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Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty

Yıl 2025, Cilt: 12 Sayı: 3, 289 - 294, 29.12.2025
https://doi.org/10.47572/muskutd.1716062

Öz

Telerehabilitation has become a vital component of digital health, particularly due to increasing prevalence of musculoskeletal conditions with aging population and the need for accessible, cost-effective care. Its role in orthopedic conditions has gained importance in recent years and our review aims to summarize the current evidence and technological tools associated in orthopedic rehabilitation practice, with a focus on knee and hip osteoarthritis and arthroplasty. Emerging technology such as mobile apps, virtual reality, and wearable sensors enhance administration, enrollment, personalization, and data collection. Telerehabilitation literature demonstrates clinical equivalence to conventional “on hands” rehabilitation in terms of pain relief, physical function, and quality of life, particularly in total knee arthroplasty (TKA). Positive outcomes have also been reported following total hip arthroplasty (THA) and hip fractures. Overall, telerehabilitation represents a transformative approach to musculoskeletal care, offering promising results in orthopedic patients. We think that advances in implementing engineering in medicine may define the future of post-operative and chronic condition management.

Kaynakça

  • Zampolini M, Oral A, Barotsis N, et al. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section). Eur J Phys Rehabil Med. 2024;60:165–81.
  • Cieza A, Causey K, Kamenov K et al.Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:2006–17.
  • Cottrell MA, Galea OA, O’Leary SP et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clin Rehabil. 2017;31:625–38.
  • Fusco F, Turchetti G. Telerehabilitation after total knee replacement in Italy: cost-effectiveness and cost-utility analysis of a mixed telerehabilitation-standard rehabilitation programme compared with usual care. BMJ Open. 2016;6:e9964.
  • Baigi SFM, Kimiafar K, Ghaddaripouri K, et al. The effect of telerehabilitation on improving the physical activity of patients with osteoarthritis: A systematic review. J Educ Health Promot. 2023;12:289.
  • Olsen RJ, Hasan SS, Woo JJ, et al. The Fundamentals and Applications of Wearable Sensor Devices in Sports Medicine: A Scoping Review. Arthroscopy. 2024;40:1005–12.
  • Ortiz-Piña M, Salas-Fariña Z, Mora-Traverso M, et al. A home-based tele-rehabilitation protocol for patients with hip fracture called activehip. Res Nurs Health. 2019;42:29–38.
  • Wang L, Zhang L, He C. Research Progress and Hot Topics in Telerehabilitation for Hip or Knee Arthroplasty. Orthop Surg. 2025;17:112–20.
  • Raje S, Shetty AG, Shetty S, et al. Application of digital technology in rehabilitation of total knee arthroplasty: A systematic review. J Orthop. 2024;40:108–15.
  • Jansson MM, Harjumaa M, Puhto AP, et al. Healthcare professionals’ proposed eHealth needs in elective primary fast-track hip and knee arthroplasty journey: A qualitative interview study. J Clin Nurs. 2019;28:4434–46.
  • Wijnen A, Hoogland J, Munsterman T, et al. Effectiveness of a home-based rehabilitation program after total hip arthroplasty driven by a tablet app and remote coaching: Nonrandomized controlled trial combining a single-arm intervention cohort with historical controls. JMIR Rehabil Assist Technol. 2020;7:e18028.
  • LeBrun DG, Malfer C, Wilson M, et al. Telemedicine in an Outpatient Arthroplasty Setting During the COVID-19 Pandemic: Early Lessons from New York City. HSS J. 2021;17:25–30.
  • Mazurek J, Cieślik B, Wrzeciono A, et al. Immersive Virtual Reality Therapy Is Supportive for Orthopedic Rehabilitation among the Elderly: A Randomized Controlled Trial. J Clin Med. 2023;12:1504.
  • Acosta-Vargas P, Flor O, Salvador-Acosta B, et al. Inertial Sensors for Hip Arthroplasty Rehabilitation: A Scoping Review. Sensors. 2023;23:3045.
  • Zachwieja E, Theosmy EG, Yacovelli SJ, et al. Web-Based Self-Directed Exercise Program Is Cost-Effective Compared to Formal Physical Therapy After Primary Total Knee Arthroplasty. J Arthroplasty. 2020;35:2335–41.
  • Bäcker HC, Wu CH, Pförringer D, et al. A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA. J Pers Med. 2022;12:345.
  • Tudor-Locke C, Sisson SB, Lee SM, et al. Evaluation of quality of commercial pedometers. Can J Public Health. 2006;97 Suppl 1:S10–5.
  • Abbas M, Le Bouquin Jeannès R. Acceleration-based gait analysis for frailty assessment in older adults. Pattern Recognit Lett. 2022;161:45–51.
  • Zügner R, Tranberg R, Timperley J, et al. Validation of inertial measurement units with optical tracking system in patients operated with Total hip arthroplasty. BMC Musculoskelet Disord. 2019;20:123.
  • Chen T, Or CK, Chen J. Effects of technology-supported exercise programs on the knee pain, physical function, and quality of life of individuals with knee osteoarthritis and/or chronic knee pain: A systematic review and meta-analysis of randomized controlled trials. J Am Med Inform Assoc. 2021;28:414–23.
  • Russell TG, Buttrum P, Wootton R, et al. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: A randomized controlled trial. J Bone Joint Surg Am. 2011;93:113–20.
  • Moffet H, Tousignant M, Nadeau S, et al. In-home telerehabilitation compared with face-to-face rehabilitation after total knee arthroplasty: A noninferiority randomized controlled trial. J Bone Joint Surg Am. 2015;97:1129–41.
  • Kalron A, Tawil H, Peleg-Shani S, et al. Effect of telerehabilitation on mobility in people after hip surgery: A pilot feasibility study. Int J Rehabil Res. 2018;41:244–50.

Ortopedik Rehabilitasyon Uygulamalarında Telerehabilitasyonun Rolü: Alt Ekstremite Osteoartrit ve Artroplastileri Odaklı Bir Derleme

Yıl 2025, Cilt: 12 Sayı: 3, 289 - 294, 29.12.2025
https://doi.org/10.47572/muskutd.1716062

Öz

Telerehabilitasyon, özellikle yaşlanan nüfus ve kas-iskelet sistemi hastalıklarının artan yaygınlığı sonucu erişilebilir ve uygun maliyetli bakıma duyulan ihtiyaçla birlikte dijital sağlığın hayati bir bileşeni haline gelmiştir. Telerehabilitasyonun ortopedik hastalıklarda rolü son yıllarda önem kazanmış olup, bu derleme ortopedik rehabilitasyon uygulamalarında mevcut kanıtları ve kullanılan teknolojik araçları özetlemeyi amaçlamaktadır. Mobil uygulamalar, sanal gerçeklik ve giyilebilir sensörler gibi yeni teknolojiler, uygulamaları, kişiselleştirmeyi ve veri toplamayı geliştirmektedir. Telerehabilitasyon, güncel literatürde özellikle total diz artroplastisinde (TDA) ağrı kesici, fiziksel işlev ve yaşam kalitesi açısından geleneksel "elle" rehabilitasyona klinik eşdeğerlik göstermektedir. Total kalça artroplastisi (TKA) ve kalça kırıkları sonrasında da olumlu sonuçlar bildirilmiştir. Genel olarak telerehabilitasyon, ortopedik hastalarda umut verici sonuçlar sunan, kas-iskelet sistemi bakımında dönüştürücü bir yaklaşımı temsil etmektedir. Tıpta mühendislik uygulamalarındaki ilerlemelerin, post-operatif ve kronik hastalık yönetiminin geleceğini şekillendirebileceğine inanıyoruz.

Kaynakça

  • Zampolini M, Oral A, Barotsis N, et al. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section). Eur J Phys Rehabil Med. 2024;60:165–81.
  • Cieza A, Causey K, Kamenov K et al.Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:2006–17.
  • Cottrell MA, Galea OA, O’Leary SP et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clin Rehabil. 2017;31:625–38.
  • Fusco F, Turchetti G. Telerehabilitation after total knee replacement in Italy: cost-effectiveness and cost-utility analysis of a mixed telerehabilitation-standard rehabilitation programme compared with usual care. BMJ Open. 2016;6:e9964.
  • Baigi SFM, Kimiafar K, Ghaddaripouri K, et al. The effect of telerehabilitation on improving the physical activity of patients with osteoarthritis: A systematic review. J Educ Health Promot. 2023;12:289.
  • Olsen RJ, Hasan SS, Woo JJ, et al. The Fundamentals and Applications of Wearable Sensor Devices in Sports Medicine: A Scoping Review. Arthroscopy. 2024;40:1005–12.
  • Ortiz-Piña M, Salas-Fariña Z, Mora-Traverso M, et al. A home-based tele-rehabilitation protocol for patients with hip fracture called activehip. Res Nurs Health. 2019;42:29–38.
  • Wang L, Zhang L, He C. Research Progress and Hot Topics in Telerehabilitation for Hip or Knee Arthroplasty. Orthop Surg. 2025;17:112–20.
  • Raje S, Shetty AG, Shetty S, et al. Application of digital technology in rehabilitation of total knee arthroplasty: A systematic review. J Orthop. 2024;40:108–15.
  • Jansson MM, Harjumaa M, Puhto AP, et al. Healthcare professionals’ proposed eHealth needs in elective primary fast-track hip and knee arthroplasty journey: A qualitative interview study. J Clin Nurs. 2019;28:4434–46.
  • Wijnen A, Hoogland J, Munsterman T, et al. Effectiveness of a home-based rehabilitation program after total hip arthroplasty driven by a tablet app and remote coaching: Nonrandomized controlled trial combining a single-arm intervention cohort with historical controls. JMIR Rehabil Assist Technol. 2020;7:e18028.
  • LeBrun DG, Malfer C, Wilson M, et al. Telemedicine in an Outpatient Arthroplasty Setting During the COVID-19 Pandemic: Early Lessons from New York City. HSS J. 2021;17:25–30.
  • Mazurek J, Cieślik B, Wrzeciono A, et al. Immersive Virtual Reality Therapy Is Supportive for Orthopedic Rehabilitation among the Elderly: A Randomized Controlled Trial. J Clin Med. 2023;12:1504.
  • Acosta-Vargas P, Flor O, Salvador-Acosta B, et al. Inertial Sensors for Hip Arthroplasty Rehabilitation: A Scoping Review. Sensors. 2023;23:3045.
  • Zachwieja E, Theosmy EG, Yacovelli SJ, et al. Web-Based Self-Directed Exercise Program Is Cost-Effective Compared to Formal Physical Therapy After Primary Total Knee Arthroplasty. J Arthroplasty. 2020;35:2335–41.
  • Bäcker HC, Wu CH, Pförringer D, et al. A Review of Functional Outcomes after the App-Based Rehabilitation of Patients with TKA and THA. J Pers Med. 2022;12:345.
  • Tudor-Locke C, Sisson SB, Lee SM, et al. Evaluation of quality of commercial pedometers. Can J Public Health. 2006;97 Suppl 1:S10–5.
  • Abbas M, Le Bouquin Jeannès R. Acceleration-based gait analysis for frailty assessment in older adults. Pattern Recognit Lett. 2022;161:45–51.
  • Zügner R, Tranberg R, Timperley J, et al. Validation of inertial measurement units with optical tracking system in patients operated with Total hip arthroplasty. BMC Musculoskelet Disord. 2019;20:123.
  • Chen T, Or CK, Chen J. Effects of technology-supported exercise programs on the knee pain, physical function, and quality of life of individuals with knee osteoarthritis and/or chronic knee pain: A systematic review and meta-analysis of randomized controlled trials. J Am Med Inform Assoc. 2021;28:414–23.
  • Russell TG, Buttrum P, Wootton R, et al. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: A randomized controlled trial. J Bone Joint Surg Am. 2011;93:113–20.
  • Moffet H, Tousignant M, Nadeau S, et al. In-home telerehabilitation compared with face-to-face rehabilitation after total knee arthroplasty: A noninferiority randomized controlled trial. J Bone Joint Surg Am. 2015;97:1129–41.
  • Kalron A, Tawil H, Peleg-Shani S, et al. Effect of telerehabilitation on mobility in people after hip surgery: A pilot feasibility study. Int J Rehabil Res. 2018;41:244–50.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Derleme
Yazarlar

Nurgül Arıncı İncel 0000-0002-0012-8720

Orhan Güvener 0000-0003-2771-7055

Figen Dağ 0000-0002-6836-8050

Gönderilme Tarihi 10 Haziran 2025
Kabul Tarihi 18 Ağustos 2025
Yayımlanma Tarihi 29 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 12 Sayı: 3

Kaynak Göster

APA Arıncı İncel, N., Güvener, O., & Dağ, F. (2025). Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 12(3), 289-294. https://doi.org/10.47572/muskutd.1716062
AMA Arıncı İncel N, Güvener O, Dağ F. Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty. MMJ. Aralık 2025;12(3):289-294. doi:10.47572/muskutd.1716062
Chicago Arıncı İncel, Nurgül, Orhan Güvener, ve Figen Dağ. “Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 12, sy. 3 (Aralık 2025): 289-94. https://doi.org/10.47572/muskutd.1716062.
EndNote Arıncı İncel N, Güvener O, Dağ F (01 Aralık 2025) Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 12 3 289–294.
IEEE N. Arıncı İncel, O. Güvener, ve F. Dağ, “Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty”, MMJ, c. 12, sy. 3, ss. 289–294, 2025, doi: 10.47572/muskutd.1716062.
ISNAD Arıncı İncel, Nurgül vd. “Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 12/3 (Aralık2025), 289-294. https://doi.org/10.47572/muskutd.1716062.
JAMA Arıncı İncel N, Güvener O, Dağ F. Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty. MMJ. 2025;12:289–294.
MLA Arıncı İncel, Nurgül vd. “Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, c. 12, sy. 3, 2025, ss. 289-94, doi:10.47572/muskutd.1716062.
Vancouver Arıncı İncel N, Güvener O, Dağ F. Telerehabilitation in Orthopaedic Rehabilitation Practice: A Narrative Review Focused on Lower Limb Osteoarthritis and Arthroplasty. MMJ. 2025;12(3):289-94.