PMID- 38527037
OWN - NLM
STAT- MEDLINE
DCOM- 20240327
LR  - 20240410
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 19
IP  - 3
DP  - 2024
TI  - Functional recovery prediction during rehabilitation after rotator cuff tears by 
      decision support system.
PG  - e0296984
LID - 10.1371/journal.pone.0296984 [doi]
LID - e0296984
AB  - BACKGROUND: Today's rehabilitation decision-making still relies on conventional 
      methods and different specific targeted rehabilitation protocols. Our study 
      focuses on the decision support system for early rehabilitation after rotator 
      cuff (RC) tears repair, where a multicriteria decision-making framework (MCDM) is 
      applied for the prediction of successful functional recovery and selection of a 
      rehabilitation protocol. OBJECTIVE: To identify factors that affect recovery 
      outcomes and to develop a decision support system methodology for predicting 
      functional recovery outcomes at early rehabilitation after RC repair. METHODS: 
      Twelve rehabilitation experts were involved in the design, calibration, and 
      evaluation of a rehabilitation protocol based on the proposed decision support 
      system constructed using the MCDM framework. For the development of a decision 
      support system, 20 patients after RC surgery undergoing outpatient rehabilitation 
      were enrolled in a prospective cohort clinical trial. RESULTS: The MCDM framework 
      (SWARA method) sensitively assesses different criteria and determines the 
      corresponding criteria weights that were similar to criteria weights assessed 
      subjectively by rehabilitation experts. The assignment of patients into the 
      classes, according to the heuristic evaluation method based on expert opinion and 
      the standard qualitative evaluation methods showed the validity of MCDM methods 
      remain the best new alternative in predicting recovery during rehabilitation. 
      CONCLUSIONS: The results of this paper show that sustainable rehabilitation is an 
      area that is quite suitable for the use of MCDM. The most of rehabilitation 
      protocols are based on traditional methods and approaches, but the sensitive 
      results showed the validity of MCDM methods and remains the best new alternative 
      in prediction recovery protocols during rehabilitation.
CI  - Copyright: (c) 2024 Adomaviciene et al. This is an open access article distributed 
      under the terms of the Creative Commons Attribution License, which permits 
      unrestricted use, distribution, and reproduction in any medium, provided the 
      original author and source are credited.
FAU - Adomaviciene, Ausra
AU  - Adomaviciene A
AD  - Faculty of Medicine, Department of Rehabilitation, Physical and Sports Medicine, 
      Vilnius University, Vilnius, Lithuania.
FAU - Daunoraviciene, Kristina
AU  - Daunoraviciene K
AUID- ORCID: 0000-0003-0898-4860
AD  - Department of Biomechanical Engineering, Vilnius Gediminas technical University, 
      Vilnius, Lithuania.
FAU - Kazakeviciute-Januskeviciene, Giruta
AU  - Kazakeviciute-Januskeviciene G
AUID- ORCID: 0000-0001-5541-1032
AD  - Faculty of Fundamental Sciences, Department of Graphical Systems, Vilnius 
      Gediminas technical University, Vilnius, Lithuania.
FAU - Bausys, Romualdas
AU  - Bausys R
AUID- ORCID: 0000-0002-6284-0406
AD  - Faculty of Fundamental Sciences, Department of Graphical Systems, Vilnius 
      Gediminas technical University, Vilnius, Lithuania.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20240325
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Humans
MH  - Arthroscopy
MH  - Prospective Studies
MH  - Range of Motion, Articular
MH  - Recovery of Function
MH  - Rotator Cuff/surgery
MH  - *Rotator Cuff Injuries/surgery
MH  - Treatment Outcome
PMC - PMC10962824
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/03/25 18:42
MHDA- 2024/03/27 06:44
PMCR- 2024/03/25
CRDT- 2024/03/25 13:34
PHST- 2023/10/03 00:00 [received]
PHST- 2023/12/22 00:00 [accepted]
PHST- 2024/03/27 06:44 [medline]
PHST- 2024/03/25 18:42 [pubmed]
PHST- 2024/03/25 13:34 [entrez]
PHST- 2024/03/25 00:00 [pmc-release]
AID - PONE-D-23-31967 [pii]
AID - 10.1371/journal.pone.0296984 [doi]
PST - epublish
SO  - PLoS One. 2024 Mar 25;19(3):e0296984. doi: 10.1371/journal.pone.0296984. 
      eCollection 2024.