Telerehabilitation versus conventional face-to-face land-based exercises following hip or knee arthroplasty

Alexandre, Dângelo José de Andrade; Ramalho, Gabriel Sodré; Civile, Vinicius Tassoni; Carvas, Nelson; Fernandes, Mariana; Cacione, Daniel G; Trevisani, Virgínia Fernandes Moça

doi:10.1002/14651858.cd014931

Cited by 3 publications

(4 citation statements)

References 52 publications

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“…Telerehabilitation solutions can facilitate access and observance of health recommendations, reduce costs [ 21 , 32 , 33 , 34 ], and also contribute to social distancing when it becomes necessary as an infection control action, especially during a pandemic [ 23 ]. Karlon et al [ 69 ] found that a 6-week telerehabilitation program based on video clips of exercises added to physical therapy sessions was more effective for the recovery of physical function compared to standard rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty

Kamecka

Foti

Gawiński

et al. 2022

IJERPH

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For many years, the importance of using telematic technologies in medicine has been growing, especially in the period of the coronavirus pandemic, when direct contact and supervision of medical personnel over the patient is difficult. The existing possibilities of modern information and communication technologies (ICTs) are not fully used. The aim of the study is to identify the telemedicine technologies that can be used in future implementation projects of the posthospital patient care process after total hip arthroplasty (THA). The literature search is reported according to PRISMA 2020. The search strategy included databases and gray literature. In total, 28 articles (EMBASE, PubMed, PEDro) and 24 records from gray literature (Google Search and Technology presentations) were included in the research. This multi-source study analyzes the possibilities of using different technologies useful in the patient care process. The conducted research resulted in defining visual and wearable types of telemedicine technologies for the original posthospital patient care process after THA. As the needs of stakeholders in the posthospital patient care process after THA differ, the awareness of appropriate technologies selection, information flow, and its management importance are prerequisites for effective posthospital patient care with the use of telemedicine technologies.

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Section: Discussionmentioning

confidence: 99%

Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty

Kamecka

Foti

Gawiński

et al. 2022

IJERPH

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“…The matched analysis showed no statistical difference for the HOOS, KOOS, satisfaction and several milestones between the pre-pandemic and the pandemic period at any of the time points (Table 2). 26 [18][19][20][21][22][23][24][25][26][27][28][29][30] *: significant difference between pre-COVID and COVID group (p < 0.05), Data are presented as median with interquartile ranges. ADL: activities of daily living, QoL: quality of life, NSAID: non steroid anti-inflammatory drugs, Tradonal: opioid medication.…”

Section: Patient-reported Outcomesmentioning

confidence: 99%

“…In this context, digital solutions consisting of a remote patient support tool can be useful to support teams [ 14 , 15 ]. Digital solutions has the potential to increase access to care [ 16 ], provide real-time data and feedback on patient evolution, and deliver equivalent outcomes compared to standard of care [ 17 , 18 ]. Digital solutions typically contain education modules to better prepare patients for the intervention and to answer the most frequent questions post-surgery.…”

Section: Introductionmentioning

confidence: 99%

Quick Transition to One Day Length of Stay after Hip and Knee Arthroplasty Using a Digital Follow-Up Tool during COVID-19: A Retrospective Comparative Study

Van Overschelde,

Van Lysebettens,

Lebleu

et al. 2023

Healthcare

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The COVID-19 pandemic highlighted the need for efficient use of hospital infrastructure. The hypothesis was that a rapid shift to outpatient surgery after hip or knee arthroplasty could be implemented without compromising quality of care. The aim of this study was to assess the safety, pain management and patient-reported outcomes before and after the implementation of an accelerated discharge program using a digital follow-up tool. A retrospective cohort design was used to compare 97 patients who received primary total hip or knee arthroplasty during the pandemic (early discharge) to comparable 194 pre-pandemic patients (normal discharge). Both cohorts had the same inclusion criteria and were closely monitored using the digital follow-up tool. The accelerated discharge program reduced length of stay from a median of 3 days (before the pandemic) to a median of 1 day (during the pandemic) (p < 0.001). The complication rate of 2% was the same for both groups (p > 0.05). Patient-reported outcomes for matched samples of hip (n = 100) and knee (n = 82) arthroplasty patients were similar before, at 6 weeks and 3 months after surgery for both groups (p > 0.05). There were no differences in pain and medication consumption for the first 6 weeks (p > 0.05). This study demonstrates that reducing length of stay from three to one night after total knee or hip arthroplasty, with the help of a digital follow-up tool, results in a stable rate of complications, readmission, and comparable clinical outcomes, while reducing the socio-economic burden on the health system.

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“…In addition, digital rehabilitation can provide real-time data and feedback on therapy progress, which can improve outcomes and enhance the overall rehabilitation experience. While the heterogeneity between digital rehabilitation systems and the lack of clear evidence regarding their effectiveness and safety need to be considered, digital rehabilitation holds great promise as a solution to enhance rehabilitation outcomes for total knee replacement patients [ 9 , 10 , 11 ]. The latest evidence on digital rehabilitation has demonstrated that it is non-inferior to face-to-face interventions and has the potential to improve outcomes for patients [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study

Lebleu¹,

Pauwels²,

Anract

et al. 2023

JPM

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Rehabilitation for total knee replacement (TKA) often involves in-person therapy sessions, which can be time consuming and costly. Digital rehabilitation has the potential to address these limitations, but most of these systems offer standardized protocols without considering the patient’s pain, participation, and speed of recovery. Furthermore, most digital systems lack human support in case of need. The aim of this study was to investigate the engagement, safety, and clinical effectiveness of a personalized and adaptative app-based human-supported digital monitoring and rehabilitation program. In this prospective multi-center longitudinal cohort study, 127 patients were included. Undesired events were managed through a smart alert system. Doctors were triggered when there was a suspicion of problems. The drop-out rate, complications and readmissions, PROMS, and satisfaction were collected through the app. There was only 2% readmission. Doctor actions through the platform potentially avoided 57 consultations (85% of alerts). The adherence to the program was 77%, and 89% of the patients would recommend the use of the program. Personalized human-backed-up digital solutions can help to improve the rehabilitation journey of patients after TKA, lower healthcare-related costs by lowering the complication and readmission rate, and improve patient reported outcomes.

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Telerehabilitation versus conventional face-to-face land-based exercises following hip or knee arthroplasty

Cited by 3 publications

References 52 publications

Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty

Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty

Quick Transition to One Day Length of Stay after Hip and Knee Arthroplasty Using a Digital Follow-Up Tool during COVID-19: A Retrospective Comparative Study

Digital Rehabilitation after Knee Arthroplasty: A Multi-Center Prospective Longitudinal Cohort Study

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