduzi","sequence":"additional","affiliation":[{"name":"REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium"},{"name":"Fili\u00e8re de Kin\u00e9sith\u00e9rapie et R\u00e9adaptation, D\u00e9partement des Sciences Clinique, Institut National de la Sant\u00e9 Publique, 6807 Bujumbura, Burundi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8859-578X","authenticated-orcid":false,"given":"Herv\u00e9","family":"Poilvache","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Department, CHIREC, 1420 Braine-l\u2019Alleud, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7729-4700","authenticated-orcid":false,"given":"Bruno","family":"Bonnech\u00e8re","sequence":"additional","affiliation":[{"name":"Department of PXL\u2014Healthcare, PXL University of Applied Sciences and Arts, 3500 Hasselt, Belgium"},{"name":"REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium"},{"name":"Technology-Supported and Data-Driven Rehabilitation, Data Sciences Institute, Hasselt University, 3590 Diepenbeek, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.1016\/S0140-6736(19)30417-9","article-title":"Osteoarthritis","volume":"393","author":"Hunter","year":"2019","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1007\/s12325-016-0409-3","article-title":"Hip Osteoarthritis: Etiopathogenesis and Implications for Management","volume":"33","author":"Murphy","year":"2016","journal-title":"Adv. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/BOR.0000000000000479","article-title":"Epidemiology of Osteoarthritis: Literature Update","volume":"30","author":"Vina","year":"2018","journal-title":"Curr. Opin. Rheumatol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1093\/rheumatology\/keaa238","article-title":"To What Extent Is Severe Osteoarthritis Preventable? Occupational and Non-Occupational Risk Factors for Knee and Hip Osteoarthritis","volume":"59","author":"Kontio","year":"2020","journal-title":"Rheumatology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1002\/msc.1492","article-title":"A Clinical Practice Guideline for Physical Therapy in Patients with Hip or Knee Osteoarthritis","volume":"18","author":"Meerhoff","year":"2020","journal-title":"Musculoskelet. Care"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1002\/acr.24131","article-title":"2019 American College of Rheumatology\/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee","volume":"72","author":"Kolasinski","year":"2020","journal-title":"Arthritis Care Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.rehab.2019.04.006","article-title":"Efficacy and Potential Determinants of Exercise Therapy in Knee and Hip Osteoarthritis: A Systematic Review and Meta-Analysis","volume":"62","author":"Goh","year":"2019","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1177\/0269215520905112","article-title":"What Is Rehabilitation? An Empirical Investigation Leading to an Evidence-Based Description","volume":"34","author":"Wade","year":"2020","journal-title":"Clin. Rehabil."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.gaitpost.2017.05.025","article-title":"Suitability of Functional Evaluation Embedded in Serious Game Rehabilitation Exercises to Assess Motor Development across Lifespan","volume":"57","author":"Sholukha","year":"2017","journal-title":"Gait Posture"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/S1474-4422(19)30397-7","article-title":"Long-Term Unsupervised Mobility Assessment in Movement Disorders","volume":"19","author":"Warmerdam","year":"2020","journal-title":"Lancet Neurol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1177\/1545968308331146","article-title":"Test-Retest Reproducibility and Smallest Real Difference of 5 Hand Function Tests in Patients with Stroke","volume":"23","author":"Chen","year":"2009","journal-title":"Neurorehabil Neural Repair."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1038\/s41746-020-00328-w","article-title":"Enabling Precision Rehabilitation Interventions Using Wearable Sensors and Machine Learning to Track Motor Recovery","volume":"3","author":"Hankov","year":"2020","journal-title":"NPJ Digit. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1001\/jamaneurol.2023.0044","article-title":"Stepping Closer to Precision Rehabilitation","volume":"80","author":"Lin","year":"2023","journal-title":"JAMA Neurol."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Majumder, S., Mondal, T., and Deen, M.J. (2017). Wearable Sensors for Remote Health Monitoring. Sensors, 17.","DOI":"10.3390\/s17010130"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s12966-015-0316-z","article-title":"The Descriptive Epidemiology of Accelerometer-Measured Physical Activity in Older Adults","volume":"13","author":"Berkemeyer","year":"2016","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1159\/000477383","article-title":"The First Frontier: Digital Biomarkers for Neurodegenerative Disorders","volume":"1","author":"Dorsey","year":"2017","journal-title":"Digit. Biomark."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1159\/000479018","article-title":"Multiple Wearable Sensors in Parkinson and Huntington Disease Individuals: A Pilot Study in Clinic and at Home","volume":"1","author":"Adams","year":"2017","journal-title":"Digital Biomark."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Olsen, S., Rashid, U., Barbado, D., Suresh, P., Alder, G., Khan Niazi, I., and Taylor, D. (2024). The Validity of Smartphone-Based Spatiotemporal Gait Measurements during Walking with and without Head Turns: Comparison with the GAITRite\u00ae System. J. Biomech., 162.","DOI":"10.1016\/j.jbiomech.2023.111899"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"S162","DOI":"10.1016\/j.arth.2017.02.058","article-title":"Stepping Toward Objective Outcomes: A Prospective Analysis of Step Count After Total Joint Arthroplasty","volume":"32","author":"Crizer","year":"2017","journal-title":"J. Arthroplast."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Redfern, R.E., Crawford, D.A., Lombardi, A.V., Tripuraneni, K.R., Van Andel, D.C., Anderson, M.B., and Cholewa, J.M. (2023). Outcomes Vary by Pre-Operative Physical Activity Levels in Total Knee Arthroplasty Patients. J. Clin. Med., 13.","DOI":"10.3390\/jcm13010125"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1007\/s11420-019-09746-3","article-title":"Monitoring Patient Recovery After THA or TKA Using Mobile Technology","volume":"16","author":"Lyman","year":"2020","journal-title":"HSS J."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Gao, Z., Liu, W., McDonough, D.J., Zeng, N., and Lee, J.E. (2021). The Dilemma of Analyzing Physical Activity and Sedentary Behavior with Wrist Accelerometer Data: Challenges and Opportunities. JCM, 10.","DOI":"10.3390\/jcm10245951"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.gaitpost.2022.01.024","article-title":"Smartphone-Based Inertial Sensors Technology\u2014Validation of a New Application to Measure Spatiotemporal Gait Metrics","volume":"93","author":"Beer","year":"2022","journal-title":"Gait Posture"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1038\/s41746-022-00672-z","article-title":"A Method for Intelligent Allocation of Diagnostic Testing by Leveraging Data from Commercial Wearable Devices: A Case Study on COVID-19","volume":"5","author":"Shandhi","year":"2022","journal-title":"NPJ Digit. Med."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Small, S.R., Khalid, S., Price, A.J., and Doherty, A. (2023). Device-Measured Physical Activity in 3,506 Individuals with Knee or Hip Arthroplasty. Med. Sci. Sports Exerc.","DOI":"10.1249\/MSS.0000000000003365"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1161\/CIRCHEARTFAILURE.115.002062","article-title":"Accuracy and Usability of a Self-Administered 6-Minute Walk Test Smartphone Application","volume":"8","author":"Brooks","year":"2015","journal-title":"Circ. Heart Fail."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Hoffman, R.M., Davis-Wilson, H.C., Hanlon, S., Swink, L.A., Kline, P.W., Juarez-Colunga, E., Melanson, E.L., and Christiansen, C.L. (2023). Maximal Daily Stepping Cadence Partially Explains Functional Capacity of Individuals with End-Stage Knee Osteoarthritis. PM R.","DOI":"10.1002\/pmrj.13082"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1123\/japa.2021-0231","article-title":"Concurrent Validity of the Garmin Vivofit\u00ae4 to Accurately Record Step Count in Older Adults in Challenging Environments","volume":"30","author":"Foster","year":"2022","journal-title":"J. Aging Phys. Act."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e18320","DOI":"10.2196\/18320","article-title":"Validity of Wrist-Wearable Activity Devices for Estimating Physical Activity in Adolescents: Comparative Study","volume":"9","author":"Hao","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s12966-022-01350-9","article-title":"A Catalog of Validity Indices for Step Counting Wearable Technologies during Treadmill Walking: The CADENCE-Adults Study","volume":"19","author":"Gould","year":"2022","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Longo, U.G., De Salvatore, S., Piergentili, I., Indiveri, A., Di Naro, C., Santamaria, G., Marchetti, A., Marinis, M.G.D., and Denaro, V. (2021). Total Hip Arthroplasty: Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score 12. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052267"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1302\/0301-620X.103B5.BJJ-2020-0396.R1","article-title":"Meaningful Values in the Forgotten Joint Score after Total Knee Arthroplasty: Minimal Clinical Important Difference, Minimal Important and Detectable Changes, and Patient-Acceptable Symptom State","volume":"103-B","author":"Clement","year":"2021","journal-title":"Bone Jt. J."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"381","DOI":"10.2165\/11599170-000000000-00000","article-title":"Using Cadence to Study Free-Living Ambulatory Behaviour","volume":"42","author":"Rowe","year":"2012","journal-title":"Sports Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1123\/jpah.2014-0542","article-title":"Measurement Considerations of Peak Stepping Cadence Measures Using National Health and Nutrition Examination Survey 2005\u20132006","volume":"13","author":"Kang","year":"2016","journal-title":"J. Phys. Act. Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1249\/MSS.0b013e318254f2a3","article-title":"Cadence Patterns and Peak Cadence in US Children and Adolescents: NHANES, 2005\u20132006","volume":"44","author":"Barreira","year":"2012","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Harding, E.M., Gibson, A.L., Kang, H., Zuhl, M.N., Sharma, H., and Blair, C.K. (2022). Self-Selected Walking Cadence after 16-Week Light-Intensity Physical Activity Intervention for Older Cancer Survivors. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19084768"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.ypmed.2011.06.004","article-title":"Patterns of Adult Stepping Cadence in the 2005\u20132006 NHANES","volume":"53","author":"Camhi","year":"2011","journal-title":"Prev. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"706545","DOI":"10.3389\/fphys.2021.706545","article-title":"Detection of Walk Tests in Free-Living Activities Using a Wrist-Worn Device","volume":"12","author":"Sokas","year":"2021","journal-title":"Front. Physiol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/sms.14274","article-title":"Cadence-Based Classification of Moderate-Intensity Overground Walking in 41- to 85-Year-Old Adults","volume":"33","author":"Aguiar","year":"2023","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1161\/CIRCULATIONAHA.107.185649","article-title":"Physical Activity and Public Health: Updated Recommendation for Adults from the American College of Sports Medicine and the American Heart Association","volume":"116","author":"Haskell","year":"2007","journal-title":"Circulation"},{"key":"ref_41","unstructured":"WHO (2022). Global Status Report on Physical Activity, WHO."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1002\/sim.8406","article-title":"A New Mixed-effects Mixture Model for Constrained Longitudinal Data","volume":"39","author":"Migliorati","year":"2020","journal-title":"Stat. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s10654-020-00615-6","article-title":"Identifying Typical Trajectories in Longitudinal Data: Modelling Strategies and Interpretations","volume":"35","author":"Herle","year":"2020","journal-title":"Eur. J. Epidemiol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v067.i01","article-title":"Fitting Linear Mixed-Effects Models Using Lme4","volume":"67","author":"Bates","year":"2015","journal-title":"J. Stat. Soft."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1123\/jpah.10.8.1175","article-title":"Preliminary Comparison of Clinical and Free-Living Measures of Stepping Cadence in Older Adults","volume":"10","author":"Barreira","year":"2013","journal-title":"J. Phys. Act. Health"},{"key":"ref_46","first-page":"130","article-title":"Early Post-Operative Walking Bouts Are Associated with Improved Gait Speed and Symmetry at 90 Days","volume":"107","author":"Surmacz","year":"2023","journal-title":"Gait Posture"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.bjpt.2019.12.002","article-title":"Predicting Physical Activity Recovery after Hip and Knee Arthroplasty? A Longitudinal Cohort Study","volume":"25","author":"Lebleu","year":"2021","journal-title":"Braz. J. Phys. Ther."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.1007\/s00167-018-4987-2","article-title":"Light Intensity Physical Activity Increases and Sedentary Behavior Decreases Following Total Knee Arthroplasty in Patients with Osteoarthritis","volume":"27","author":"Frimpong","year":"2019","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1007\/s11999-009-1046-9","article-title":"Comparing Patient Outcomes After THA and TKA: Is There a Difference?","volume":"468","author":"Bourne","year":"2010","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1136\/bjsports-2017-097628","article-title":"How Fast Is Fast Enough? Walking Cadence (Steps\/Min) as a Practical Estimate of Intensity in Adults: A Narrative Review","volume":"52","author":"Han","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1159\/000525344","article-title":"Smartphone-Based Gait Cadence to Identify Older Adults with Decreased Functional Capacity","volume":"6","author":"Rubin","year":"2022","journal-title":"Digit. Biomark."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Scherrenberg, M., Bonneux, C., Yousif Mahmood, D., Hansen, D., Dendale, P., and Coninx, K. (2022). A Mobile Application to Perform the Six-Minute Walk Test (6MWT) at Home: A Random Walk in the Park Is as Accurate as a Standardized 6MWT. Sensors, 22.","DOI":"10.3390\/s22114277"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e033832","DOI":"10.1136\/bmjopen-2019-033832","article-title":"Current Clinical Utilisation of Wearable Motion Sensors for the Assessment of Outcome Following Knee Arthroplasty: A Scoping Review","volume":"9","author":"Small","year":"2019","journal-title":"BMJ Open"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"2399","DOI":"10.2147\/JPR.S178853","article-title":"Impact of Variation in Physical Activity after Total Joint Replacement","volume":"11","author":"Hayashi","year":"2018","journal-title":"J. Pain Res."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1016\/j.joca.2013.08.003","article-title":"What Proportion of People with Hip and Knee Osteoarthritis Meet Physical Activity Guidelines? A Systematic Review and Meta-Analysis","volume":"21","author":"Wallis","year":"2013","journal-title":"Osteoarthr. Cartil."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1249\/MSS.0000000000001207","article-title":"Sedentary Behavior, Cadence, and Physical Activity Outcomes after Knee Arthroplasty","volume":"49","author":"Webber","year":"2017","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.arth.2015.11.012","article-title":"Physical Activity Promotes Gait Improvement in Patients with Total Knee Arthroplasty","volume":"31","author":"Taniguchi","year":"2016","journal-title":"J. Arthroplast."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2175","DOI":"10.2106\/JBJS.19.00234","article-title":"Fast Starters, Slow Starters, and Late Dippers: Trajectories of Patient-Reported Outcomes After Total Hip Arthroplasty: Results from a Dutch Nationwide Database","volume":"101","author":"Hesseling","year":"2019","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s10877-018-0185-5","article-title":"Objectively Measured Early Physical Activity after Total Hip or Knee Arthroplasty","volume":"33","author":"Luna","year":"2019","journal-title":"J. Clin. Monit. Comput."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.jss.2019.06.057","article-title":"Wearable Technology-A Pilot Study to Define \u201cNormal\u201d Postoperative Recovery Trajectories","volume":"244","author":"Carmichael","year":"2019","journal-title":"J. Surg. Res."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Bonnech\u00e8re, B., Timmermans, A., and Michiels, S. (2023). Current Technology Developments Can Improve the Quality of Research and Level of Evidence for Rehabilitation Interventions: A Narrative Review. Sensors, 23.","DOI":"10.3390\/s23020875"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"2242","DOI":"10.1016\/j.arth.2019.07.024","article-title":"Machine Learning Algorithms Can Use Wearable Sensor Data to Accurately Predict Six-Week Patient-Reported Outcome Scores Following Joint Replacement in a Prospective Trial","volume":"34","author":"Bini","year":"2019","journal-title":"J. Arthroplast."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Emmerzaal, J., De Brabandere, A., van der Straaten, R., Bellemans, J., De Baets, L., Davis, J., Jonkers, I., Timmermans, A., and Vanwanseele, B. (2022). Can the Output of a Learned Classification Model Monitor a Person\u2019s Functional Recovery Status Post-Total Knee Arthroplasty?. Sensors, 22.","DOI":"10.3390\/s22103698"},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Babaei, N., Hannani, N., Dabanloo, N.J., and Bahadori, S. (2022). A Systematic Review of the Use of Commercial Wearable Activity Trackers for Monitoring Recovery in Individuals Undergoing Total Hip Replacement Surgery. Cyborg Bionic Syst., 2022.","DOI":"10.34133\/2022\/9794641"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Park, C., Mishra, R., Sharafkhaneh, A., Bryant, M.S., Nguyen, C., Torres, I., Naik, A.D., and Najafi, B. (2021). Digital Biomarker Representing Frailty Phenotypes: The Use of Machine Learning and Sensor-Based Sit-to-Stand Test. Sensors, 21.","DOI":"10.3390\/s21093258"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Jayakumar, P., Lin, E., Galea, V., Mathew, A.J., Panda, N., Vetter, I., and Haynes, A.B. (2020). Digital Phenotyping and Patient-Generated Health Data for Outcome Measurement in Surgical Care: A Scoping Review. J. Pers. Med., 10.","DOI":"10.3390\/jpm10040282"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"e41042","DOI":"10.2196\/41042","article-title":"Digital Biomarker-Based Interventions: Systematic Review of Systematic Reviews","volume":"24","author":"Fgaier","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"e10342","DOI":"10.2196\/10342","article-title":"Feasibility and Patient Experience of a Home-Based Rehabilitation Program Driven by a Tablet App and Mobility Monitoring for Patients After a Total Hip Arthroplasty","volume":"7","author":"Hoogland","year":"2019","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"e14523","DOI":"10.2196\/14523","article-title":"Digital Versus Conventional Rehabilitation After Total Hip Arthroplasty: A Single-Center, Parallel-Group Pilot Study","volume":"6","author":"Nogueira","year":"2019","journal-title":"JMIR Rehabil. Assist. Technol."},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"Bell, K.M., Onyeukwu, C., Smith, C.N., Oh, A., Devito Dabbs, A., Piva, S.R., Popchak, A.J., Lynch, A.D., Irrgang, J.J., and McClincy, M.P. (2020). A Portable System for Remote Rehabilitation Following a Total Knee Replacement: A Pilot Randomized Controlled Clinical Study. Sensors, 20.","DOI":"10.3390\/s20216118"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"e30791","DOI":"10.2196\/30791","article-title":"Accuracy and Acceptability of Wrist-Wearable Activity-Tracking Devices: Systematic Review of the Literature","volume":"24","author":"Germini","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Kontaxis, S., Laporta, E., Garcia, E., Martinis, M., Leocani, L., Roselli, L., Buron, M.D., Guerrero, A.I., Zabala, A., and Cummins, N. (2023). Automatic Assessment of the 2-Minute Walk Distance for Remote Monitoring of People with Multiple Sclerosis. Sensors, 23.","DOI":"10.3390\/s23136017"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"105114","DOI":"10.1016\/j.ijmedinf.2023.105114","article-title":"The Effect of Digital Interventions on Related Health Literacy and Skills for Individuals Living with Chronic Diseases: A Systematic Review and Meta-Analysis","volume":"177","author":"Verweel","year":"2023","journal-title":"Int. J. Med. Inform."},{"key":"ref_74","first-page":"1072322","article-title":"Mobile Health Solutions: An Opportunity for Rehabilitation in Low- and Middle Income Countries?","volume":"10","author":"Kossi","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1302\/0301-620X.98B11.BJJ-2016-0194.R1","article-title":"The Monitoring of Activity at Home after Total Hip Arthroplasty","volume":"98-B","author":"Toogood","year":"2016","journal-title":"Bone Joint J."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.medengphy.2017.10.007","article-title":"Measurement of Physical Activity in the Pre- and Early Post-Operative Period after Total Knee Arthroplasty for Osteoarthritis Using a Fitbit Flex Device","volume":"51","author":"Twiggs","year":"2018","journal-title":"Med. Eng. Phys."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/4\/1163\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:58:11Z","timestamp":1760104691000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/4\/1163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,10]]},"references-count":76,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["s24041163"],"URL":"https:\/\/doi.org\/10.3390\/s24041163","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,10]]}}}