The effectiveness of telerehabilitation as a supplement to rehabilitation in patients after total knee or hip replacement: Randomized controlled trial

  • 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 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.

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Verfasserangaben:Sarah EichlerORCiD, Annett SalzwedelORCiD, Sophie RabeORCiD, Steffen MüllerORCiD, Frank MayerORCiD, Monique WochatzORCiD, Miralem HadzicORCiD, Michael JohnORCiD, Karl WegscheiderORCiD, Heinz VöllerORCiD
URN:urn:nbn:de:hbz:tr5-2570
DOI:https://doi.org/10.2196/14236
Titel des übergeordneten Werkes (Englisch):JMIR Rehabilitation and Assistive Technologies
Verlag:JMIR Publications
Dokumentart:Wissenschaftlicher Artikel (Fachzeitschriften)
Sprache:Englisch
Datum des OPUS-Uploads:02.03.2023
Datum der Erstveröffentlichung:07.11.2019
Veröffentlichende Hochschule:Hochschule Trier
Datum der Freischaltung:02.03.2023
Freies Schlagwort / Tag:aftercare; exercise therapy; home-based; rehabilitation; telerehabilitation; total hip replacement; total knee replacement
GND-Schlagwort:Rehabilitation; E-Health; Telemedizin; Hüftgelenkprothese; Kniegelenkprothese; Krankengymnastik; Nachsorge
Jahrgang:6
Ausgabe / Heft:2
Aufsatznummer:e14236
Seitenzahl:12
Erste Seite:1
Letzte Seite:12
Einrichtungen:FB Informatik + Therapiewissenschaft
DDC-Klassifikation:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit
Lizenz (Deutsch):License LogoCreative Commons - CC BY - Namensnennung 4.0 International