Cited by 171Total Knee Arthroplasty OutcomesTelemedicine and Telehealth ImplementationMedical Practices and Rehabilitation

The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: A systematic review and meta-analysis

Jiang, Shuihua, Xiang, Jie, Gao, Xiuming, Guo, Kaijin, Liu, Baohua·2018·Journal of Telemedicine and Telecare

Abstract

Introduction The objective of this study was to assess the efficacy of telerehabilitation for patients after total knee arthroplasty (TKA) compared with face-to-face rehabilitation. Methods Medline, SCOPUS, Google Scholar, EMBASE, Springer, Science Direct, and Cochrane databases were searched electronically. Relevant journals and references of studies included were hand-searched for randomized controlled trials (RCTs) regarding the efficacy of telerehabilitation on functional recovery in patients after TKA. Two reviewers independently performed data extraction and quality assessment. Data were analysed using RevMan 5.3 software and Stata 12.0 software. Results Four RCTs involving 442 patients were included in the meta-analysis. Overall, compared with face-to-face rehabilitation, telerehabilitation could achieve comparable pain relief (mean difference = 0.52; 95% confidence interval (CI) = -0.20 to 1.24; p = 0.16) and better Western Ontario and McMaster Universities Osteoarthritis Index improvement (mean difference = 1.13; 95% CI = 0.23 to 2.02; p = 0.014). In addition, telerehabilitation treatment resulted in a significantly higher extension range ( p < 0.00001) and quadriceps strength ( p = 0.0002) than face-to-face rehabilitation. Discussion Telerehabilitation should be recommended for patients after TKA because of its comparable pain control and better improvement of functional recovery as compared to face-to-face rehabilitation.

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Crossref · 10.1177/1357633x16686748

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Authors
Jiang, S., Xiang, J., Gao, X., Guo, K., & Liu, B.
Affiliations
  • Department of Rehabilitation Medicine, The Affiliated Hospital of Xuzhou Medical University, Jiangshu, China
  • Wenzhou Medical University (CN)
Corresponding author
Liu, Baohua
Venue
Journal of Telemedicine and Telecare
Published
2016-12-27
Volume
24
Issue
4
Pages
257-262
ISSN
  • 1357-633X (ISSN-L)
  • 1758-1109
OpenAlex
W2578903945
Cited by
171
References
24
Citations by year
2026: 10 · 2025: 12 · 2024: 34 · 2023: 41 · 2022: 33 · 2021: 18 · 2020: 12 · 2019: 5 · 2018: 4 · 2017: 1
FWCI
0.66
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Telemedicine and Telecare (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
telerehabilitation, total knee arthroplasty, face-to-face rehabilitation, functional recovery, analgesia, Western Ontario and McMaster Universities Osteoarthritis Index, knee range of motion, quadriceps strength, telemedicine
MeSH terms
Telerehabilitation, Humans, Randomized Controlled Trials as Topic, Range of Motion, Articular, Arthroplasty, Replacement, Knee, Recovery of Function, Pain Management

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