Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty

Russell, Trevor; Buttrum, Peter; Wootton, Richard; Jull, Gwendolen

doi:10.2106/jbjs.i.01375

Cited by 324 publications

(427 citation statements)

References 42 publications

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“…Attrition bias was absent only in three trials 9,86,90 in which no patients were lost at follow up and consequently ITT and per-protocol analysis were coincident.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

et al. 2015

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Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). Several studies have shown that telerehabilitation is effective to improve clinical outcomes in disabling conditions. The aim of this review was to determine whether telerehabilitation was more effective than other modes of delivering rehabilitation to regain motor function, in different populations of patients.We searched PubMed, Embase and the Cochrane library retrieving 2360 records. Twelve studies were included involving different populations (i.e. neurological, total knee arthroplasty (TKA), cardiac) of patients. Inconclusive finding were found on the effect of telerehabilitation for neurological patients (SMD = 0.08, CI 95% = -0.13, 0.29), while both for cardiac (SMD = 0.24, CI 95% = 0.04, 0.43) and TKA patients (Timed Up and Go test: MD = -5.17, CI 95% = -9.79, -0.55) the results were in favour of telerehabilitation.Conclusive evidence on the efficacy of telerehabilitation for treatment of motor function, regardless of pathology, was not reached. Nevertheless, a strong positive effect was found for patients following orthopaedic surgery, suggesting that the increased intensity provided by telerehabilitation is a promising option to be offered to patients. More and higher quality research is needed in this field especially with neurological patients.

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“…Attrition bias was absent only in three trials 9,86,90 in which no patients were lost at follow up and consequently ITT and per-protocol analysis were coincident.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

et al. 2015

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“…A research team at the University of Queensland, Australia, has developed a computer-based videoconferencing system call eHAB that combines highquality videoconferencing with a battery of measurement tools that can objectively measure various aspects of functional performance across an Internet link. Studies demonstrating the validity and reliability of this system have been performed to examine physical outcome measurements [6,10], observational kinematic gait analysis [11], upper-limb range of motion in stroke patients [12], lowerlimb range of motion in an orthopedic population [13], the effectiveness of rehabilitation following total knee replacement surgery [14][15][16], and diagnostic accuracy of ankle injuries [17]. Other studies using similar videoconferencing equipment have demonstrated that telerehabilitation assessments of Functional Reach, the European Stroke Scale, and the Functioning Everyday with a Wheelchair-Capacity can be performed accurately compared with face-to-face encounters [18][19].…”

Section: Introductionmentioning

confidence: 99%

Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Russell

Hoffmann

Nelson

et al. 2013

JRRD

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Abstract-Telerehabilitation may be an alternative service delivery model for people with Parkinson disease (PD) who live in areas where traditional rehabilitation services are not readily accessible. The aim of this study was to determine the accuracy and reliability of performing remote physical assessments of people with PD via telerehabilitation when compared with traditional face-to-face assessments. Twelve subjects were simultaneously examined by a face-to-face investigator and a remote investigator via the eHAB telerehabilitation system. The outcome measures evaluated included the timed stance test, Timed "Up and Go" test, step test, steps in 360 degree turn, Berg Balance Scale, and lateral and functional reach tests. Limits of agreements intervals and weighted kappa statistics demonstrated the telerehabilitation assessments to be accurate within clinically acceptable limits. A high level of inter-and intrarater reliability was demonstrated across all telerehabilitation assessments. This study indicates that it is possible to assess the physical ability of people with PD via telerehabilitation systems and provides support for the further development of telerehabilitation applications for patients with neurological disorders.

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“…Both the NP and the patient expressed high levels of satisfaction with the benefits to the patient and the IP nature of the assessment. Previous studies using telerehabilitation models for physical therapy interventions have also shown high satisfaction levels [15][16][17] and positive experiences. 7 This RPR was in place for 1 year in the remote community, so the community members were familiar with its use and had seen the benefits for emergency and pediatric care.…”

Section: Resultsmentioning

confidence: 89%

“…Intervention studies using videoconferencing (VC) have focused mainly on knee and upper-extremity issues, [7][8][9][10][11] and none have reported using an inter-professional (IP) approach. Although VC may be able to address some unique health care needs when delivering physical therapy services in remote communities, secure telehealth or VC units are not available in every community.…”

mentioning

confidence: 99%

Case Report: Using a Remote Presence Robot to Improve Access to Physical Therapy for People with Chronic Back Disorders in an Underserved Community

Grona

Bath

Bustamante

et al. 2017

Physiotherapy Canada

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Purpose: The purpose of this case study was to evaluate the delivery of an inter-professional (IP) spinal triage management approach to chronic back disorders using remote presence robotic technology as an innovative form of telerehabilitation in a northern Saskatchewan community. Methods: The IP team, consisting of a local nurse practitioner (NP) and a physical therapist in an urban centre, completed a comprehensive neuromusculoskeletal assessment of, and one follow-up visit with, a post-surgical spinal patient. Treatment included detailed education regarding self-management after spinal surgery, provision and progression of home exercises, and reassurance. The patient was then referred to regional, in-person physical therapy care to complete her treatment. Results: A semi-structured interview with the NP revealed a high level of satisfaction; qualitative themes included the value of IP practice and the benefit to the patient of telerehabilitation achieved through patient-centred care. In a post-treatment survey, the patient expressed a high level of satisfaction with and appreciation for the patient-centred approach and the IP team. Objective clinical improvements in spinal and straight-leg raise movements were noted at the final telerehabilitation session. Conclusion: This report demonstrates the feasibility of delivering IP spinal triage management using telerehabilitation, specifically remote presence robotics, in a remote setting. Further research should include larger scale studies that investigate health, system, and economic outcomes as well as comparative studies for other forms of telehealth technology.Key Words: inter-professional relations; low back pain; physical therapists; robotics; telerehabilitation. RÉ SUMÉObjectif : l'objectif de cette é tude de cas é tait d'é valuer le recours à une approche interprofessionnelle (IP) de gestion du triage des problè mes rachidiens pour traiter les problè mes chroniques de dos à l'aide d'une technologie robotique de pré sence à distance comme forme novatrice de té lé ré adaptation dans une communauté du nord de la Saskatchewan. Mé thode : l'é quipe IP, formé e d'une infirmiè re praticienne locale et d'un physiothé rapeute d'un centre urbain, a effectué une é valuation neuromusculosquelletique exhaustive d'une patiente ayant subi une chirurgie rachidienne et l'a revue pour une visite de suivi. Le traitement incluait une formation dé taillé e sur l'autogestion à la suite d'une chirurgie rachidienne, des exercices à faire à la maison ainsi que du ré confort. La patiente a ensuite reç u des soins en physiothé rapie à la clinique ré gionale pour complé ter le traitement. Ré sultats : l'entrevue semi-structuré e avec l'infirmiè re praticienne a ré vé lé une grande satisfaction; les thè mes qualitatifs incluaient la valeur de la pratique IP et les avantages pour la patiente de la té lé ré adaptation obtenue grâ ce à des soins axé s sur le patient. Dans un sondage ré alisé aprè s le traitement, la patiente a exprimé une grande satisfaction et appré ciation de ...

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Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty

Abstract: therapeutic Level I. See Instructions to Authors for a complete description of levels of evidence.

Cited by 324 publications

References 42 publications

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis

Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Case Report: Using a Remote Presence Robot to Improve Access to Physical Therapy for People with Chronic Back Disorders in an Underserved Community

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