16 July 2015
A new study has shown that telerehabilitation after a total knee replacement (TKR) has comparable outcomes to in-person physical therapy.
Researchers at Université Laval in Quebec found that patients who had rehabilitation instructions via video teleconference delivered the same outcomes as those who had traditional post-surgical rehabilitation.
Their findings, published in the Journal of Bone & Joint Surgery (JBJS), provide "strong evidence for use of telerehabilitation as an alternative to conventional face-to-face care" following total knee replacement surgery, according to Professor Hélène Moffet, lead study author, physical therapist and professor at Université Laval in Quebec.
Some 205 patients were randomly divided into two groups, receiving either face-to-face home visits as "standard" post-surgical rehabilitation, or in-home telerehabilitation using special interactive video conferencing.
Patients were evaluated before their surgery, immediately after the two-month rehabilitation programme and again at four months. Standard validated outcome measures were used to assess a number of factors such as pain, ability to participate in sports and daily activities, and overall life quality.
Pain, function and stiffness scores were identical two months following hospital discharge for both groups, while range of motion, strength, activity and quality of life outcomes were also similar.
Posted by Phillip Briggs
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