INVESTIGATION OF THE EFFECTS OF THE TELE-REHABILITATION PROGRAM AFTER TOTAL KNEE PROSTHESIS: A RANDOMIZED CONTROLLED TRIAL

Abstract

Purpose: This study aimed to compare the protocols applied in individuals who received tele-rehabilitation (TR-PTR) and face-to-face physical therapy and rehabilitation (FF-PTR) program after total knee prosthesis (TKP) surgery in terms of physical and functional parameters and to evaluate the satisfaction of tele-rehabilitation (TR) service recipients. Methods: Thirty-seven individuals who underwent TKP surgery were randomly divided into two groups: TR-PTR and FF-PTR program. The knee joint range of motion (K-ROM) of the individuals included in the study was determined by universal goniometer; physical performances were evaluated with the “Timed Get-Up-and-Walk Test”, “6-Minute Walk Test”, and “5 Times Sit-to-Stand Test”, their functionality was evaluated with the “Western Ontario and McMaster Universities Osteoarthritis Index” (WOMAC), and their compliance with the exercise program was evaluated with the “Exercise Adherence Rating Scale”. “Tele-Health Usability Questionnaire” and “Tele-Medicine Satisfaction Questionnaire” were administered to the TR-PTR group. Applications in both groups were carried out face to face. Results: Significant improvements were found in active and passive measurements of K-ROM (except passive knee extension) (p<0.05), physical performance evaluations and functionality of both groups after treatment (p<0.05). It was found that the changes in these parameters were similar between the groups and there was no significant difference in terms of exercise adherence (p>0.05). Conclusion: TR-PTR and FF-PTR programs are effective in improving the physical and functional parameters of individuals after TKA surgery. We recommend the use of TR services in individuals with orthopedic problems because it gives similar results to the FF-FTR program.

Keywords

• Knee Prosthesis
• Satisfaction
• Osteoarthritis
• Telerehabilitation

TOTAL DİZ PROTEZİ CERRAHİSİ SONRASI TELE-REHABİLİTASYON PROGRAMININ ETKİLERİNİN ARAŞTIRILMASI: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öz

Amaç: Çalışmamızın amacı; total diz protezi (TDP) cerrahisi sonrası tele-rehabilitasyon programı (TR-FTR) ve yüz yüze fizik tedavi ve rehabilitasyon programı (YY-FTR) alan bireylerde uygulanan protokolleri fiziksel ve fonksiyonel parametreler açısından karşılaştırmak ve tele-rehabilitasyon (TR) hizmeti alanların bu hizmetten memnuniyetlerini değerlendirmekti. Yöntem: TDP cerrahisi geçirmiş 37 birey randomize olarak TR-FTR ve YY-FTR grubu olacak şekilde ikiye ayrıldı. Çalışmaya dahil olan bireylerin diz eklem hareket açıklığı (D-EHA) universal gonyometre ile; fiziksel performansları “Zamanlı Kalk ve Yürü Testi”, “6 Dakika Yürüme Testi”, “5 Tekrarlı Otur-Kalk Testi” ile; fonksiyonellikleri “Western Ontario ve McMaster Üniversiteleri Osteoartrit İndeksi” (WOMAC) ile, egzersiz programına uyumu ise “Egzersize Uyum Derecelendirme Ölçeği” ile değerlendirildi. TR-FTR’ye katılanlara “Tele-Sağlık Kullanılabilirlik Anketi” ve “Tele-Tıp Memnuniyet Anketi” uygulandı. Her iki gruba uygulanan testler ve anketler yüz yüze olarak yapıldı. Sonuçlar: Her iki grubun da tedavi sonrası D-EHA aktif ve pasif ölçümlerinde (pasif diz ekstansiyonu hariç) (p<0,05), fiziksel performans değerlendirmelerinde ve fonksiyonelliklerinde anlamlı gelişmeler bulundu (p<0,05). Bu parametrelerdeki değişimlerin gruplar arasında benzer olduğu ve egzersize uyum açısından da anlamlı fark olmadığı bulundu (p>0,05). Tartışma: TDP cerrahisi sonrası TR-FTR ve YY-FTR bireylerin fiziksel ve fonksiyonel parametrelerinin geliştirilmesi açısından etkilidir. TR hizmetlerinin ortopedik problemi olan bireylerde YY-FTR’ye benzer sonuçlar vermesinden dolayı kullanılmasını önermekteyiz.

Anahtar Kelimeler

• Diz Protezi
• Memnuniyet
• Osteoartrit
• Telerehabilitasyon

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