This study aimed to investigate the visual biofeedback effect of a sensorized system for plantar pressure dynamic evaluation of in patients with a total hip replacement. Experimental group followed the rehabilitation training wearing sensorized insoles that provided images on three monitors. The control group followed the verbal instructions of physiotherapists during training. Weight bearing percentage healthy limb (WBPH), weight bearing percentage surgical limb (WBPS), swing healthy limb (SWH) and swing surgical limb (SWS) improved significantly more in the experimental group. The results underline the effectiveness of visual biofeedback based on sensorized system with dynamic evaluation of the plantar pressure.

Department of Pediatric Diagnostic Surgical Clinical Science Section of Pathologies of the Musculoskeleta System Orthopedics Unit University of Pavia 27100 Pavia Italy

Department of Rehabilitation Città di Pavia Hospital 27100 Pavia Italy

Department of Rehabilitation Faculty of Medicine University of Ostrava 70103 Ostrava Czech Republic

Health Promotion Environmental Epidemiology Unit Hygiene and Health Prevention Department Health Protection Agency 27100 Pavia Italy

Laboratory for Rehabilitation Medicine and Sport 00100 Rome Italy

Laboratory of Adapted Motor Activity Department of Public Health Experimental and Forensic Medicine University of Pavia 27100 Pavia Italy

Unit of Biostatistics and Clinical Epidemiology Department of Public Health Experimental and Forensic Medicine University of Pavia 27100 Pavia Italy

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Kim C., Nevitt M.C., Niu J., Clancy M.M., Lane N.E., Link T.M., Vlad S., Tolstykh I., Jungmann P.M., Felson D.T., et al. Association of hip pain with radiographic evidence of hip osteoarthritis: Diagnostic test study. BMJ. 2015;351:h5983. doi: 10.1136/bmj.h5983. PubMed DOI PMC

Ewen A.M., Stewart S., St Clair Gibson A., Kashyap S.N., Caplan N. Post-operative gait analysis in total hip replacement patients—A review of current literature and meta-analysis. Gait Posture. 2012;36:1–6. doi: 10.1016/j.gaitpost.2011.12.024. PubMed DOI

Khan F., Ng L., Gonzalez S., Hale T., Turner-Stokes L. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database Syst. Rev. 2008;2:CD004957. doi: 10.1002/14651858.CD004957.pub3. PubMed DOI PMC

Donovan L., Feger M.A., Hart J.M., Saliba S., Park J., Hertel J. Effects of an auditory biofeedback device on plantar pressure in patients with chronic ankle instability. [(accessed on 19 February 2021)];Gait Posture. 2016 44:29–36. doi: 10.1016/j.gaitpost.2015.10.013. Available online: https://pubmed.ncbi.nlm.nih.gov/27004629/ PubMed DOI

Hershko E., Tauber C., Carmeli E. Biofeedback versus physiotherapy in patients with partial weight-bearing. [(accessed on 19 February 2021)];Am. J. Orthop. 2008 37:E92–E96. Available online: https://europepmc.org/article/med/18587509. PubMed

Hustedt J.W., Blizzard D.J., Baumgaertner M.R., Leslie M.P., Grauer J.N. Current advances in training orthopaedic patients to comply with partial weight-bearing instructions. [(accessed on 28 May 2019)];Yale J. Biol. Med. 2012 85:119–125. Available online: http://www.ncbi.nlm.nih.gov/pubmed/22461750. PubMed PMC

Rahman J., Tang Q., Monda M., Miles J., McCarthy I. Gait assessment as a functional outcome measure in total knee arthroplasty: A cross-sectional study. [(accessed on 8 May 2019)];BMC Musculoskelet. Disord. 2015 16:66. doi: 10.1186/s12891-015-0525-2. Available online: http://www.ncbi.nlm.nih.gov/pubmed/25886558. PubMed DOI PMC

Baumfeld D., Baumfeld T., da Rocha R.L., Macedo B., Raduan F., Zambelli R., Alves Silva T.A., Nery C. Reliability of Baropodometry on the Evaluation of Plantar Load Distribution: A Transversal Study. Biomed. Res. Int. 2017;2017:1–4. doi: 10.1155/2017/5925137. PubMed DOI PMC

Correale L., Carnevale Pellino V., Marin L., Febbi M., Vandoni M. Comparison of an Inertial Measurement Unit System and Baropodometric Platform for Measuring Spatiotemporal Parameters and Walking Speed in Healthy Adults. [(accessed on 18 February 2021)];Motor Control. 2020 25:89–99. doi: 10.1123/mc.2020-0060. Available online: https://pubmed.ncbi.nlm.nih.gov/33207319/ PubMed DOI

Marin L., Lovecchio N., Kawczynski A., Febbi M., Silvestri D., Pellino V.C., Gibellini R., Vandoni M. Intensive Rehabilitation Program in Arterial Occlusive Disease Patients. [(accessed on 19 February 2021)];Appl. Sci. 2021 11:1184. doi: 10.3390/app11031184. Available online: https://www.mdpi.com/2076-3417/11/3/1184. DOI

Hara D., Nakashima Y., Hamai S., Higaki H., Ikebe S., Shimoto T., Yoshimoto K., Iwamoto Y. Dynamic hip kinematics in patients with hip osteoarthritis during weight-bearing activities. [(accessed on 28 May 2019)];Clin. Biomech. 2016 32:150–156. doi: 10.1016/j.clinbiomech.2015.11.019. Available online: https://linkinghub.elsevier.com/retrieve/pii/S0268003315003216. PubMed DOI

Moufawad El Achkar C., Lenoble-Hoskovec C., Paraschiv-Ionescu A., Major K., Büla C., Aminian K. Physical Behavior in Older Persons during Daily Life: Insights from Instrumented Shoes. [(accessed on 8 May 2019)];Sensors. 2016 16:1225. doi: 10.3390/s16081225. Available online: http://www.mdpi.com/1424-8220/16/8/1225. PubMed DOI PMC

Khurelbaatar T., Kim K., Lee S., Kim Y.H. Consistent accuracy in whole-body joint kinetics during gait using wearable inertial motion sensors and in-shoe pressure sensors. [(accessed on 19 May 2019)];Gait Posture. 2015 42:65–69. doi: 10.1016/j.gaitpost.2015.04.007. Available online: https://linkinghub.elsevier.com/retrieve/pii/S0966636215004488. PubMed DOI

Shanahan C.J., Boonstra F.M.C., Cofré Lizama L.E., Strik M., Moffat B.A., Khan F., Kilpatrick T.J., van der Walt A., Galea M.P., Kolbe S.C. Technologies for Advanced Gait and Balance Assessments in People with Multiple Sclerosis. [(accessed on 8 May 2019)];Front Neurol. 2017 8:708. doi: 10.3389/fneur.2017.00708. Available online: http://journal.frontiersin.org/article/10.3389/fneur.2017.00708/full. PubMed DOI PMC

Barbour V., Bhui K., Chescheir N., Clavien P.A., Diener M.K., Glasziou P., Golub R.M., Grimshaw J.M., Groves T., Hopewell S., et al. CONSORT Statement for randomized Trials of nonpharmacologic treatments: A 2017 update and a CONSORT extension for nonpharmacologic Trial Abstracts. [(accessed on 19 February 2021)];Ann. Intern. Med. 2017 167:40–47. Available online: https://pubmed.ncbi.nlm.nih.gov/28630973/ PubMed

Association W.M. World Medical Association declaration of Helsinki: Ethical principles for medical research involving human subjects. [(accessed on 19 February 2021)];JAMA J. Am. Med. Assoc. 2013 310:2191–2194. Available online: www.jama.com. PubMed

RANDOM.ORG-True Random Number Service. [(accessed on 2 March 2021)]; Available online: https://www.random.org/

Crapo R.O., Casaburi R., Coates A.L., Enright P.L., MacIntyre N.R., McKay R.T., Johnson D., Wanger J.S., Zeballos R.J., Bittner V., et al. ATS statement: Guidelines for the six-minute walk test Vol. 166, American Journal of Respiratory and Critical Care Medicine. [(accessed on 2 March 2021)];Am. Lung Assoc. 2002 166:111–117. Available online: http://www.atsjournals.org/doi/abs/10.1164/ajrccm.166.1.at1102. PubMed DOI

Paoli A., Sekulic D., Messina G., Palma A., Gagey P.M., Şahin N., Patti A., Bianco A., Iovane A. Postural control and balance in a cohort of healthy people living in Europe. Medicine. 2018;97:e13835. PubMed PMC

Vanhelst J., Fardy P.S., Salleron J., Béghin L. Disability and Rehabilitation The six-minute walk test in obese youth: Reproducibility, validity, and prediction equation to assess aerobic power. [(accessed on 3 December 2019)];Disabil. Rehabil. 2013 35:479–482. doi: 10.3109/09638288.2012.699581. Available online: https://www.tandfonline.com/action/journalInformation?journalCode=idre20. PubMed DOI

Unver B., Kahraman T., Kalkan S., Yuksel E., Karatosun V. Reliability of the six-minute walk test after total hip arthroplasty. [(accessed on 19 May 2019)];Hip. Int. 2013 23:541–545. doi: 10.5301/hipint.5000073. Available online: http://journals.sagepub.com/doi/10.5301/hipint.5000073. PubMed DOI

Pataky Z., De León Rodriguez D., Golay A., Assal M., Assal J.-P., Hauert C.-A. Biofeedback Training for Partial Weight Bearing in Patients After Total Hip Arthroplasty. [(accessed on 8 May 2019)];Arch. Phys. Med. Rehabil. 2009 90:1435–1438. doi: 10.1016/j.apmr.2009.02.011. Available online: http://www.ncbi.nlm.nih.gov/pubmed/19651281. PubMed DOI

Baj A., Lovecchio N., Bolzoni A., Mapelli A., Giannì A.B., Sforza C. Stair ascent and descent in assessing donor-site morbidity following osteocutaneous free fibula transfer: A preliminary study. [(accessed on 18 February 2021)];J. Oral. Maxillofac. Surg. 2015 73:184–193. doi: 10.1016/j.joms.2014.07.043. Available online: https://pubmed.ncbi.nlm.nih.gov/25511965/ PubMed DOI

Lovecchio N., Sciumè L., Zago M., Panella L., Lopresti M., Sforza C. Lower limbs kinematic assessment of the effect of a gym and hydrotherapy rehabilitation protocol after knee megaprosthesis: A case report. [(accessed on 18 February 2021)];J. Phys. Ther. Sci. 2016 28:1064–1070. doi: 10.1589/jpts.28.1064. Available online: https://pubmed.ncbi.nlm.nih.gov/27134413/ PubMed DOI PMC

Lovecchio N., Zago M., Sciumè L., Lopresti M., Sforza C. Squat exercise to estimate knee megaprosthesis rehabilitation: A pilot study. [(accessed on 18 February 2021)];J. Phys. Ther. Sci. 2015 27:2409–2412. doi: 10.1589/jpts.27.2409. Available online: /pmc/articles/PMC4540892/ PubMed DOI PMC

Allet L., Knols R.H., Shirato K., de Bruin E.D. Wearable systems for monitoring mobility-related activities in chronic disease: A systematic review. Sensors. 2010;10:9026–9052. doi: 10.3390/s101009026. PubMed DOI PMC

Plotnikoff R., Karunamuni N., Lytvyak E., Penfold C., Schopflocher D., Imayama I., Johnson S.T., Raine K. Osteoarthritis prevalence and modifiable factors: A population study. [(accessed on 8 May 2019)];BMC Public Health. 2015 15:1195. doi: 10.1186/s12889-015-2529-0. Available online: http://www.ncbi.nlm.nih.gov/pubmed/26619838. PubMed DOI PMC

Schack T., Ritter H. The cognitive nature of action-functional links between cognitive psychology, movement science, and robotics. [(accessed on 8 May 2019)];Prog. Brain Res. 2009 174:231–250. Available online: https://linkinghub.elsevier.com/retrieve/pii/S0079612309013193. PubMed

Schega L., Bertram D., Fölsch C., Hamacher D., Hamacher D. The influence of visual feedback on the mental representation of gait in patients with THR: A new approach for an experimental rehabilitation strategy. [(accessed on 8 May 2019)];Appl. Psychophysiol. Biofeedback. 2014 39:37–43. doi: 10.1007/s10484-014-9239-8. Available online: http://link.springer.com/10.1007/s10484-014-9239-8. PubMed DOI

Agostini V., Ganio D., Facchin K., Cane L., Moreira Carneiro S., Knaflitz M. Gait parameters and muscle activation patterns at 3, 6 and 12 months after total hip arthroplasty. J. Arthroplast. 2014;29:1265–1272. doi: 10.1016/j.arth.2013.12.018. PubMed DOI

Schack T., Mechsner F. Representation of motor skills in human long-term memory. [(accessed on 8 May 2019)];Neurosci. Lett. 2006 391:77–81. doi: 10.1016/j.neulet.2005.10.009. Available online: https://linkinghub.elsevier.com/retrieve/pii/S0304394005011596. PubMed DOI

Tveit M., Kärrholm J. Low effectiveness of prescribed partial weight bearing. Continuous recording of vertical loads using a new pressure-sensitive insole. [(accessed on 19 May 2019)];J. Rehabil. Med. 2001 33:42–46. Available online: http://www.ncbi.nlm.nih.gov/pubmed/11480470. PubMed

Buccino G. Action observation treatment: A novel tool in neurorehabilitation. [(accessed on 28 May 2019)];Philos. Trans. R Soc. B Biol. Sci. 2014 369:20130185. doi: 10.1098/rstb.2013.0185. Available online: http://www.ncbi.nlm.nih.gov/pubmed/24778380. PubMed DOI PMC