Role of telerehabilitation in patients following total knee arthroplasty: Evidence from systematic literature review

Shukla, H. S.; Nair, S.R.; Shaikh, J.S.; Thakker, Dipti V.; Sharma, Deepika

doi:10.1016/j.jval.2014.03.1063

Cited by 5 publications

(6 citation statements)

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“…These improvements were also maintained at long-term follow-up (nine months). These findings are consistent with evidence in other populations, where care delivered via videoconferencing for people who have undergone knee joint replacement surgery leads to improvements in physical activity and function that are similar to those after face-to-face consultations [11]. Collectively, these studies provide support for the effectiveness of telerehabilitation as an alternative model of service delivery.…”

Section: Introductionsupporting

confidence: 86%

Moderators of Effects of Internet-Delivered Exercise and Pain Coping Skills Training for People With Knee Osteoarthritis: Exploratory Analysis of the IMPACT Randomized Controlled Trial (Preprint)

Lawford¹,

Hinman²,

Kasza³

et al. 2018

Preprint

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Section: Introductionsupporting

confidence: 86%

Moderators of Effects of Internet-Delivered Exercise and Pain Coping Skills Training for People With Knee Osteoarthritis: Exploratory Analysis of the IMPACT Randomized Controlled Trial (Preprint)

Lawford¹,

Hinman²,

Kasza³

et al. 2018

Preprint

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“…In an attempt to maximize access and minimize costs, tele-rehabilitation solutions have been developed and tested. For rehabilitation after knee or hip replacement, these have demonstrated similar outcomes in comparison to standard rehabilitation 21 – 27 , and there is preliminary evidence that these solutions may be cost-effective 28 . However, these solutions still require human supervision, either during home-based sessions or during complementary supervised sessions, limiting widespread availability.…”

Section: Introductionmentioning

confidence: 99%

Home-based Rehabilitation With A Novel Digital Biofeedback System versus Conventional In-person Rehabilitation after Total Knee Replacement: a feasibility study

Correia

Nogueira²,

Magalhães³

et al. 2018

Sci Rep

104

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In-person home-based rehabilitation and telerehabilitation can be as effective as clinic-based rehabilitation after total knee arthroplasty (TKA), but require heavy logistics and are highly dependent on human supervision. New technologies that allow independent home-based rehabilitation without constant human supervision may help solve this problem. This was a single-center, feasibility study comparing a digital biofeedback system that meets these needs against conventional in-person home-based rehabilitation after TKA over an 8-week program. Primary outcome was the change in the Timed Up and Go score between the end of the program and baseline. Fifty-nine patients completed the study (30 experimental group; 29 conventional rehabilitation). The study demonstrated a superiority of the experimental group for all outcomes. Adverse events were similar in both groups. This is the first study to demonstrate that a digital rehabilitation solution can achieve better outcomes than conventional in-person rehabilitation, while less demanding in terms of human resources.

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“…Telerehabilitation is a generic term that refers to the remote delivery of physical rehabilitation services (e.g., assessment, monitoring, intervention, supervision, education, consultation, counselling) using information and telecommunication technologies. 7 In addition, telerehabilitation may substitute for, or complement, conventional face-to-face approaches.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12][13] Three systematic literature reviews have compared the effects of a home-based rehabilitation program (e.g., community physiotherapist visit, rehabilitation at home, monitored by periodic telephone calls, monitored home exercise) with hospital-based (e.g., clinic, hospital, inpatient and outpatient) rehabilitation and Internet-based telerehabilitation with conventional face-to-face rehabilitation in patients with TKA. 7,14,15 According to their findings, home-based rehabilitation and telerehabilitation are comparable to conventional care and are thus a significant alternative for patients with TKA, especially in sparsely populated areas. 7,14,15 However, there is a gap in evidence regarding the optimal levels and methods required to maximize outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…7,14,15 According to their findings, home-based rehabilitation and telerehabilitation are comparable to conventional care and are thus a significant alternative for patients with TKA, especially in sparsely populated areas. 7,14,15 However, there is a gap in evidence regarding the optimal levels and methods required to maximize outcomes. 16 In addition, the effects and safety of telerehabilitation with conventional in-person outpatient physical therapy in patients with THA is unknown.…”

Section: Introductionmentioning

confidence: 99%

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The effects and safety of telerehabilitation in patients with lower-limb joint replacement: A systematic review and narrative synthesis

et al. 2020

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Introduction As the number of patients undergoing primary lower-limb joint replacement has risen continuously, hospital-based healthcare resources have become limited. Delivery of any ongoing rehabilitation needs to adapt to this trend. This systematic literature aimed to examine the effects and safety of telerehabilitation in patients with lower-limb joint replacement. Methods A systematic review of randomized controlled trials was conducted according to procedures by the Joanna Briggs Institute. Studies published prior to February 2020 were identified from Medline Ovid, Scopus, Ebsco Databases and Web of Science. Reference lists of relevant studies were also manually checked to find additional studies. Two researchers conducted study selection separately. The Joanna Briggs Institute Critical Appraisal Checklist for Randomized Controlled Trials was used to evaluate the quality of the relevant studies published. A narrative synthesis was used to report the results whereas effect sizes were estimated for different outcomes. Results Nine studies with 1266 patients were included. Study quality was predominantly affected by the lack of blinding. The patients who completed telerehabilitation showed an improvement in physical functioning that was similar to that of patients completing conventional in-person outpatient physical therapy without an increase in adverse events or resource utilization. The effect of telerehabilitation on physical functioning, however, was assessed as heterogeneous and moderate- to low-quality evidence. Discussion Telerehabilitation is a practical alternative to conventional in-person outpatient physical therapy in patients with lower-limb joint replacement. However, more robust studies are needed to build evidence about telerehabilitation.

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Role of telerehabilitation in patients following total knee arthroplasty: Evidence from systematic literature review

Cited by 5 publications

References 0 publications

Moderators of Effects of Internet-Delivered Exercise and Pain Coping Skills Training for People With Knee Osteoarthritis: Exploratory Analysis of the IMPACT Randomized Controlled Trial (Preprint)

Moderators of Effects of Internet-Delivered Exercise and Pain Coping Skills Training for People With Knee Osteoarthritis: Exploratory Analysis of the IMPACT Randomized Controlled Trial (Preprint)

Home-based Rehabilitation With A Novel Digital Biofeedback System versus Conventional In-person Rehabilitation after Total Knee Replacement: a feasibility study

The effects and safety of telerehabilitation in patients with lower-limb joint replacement: A systematic review and narrative synthesis

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