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The Effectiveness of Telerehabilitation as a Supplement to Rehabilitation in Patients After Total Knee or Hip Replacement

  • Background: Telerehabilitation can contribute to the maintenance of successful rehabilitation regardless of location and time. The aim of this study was to investigate a specific three-month interactive telerehabilitation routine regarding its effectiveness in assisting patients with physical functionality and with returning to work compared to typical aftercare. Objective: The aim of the study was to investigate a specific three-month interactive telerehabilitation with regard to effectiveness in functioning and return to work compared to usual aftercare. Methods: From August 2016 to December 2017, 111 patients (mean 54.9 years old; SD 6.8; 54.3% female) with hip or knee replacement were enrolled in the randomized controlled trial. At discharge from inpatient rehabilitation and after three months, their distance in the 6-minute walk test was assessed as the primary endpoint. Other functional parameters, including health related quality of life, pain, and time to return to work, were secondary endpoints. Results: Patients inBackground: Telerehabilitation can contribute to the maintenance of successful rehabilitation regardless of location and time. The aim of this study was to investigate a specific three-month interactive telerehabilitation routine regarding its effectiveness in assisting patients with physical functionality and with returning to work compared to typical aftercare. Objective: The aim of the study was to investigate a specific three-month interactive telerehabilitation with regard to effectiveness in functioning and return to work compared to usual aftercare. Methods: From August 2016 to December 2017, 111 patients (mean 54.9 years old; SD 6.8; 54.3% female) with hip or knee replacement were enrolled in the randomized controlled trial. At discharge from inpatient rehabilitation and after three months, their distance in the 6-minute walk test was assessed as the primary endpoint. Other functional parameters, including health related quality of life, pain, and time to return to work, were secondary endpoints. Results: Patients in the intervention group performed telerehabilitation for an average of 55.0 minutes (SD 9.2) per week. Adherence was high, at over 75%, until the 7th week of the three-month intervention phase. Almost all the patients and therapists used the communication options. Both the intervention group (average difference 88.3 m; SD 57.7; P=.95) and the control group (average difference 79.6 m; SD 48.7; P=.95) increased their distance in the 6-minute-walk-test. Improvements in other functional parameters, as well as in quality of life and pain, were achieved in both groups. The higher proportion of working patients in the intervention group (64.6%; P=.01) versus the control group (46.2%) is of note. Conclusions: The effect of the investigated telerehabilitation therapy in patients following knee or hip replacement was equivalent to the usual aftercare in terms of functional testing, quality of life, and pain. Since a significantly higher return-to-work rate could be achieved, this therapy might be a promising supplement to established aftercare.show moreshow less

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Metadaten
Author:Sarah EichlerORCiDGND, Annett SalzwedelORCiDGND, Sophie RabeGND, Steffen Mueller, Frank MayerGND, Monique Wochatz, Miralem Hadzic, Michael John, Karl WegscheiderORCiDGND, Heinz VöllerORCiDGND
URN:urn:nbn:de:kobv:517-opus4-440965
DOI:https://doi.org/10.25932/publishup-44096
ISSN:1866-8364
Parent Title (German):Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
Subtitle (English):Randomized Controlled Trial
Series (Serial Number):Postprints der Universität Potsdam : Humanwissenschaftliche Reihe (589)
Document Type:Postprint
Language:English
Date of first Publication:2019/12/16
Year of Completion:2019
Publishing Institution:Universität Potsdam
Release Date:2019/12/16
Tag:aftercare; exercise therapy; home-based; rehabilitation; telerehabilitation; total hip replacement; total knee replacement
Issue:589
Page Number:14
Source:JMIR Rehabilitation and Assistive Technologies 6 (2019) 2 e14236 DOI: 10.2196/14236
Organizational units:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Peer Review:Referiert
Publication Way:Open Access
Licence (German):License LogoCreative Commons - Namensnennung, Nicht kommerziell 4.0 International
Notes extern:Bibliographieeintrag der Originalveröffentlichung/Quelle