Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty: A Randomized Controlled Trial
Abstract
Background total knee arthroplasty is an effective means for relieving the symptoms associated with degenerative arthritis of the knee. Rehabilitation is a necessary adjunct to surgery and is important in regaining optimum function. Access to high-quality rehabilitation services is not always possible, especially for those who live in rural or remote areas. The aim of this study was to evaluate the equivalence of an Internet-based telerehabilitation program compared with conventional outpatient physical therapy for patients who have had a total knee arthroplasty. Methods this investigation was a single-blinded, prospective, randomized, controlled noninferiority trial. Sixty-five participants were randomized to receive a six-week program of outpatient physical therapy either in the conventional manner or by means of an Internet-based telerehabilitation program. The primary outcome measure was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) measured at baseline and six weeks by a blinded independent assessor. Secondary outcomes included the Patient-Specific Functional Scale, the timed up-and-go test, pain intensity, knee flexion and extension, quadriceps muscle strength, limb girth measurements, and an assessment of gait. Noninferiority was assessed through the comparison of group differences with a noninferiority margin and with linear mixed model statistics. Results baseline characteristics between groups were similar, and all participants had signi…
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Previous studies have provided evidence for the efficacy of telehealth in chronic pain populations.
“Previous studies have provided evidence for the efficacy of telehealth in chronic pain populations.2,49”
From Telehealth Versus In-Person Acceptance and Commitment Therapy for Chronic Pain: A Randomized Noninferiority Trial. (2017) · cites this paper as Russell et al., 2011
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- Authors
- Russell, T. G., Buttrum, P., Wootton, R., & Jull, G. A.
- Affiliations
- The University of Queensland (AU)
- Queen Elizabeth II Jubilee Hospital (AU)
- Venue
- The Journal of Bone and Joint Surgery-American Volume
- Published
- 2011-01
- Volume
- 93
- Issue
- 2
- Pages
- 113-120
- ISSN
- 0021-9355 (ISSN-L)
- OpenAlex
- W2058464189
- Cited by
- 382
- References
- 51
- Citations by year
- 2026: 20 · 2025: 24 · 2024: 21 · 2023: 40 · 2022: 43 · 2021: 48 · 2020: 44 · 2019: 21 · 2018: 16 · 2017: 21 · 2016: 21 · 2015: 15 · 2014: 14 · 2013: 16 · 2012: 12
- FWCI
- 15.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Bone and Joint Surgery (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
- total knee arthroplasty, telerehabilitation, internet-based rehabilitation, outpatient physical therapy, knee osteoarthritis, non-inferiority, WOMAC, Patient-Specific Functional Scale, range of motion, quadriceps strength, gait, pain
- MeSH terms
- Aged, Ambulatory Care, Exercise Therapy, Female, Humans, Knee Prosthesis, Male, Middle Aged, Ontario, Outpatients, Pain Measurement, Postoperative Care, Prognosis, Prospective Studies, Reference Values, Therapy, Computer-Assisted, Confidence Intervals, Single-Blind Method, Range of Motion, Articular, Treatment Outcome, Telemedicine, Statistics, Nonparametric, Arthroplasty, Replacement, Knee, Recovery of Function, Osteoarthritis, Knee, Internet, Physical Therapy Modalities
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