Published Research

Clinical Evidence

Peer-reviewed research demonstrates the superior outcomes of PortableConnect® compared to standard physical therapy for rehabilitation after total knee arthroplasty.

Journal of Arthroplasty Study

A recent study published in the Journal of Arthroplasty has provided groundbreaking new data to support the use of PortableConnect® for outpatient rehabilitation after knee replacement surgery.

The retrospective review compared outcomes between patient groups assigned to postop rehab with either in-home, remote physical therapy (PT) using the PortableConnect system, or outpatient standard therapy protocol (STP).

Published:

October 14, 2022

Authors:

Spencer Summers, MD; Ryan Nunley, MD; Eric Slotkin, DO

Journal of Arthroplasty - Volume 37, Number 9, September 2022

270 Consecutive TKA Patients

  • No statistically significant differences at baseline between groups
  • Same implant, approach, and surgical protocol for all patients
  • Same prehabilitation for all patients
  • Progress evaluated at 2, 6, and 12 weeks

PortableConnect®: 135 Patients

  • 2-5 structured sessions per day
  • No additional PT prescribed
  • Data monitored remotely by physical therapist
  • Patients contacted if data falls outside expected parameters

Standard Therapy: 135 Patients

  • 4 weeks (minimum) of in-person, outpatient therapy sessions
  • 2-3 times per week
  • Multifaceted standard of care program
  • Included stretching, strength training, gait training, and therapeutic equipment
Published Research

Clinically Proven Results

A peer-reviewed study published in the Journal of Arthroplasty demonstrates superior outcomes with PortableConnect® compared to standard physical therapy

31%
Less Pain
P<0.0001
3.6 vs 5.2 at 6 weeks
30%
Higher KOOS JR
P<0.0001
84.0 vs 74.3 at 12 weeks
3x
Fewer MUA
P=0.28
2 vs 6 procedures
4x
More Sessions
Over 12 weeks
84 vs 19 sessions

Study Results at a Glance

Total Therapy Sessions (12 weeks)

PortableConnect®
84
Standard PT
19

4x more sessions completed with PortableConnect®

Pain Scores

6 weeks3.6 vs 5.2
12 weeks1.4 vs 2.9

31% less pain (P<0.0001)

Range of Motion (6 weeks)

Flexion116.7° vs 101.8°
Extension-1.8° vs -3.7°
15% better flexion; 51% better extension

KOOS JR (Knee Outcome)

6 weeks60.8 vs 46.6
12 weeks84.0 vs 74.3

30% higher KOOS JR (P<0.0001)

Manipulation Under Anesthesia (12 weeks)

PortableConnect®
2
Standard PT
6

3x fewer MUA procedures (P=0.28)

Study Overview

270 Consecutive TKA Patients

135 PortableConnect® vs 135 Standard Therapy

Published: October 14, 2022

Journal of Arthroplasty

Range of Motion at 6 Weeks:

116.7° flexion vs 101.8° (↑15%) | -1.8° vs -3.7° extension (↑51%)

Pain Scores at 12 Weeks:

1.4 vs 2.9 (PortableConnect® vs Standard Therapy)

Conclusion: PortableConnect was superior to standard physical therapy protocol following TKA. Statistically significant differences were found at all time points (2, 6, and 12 weeks) for all outcome measures in favor of PortableConnect®.

Study Results

PortableConnect® demonstrated superior outcomes across all measured parameters

Patients Are More Compliant With PortableConnect®

Total Therapy Sessions Over 12 Weeks

PortableConnect®84
84 sessions
Standard Therapy Protocol19
19 sessions
4x MORE SESSIONS

Patients using the PortableConnect system completed an average of 65 more sessions compared to patients participating in physical therapy.

"This frequency and quantity of sessions is believed to be one of the major causes of superior results from the [PortableConnect] protocol. It is nonreplicable, for practical purposes, with standard outpatient therapy."

31% LESS PAIN

P<0.0001 - Statistically Significant

6 Weeks
PortableConnect®
3.6
STP
5.2
12 Weeks
1.4
2.9
↓31% Overall Reduction

IMPROVED RANGE OF MOTION

6 Weeks Post-Procedure: P<0.0001

116.7°
PortableConnect®
Flexion
101.8°
STP
Flexion
-1.8°
PortableConnect®
Extension
-3.7°
STP
Extension
↑15% FLEXION
↑51% EXTENSION

30% HIGHER KOOS JR*

P<0.0001

*Knee Injury and Osteoarthritis Outcome Score, Joint Replacement

6 Weeks
60.8
46.6
12 Weeks
84.0
74.3
↑30% Overall Increase

3X FEWER MUA*

P=0.28

*Manipulation Under Anesthesia

2
PortableConnect®
6
STP
3x FEWER

A Positive Cascade of Effects

The study's authors also noted the clinically established connections between the measured outcomes and further benefits:

Reduced Narcotic Usage

Accelerated Quadriceps Strength

Reduced Joint Swelling & Stiffness

Increased Patient Mobility

Conclusions

✓ PortableConnect® was superior to standard physical therapy protocol following TKA

Statistically significant differences were found at all time points (2, 6, and 12 weeks) for all outcome measures in favor of PortableConnect®.

Full Study Reference

Summers S, Nunley R, Slotkin E. A home-based, remote-clinician-controlled, physical therapy device leads to superior outcomes when compared to standard physical therapy for rehabilitation after total knee arthroplasty.J Arthroplasty. 2022;50883-5403(22):00929-9. doi:10.1016/j.arth.2022.10.009