Telemedicine-Rehabilitation and Virtual Reality in Orthopaedics and Sports Medicine

Lal, Hitesh; Mohanta, Shwetasri; Kumar, J. V. Sai Prasanna; Patralekh, Mohit Kumar; Lall, Lavanya; Katariya, Himansu; Arya, R. K.

doi:10.1007/s43465-022-00766-6

Cited by 6 publications

(5 citation statements)

References 61 publications

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“…The American Physical Therapy Association (APTA) supports the use of telehealth to help mitigate rising healthcare costs, address disparity in access to services, and target healthcare in regions of the country where there is a shortage of treatment for adolescent patients with scoliosis ( 39 ). Virtual physical therapy has been shown to be an effective service for provision through telerehabilitation, showing improvements in function as an additional mode of evaluation and treatment ( 39 , 40 ).…”

Section: Discussionmentioning

confidence: 99%

“…Satisfaction is one of the variables that can be used to analyse the appropriateness of implementation of a service ( 27 ). Telerehabilitation and virtual physical therapy are innovative and cost-effective ways to provide the best rehabilitative services to patients in their homes ( 40 ). The current study data suggest that individualized and personalized interventions can be approved regardless of the delivered care provided ( 13 ), and telerehabilitation is an option for effective delivery of care that can be offered to users with AIS.…”

Section: Discussionmentioning

confidence: 99%

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Effect of traditional rehabilitation programme versus telerehabilitation in adolescents with idiopathic scoliosis during the COVID-19 pandemic: a cohort study

Mantelatto Andrade,

Gomes Santana,

Verttú Schmidt

et al. 2024

JRM

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Background: Telerehabilitation has become increasingly popular since the SARS-CoV-2 (COVID-19) outbreak. However, studies are needed to understand the effects of remote delivery of spine treatment approaches. Objectives: To verify and compare the effects of traditional rehabilitation programmes (in-person) and telerehabilitation (online) on the progression of scoliotic curvature in adolescents with idiopathic scoliosis during the COVID-19 pandemic, and to verify the acceptability, appropriateness, and feasibility among patients and physiotherapists regarding both treatments. Methods: This is a cohort study (prospective analysis of 2 intervention groups: telerehabilitation (online) and traditional rehabilitation (in-person). A total of 66 adolescents with idiopathic scoliosis were included. Recruitment was conducted through the Clinical Center in Scoliosis Care (January–December 2020). Participants were divided into 2 intervention groups: telerehabilitation (online) (n = 33) and traditional rehabilitation programme (in-person) (n = 33). Both groups also were supplied with a spinal orthopaedic brace. Scoliosis was confirmed by a spine X-ray examination (Cobb angle). Radiographic parameters measured were: Cobb angles (thoracic and lumbar). The method of Nash and Moe (thoracic and lumbar) was also evaluated based on the relationship between the vertebral pedicles and the centre of the vertebral body in the X-rays. Assessments were performed at baseline (T0) and after 6 months of the intervention protocol (T6). Patient and physiotherapist reports were evaluated on the acceptability, appropriateness, and feasibility of the interventions. Results: Adolescents with idiopathic scoliosis showed a significant decrease in the Cobb angle (main scoliotic curvature), with a 4.9° for the traditional rehabilitation programme and 2.4° for the telerehabilitation. Thoracic and lumbar Cobb angles did not show significant changes after the intervention in both groups or between groups. Thoracic and lumbar Nash and Moe scores scores also did not show significant differences after 6 months of in-person or telerehabilitation intervention, or between groups. The intervention by telerehabilitation was acceptable, appropriate, and feasible for patients and physiotherapists. Conclusion: Use of the rehabilitation programme for adolescents with idiopathic scoliosis, delivered via telerehabilitation during the COVID-19 pandemic, was encouraging for future applications due to the improved effect on reducing the Cobb angle, preventing progression of scoliosis. In addition, telerehabilitation showed good acceptability among patients and physiotherapists. Traditional rehabilitation programmes (in-person) in adolescents with idiopathic scoliosis also showed a reduction in the Cobb angle.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of traditional rehabilitation programme versus telerehabilitation in adolescents with idiopathic scoliosis during the COVID-19 pandemic: a cohort study

Mantelatto Andrade,

Gomes Santana,

Verttú Schmidt

et al. 2024

JRM

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“…The review included 20 studies for a total of 224,806 subjects (93.1% with orthopedic complaints and 6.9% with non-orthopedic ones) and confirmed that telerehabilitation was a safe option to remotely deliver rehabilitation information while respecting social distancing, reducing the risk of infection and the burden of travel [ 45 ]. There is increasing evidence in Literature to support orthopedic telerehabilitation, due to its positive effects on various clinical conditions (including TKA), though the investigated telerehabilitation systems differ in terms of implemented features [ 46 , 47 , 48 , 49 ]. In the last years, we have experimented the need for implementing telehealth services in total joint replacement orthopedic practice due to the higher age of the patients and the risks of complications from COVID-19 [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Telerehabilitation Is a Valid Option for Total Knee Arthroplasty Patients: A Retrospective Pilot Study Based on Our Experience during the COVID-19 Pandemic

Venosa,

Romanini,

Ciminello

et al. 2023

Healthcare

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Introduction: Total knee arthroplasty is an effective operation. Post-surgery rehabilitation, based on early and intensive progressive exercise programs, plays a substantial role and telerehabilitation can be an effective safe option. This retrospective study aimed to compare traditional in-presence rehabilitation and telerehabilitation for total knee arthroplasty, based on our experience during the Italian COVID-19 lockdown. Materials and methods: We retrospectively analyzed 164 patients (94 females and 70 males) enrolled in 2020 within 2 weeks after total knee replacement to perform post-operative outpatient rehabilitation. The clinical results of 82 patients (mean age 66.8 ± 10.2 years) performing telerehabilitation with those obtained from a similar cohort of 82 patients (mean age 65.4 ± 11.8 years) performing traditional in-presence outpatient rehabilitation were compared. Clinical outcomes were examined by comparing the gait speed (Time Up and Go-TUG test), the range of motion, the pain intensity (VAS), the functional status (Oxford Knee Score—OKS and Knee injury and Osteoarthritis Outcome Score—KOOS) and the overall satisfaction (Self-administered patient satisfaction scale) 12 weeks after the beginning of the physiotherapeutic protocol. Results: Telerehabilitation was non-inferior to traditional in-presence rehabilitation in all of the investigated areas and no statistical difference in terms of effectiveness was detected at 12 weeks, as confirmed by the respective patient-reported outcome scores such as TUG test (reduced from 20 ± 2 s to 12 ± 1.5 s for the telerehab cohort and from 18 ± 1.5 s to 13.1 ± 2 s for the in-presence rehabilitation one), pain VAS, OKS (improved from 22 ± 1.3 to 36 ± 2.7 for the telerehab cohort and from 23 ± 2.1 to 35.1 ± 4.2 for the in-presence group), KOOS (improved from 46.2 ± 10.2 to 67.4 ± 3.8 for the telerehabilitation cohort and from 48.4 ± 8.4 to 68.3 ± 6.6 for the other group), and the Self-administered patient satisfaction scale (more than two-thirds of patients globally satisfied with the results of their surgery in both groups). Conclusion: The telerehabilitation program was effective after total knee replacement and yielded clinical outcomes that were not inferior to conventional outpatient protocols.

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“…Furthermore, the skill transfer from the virtual to the real world is still under debate [30], and a small evidence base supports its use in enhancing athletic performance [32]. However, the debate on using VR in rehabilitation settings has grown substantially recently [118,[146][147][148], suggesting that virtual environments can be useful from this perspective.…”

Section: Definition and Historymentioning

confidence: 99%

Technological Breakthroughs in Sport: Current Practice and Future Potential of Artificial Intelligence, Virtual Reality, Augmented Reality, and Modern Data Visualization in Performance Analysis

Cossich,

Carlgren,

Holash

et al. 2023

Applied Sciences

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We are currently witnessing an unprecedented era of digital transformation in sports, driven by the revolutions in Artificial Intelligence (AI), Virtual Reality (VR), Augmented Reality (AR), and Data Visualization (DV). These technologies hold the promise of redefining sports performance analysis, automating data collection, creating immersive training environments, and enhancing decision-making processes. Traditionally, performance analysis in sports relied on manual data collection, subjective observations, and standard statistical models. These methods, while effective, had limitations in terms of time and subjectivity. However, recent advances in technology have ushered in a new era of objective and real-time performance analysis. AI has revolutionized sports analysis by streamlining data collection, processing vast datasets, and automating information synthesis. VR introduces highly realistic training environments, allowing athletes to train and refine their skills in controlled settings. AR overlays digital information onto the real sports environment, providing real-time feedback and facilitating tactical planning. DV techniques convert complex data into visual representations, improving the understanding of performance metrics. In this paper, we explore the potential of these emerging technologies to transform sports performance analysis, offering valuable resources to coaches and athletes. We aim to enhance athletes’ performance, optimize training strategies, and inform decision-making processes. Additionally, we identify challenges and propose solutions for integrating these technologies into current sports analysis practices. This narrative review provides a comprehensive analysis of the historical context and evolution of performance analysis in sports science, highlighting current methods’ merits and limitations. It delves into the transformative potential of AI, VR, AR, and DV, offering insights into how these tools can be integrated into a theoretical model.

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Telemedicine-Rehabilitation and Virtual Reality in Orthopaedics and Sports Medicine

Cited by 6 publications

References 61 publications

Effect of traditional rehabilitation programme versus telerehabilitation in adolescents with idiopathic scoliosis during the COVID-19 pandemic: a cohort study

Effect of traditional rehabilitation programme versus telerehabilitation in adolescents with idiopathic scoliosis during the COVID-19 pandemic: a cohort study

Telerehabilitation Is a Valid Option for Total Knee Arthroplasty Patients: A Retrospective Pilot Study Based on Our Experience during the COVID-19 Pandemic

Technological Breakthroughs in Sport: Current Practice and Future Potential of Artificial Intelligence, Virtual Reality, Augmented Reality, and Modern Data Visualization in Performance Analysis

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