International Journal of Clinical Case Reports, 2025, Vol.15, No.2, 59-67 http://medscipublisher.com/index.php/ijccr 61 applications, and telehealth systems to monitor patients' physical activity, adherence to rehabilitation exercises, and overall health status. For instance, commercially available smartphone apps and wearable devices have been shown to effectively monitor physical activity and improve patient engagement following total knee arthroplasty (TKA) (McKeon et al., 2021). Similarly, telerehabilitation systems like ReHub® provide real-time performance feedback and ensure communication between patients and healthcare providers, leading to higher adherence to exercise plans and improved quadriceps strength (Figure 1) (Mennella et al., 2023; Nuevo et al., 2023). These technologies not only facilitate continuous monitoring but also enable healthcare providers to make timely interventions, thereby enhancing the overall recovery process. Figure 1 The patient wears the ReHub® sensor on the tibia in preparation for exercise (Adopted from Nuevo et al., 2023) 3.2 How personalized nursing guidance provided by the platform supports the development of patient rehabilitation plans Personalized nursing guidance provided by intelligent platforms significantly supports the development of patient-specific rehabilitation plans. These platforms often incorporate machine learning algorithms and artificial intelligence to tailor rehabilitation programs based on individual patient data. For example, a nurse-led eHealth cardiac rehabilitation system demonstrated significant improvements in health behaviors, self-efficacy, and quality of life by providing individualized progress monitoring and feedback through a digital platform (Su and Yu, 2021). Additionally, smart web-based platforms can offer real-time assessments of exercise correctness, ensuring that patients perform therapeutic exercises accurately, which is crucial for effective rehabilitation (Constantinescu et al., 2022). The integration of personalized guidance helps in setting realistic goals, tracking progress, and making necessary adjustments to the rehabilitation plan, thereby optimizing patient outcomes (Figure 2) (Nuevo et al., 2023). 3.3 Strategies to enhance patient engagement and improve adherence to rehabilitation Enhancing patient engagement and improving adherence to rehabilitation programs are critical for successful postoperative recovery. Intelligent platforms employ various strategies to achieve these goals. One effective approach is the use of gamification and interactive features that make rehabilitation exercises more engaging and enjoyable for patients. For instance, the ReHub® platform uses interactive telerehabilitation to provide real-time feedback and motivate patients, resulting in higher adherence to exercise plans (Han et al., 2022). Another strategy involves the use of wearable devices paired with mobile applications to facilitate self-directed rehabilitation, which has been shown to be as effective as traditional physical therapy in maintaining postoperative outcomes. Additionally, incorporating social support elements, such as peer influence and group feedback sessions, can further enhance patient motivation and adherence, as demonstrated in a nurse-led eHealth cardiac rehabilitation program (Zhang, 2024). These strategies, combined with continuous monitoring and personalized feedback, create a supportive environment that encourages patients to stay committed to their rehabilitation plans.
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