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The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: A systematic review and meta-analysis
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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“Previous studies, analyzing the effectiveness of telerehabilitation in other MSK conditions, show similar or even superior results in comparison to face-to-face care [28,38].”
From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [38]
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Metadata
- 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
- Publisher
- SAGE Publications
- 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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