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The Efficacy of Tele-Rehabilitation Program for Improving Upper Limb Function among Adults Following Elbow Fractures: A Pilot Study
Open accessAbstract
Background: Active mobilization post-elbow fractures reduces the incidence of complications. Occupational therapists use tele-rehabilitation, incorporating technology into their practices. There is a lack of evidence-based trials regarding the integration of tele-rehabilitation during treatment. We therefore aimed to compare tele-rehabilitation treatment outcomes with conventional rehabilitation in improving the upper limb function post-elbow fractures. Methods: Eighteen participants post-elbow surgery due to fracture were divided into two groups according to age and fracture type. The groups received one month of treatment: the tele-rehabilitation group (N = 9, median age 33.0 ± 27.9 years, range 18.5–61.0) received 1–2 tele-rehabilitation treatments per week via a biofeedback system of elbow motion (the ArmTutor and 3D Tutor systems, MediTouch Ltd., Netanya, Israel) and 1–2 treatments in an outpatient clinic, and the control group (N = 9, median age 60.0 ± 37.0 years, range 20.5–73.0) received 3–4 treatments per week in the clinic. Both groups were instructed to self-practice at home. Four evaluations were performed: before and after the intervention, and 3 months and 1 year from surgery. The outcome measures included the Jebsen–Taylor hand function test; the disabilities of the arm, shoulder, and hand questionnaire; the patient-rated elbow evaluation; satisfaction; passive and active range of motion (ROM); and strength measurements. Results: Findings demonstrated a significant improvement in the ROM and in functional assessments in both groups. No statistically significant differences were found between the groups. The subjects in the tele-rehabilitation group reported a higher level of satisfaction and needed less help from a family member during practice. Conclusions: Tele-rehabilitation programs could be incorporated in the framework of treatment following elbow fractures. Tele-rehabilitation is a cost-effective treatment, suitable for patients with accessibility difficulties or who have difficulty arriving at the clinic.
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“Nevertheless, a pilot study reporting similar outcomes between in-person care and a hybrid format of telerehabilitation hinted that digital interventions for EP management may have similar outcomes as conventional therapies [40].”
From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [40]
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“To the best of our knowledge, only one study addressed telerehabilitation of patients with EP. In this pilot study (N = 18), telerehabilitation was compared to conventional therapy in patients who underwent surgery after an elbow fracture [40].”
From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [40]
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Reliability and validity of grip and pinch strength evaluations
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An objective and standardized test of hand function.
Jebsen, R. H., Taylor, N. F., Trieschmann, R. B., Trotter, M. J., & Howard, L. (1969) · PubMed · Cited by 1,705
Measuring the whole or the parts?
Beaton, D., Katz, J. N., Fossel, A. H., Wright, J. G., Tarasuk, V. S., & Bombardier, C. (2001) · Journal of Hand Therapy · doi:10.1016/s0894-1130(01)80043-0 · Cited by 1,306
Telerehabilitation services for stroke
Laver, K., Adey‐Wakeling, Z., Crotty, M., Lannin, N. A., George, S., & Sherrington, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010255.pub3 · Cited by 724
Cottrell, M. A., Galea, O. A., O’Leary, S. P., Hill, A. J., & Russell, T. G. (2017) · Clinical Rehabilitation · doi:10.1177/0269215516645148 · Cited by 708
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Comparison of Rolyan and Jamar dynamometers for measuring grip strength
Mathiowetz, V. G. (2002) · Occupational Therapy International · doi:10.1002/oti.165 · Cited by 350
Musculoskeletal Physical Therapy During the COVID-19 Pandemic: Is Telerehabilitation the Answer?
Turolla, A., Rossettini, G., Viceconti, A., Palese, A., & Geri, T. (2020) · Physical Therapy · doi:10.1093/ptj/pzaa093 · Cited by 306
Research works printed but not linked: 1
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Cited by
Amin, J., Ahmad, B., Amin, S., Siddiqui, A. A., & Alam, M. K. (2022) · BioMed Research International · doi:10.1155/2022/7366063 · Cited by 74
Lessons Learned during a Naturalistic Study of Online Treatment for Pediatric Rehabilitation
Gefen, N., Steinhart, S., Beeri, M., & Weiss, P. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126659 · Cited by 32
Hsu, C., Huang, H., Chen, C., Fu, Y., Chou, P., & Hsu, N. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11112983 · Cited by 16
Belotti, N., Bonfanti, S., Locatelli, A., Rota, L., Ghidotti, A., & Vitali, A. (2022) · Studies in health technology and informatics · doi:10.3233/shti220361 · Cited by 14
Horoz, L., Karaçay, B. Ç., Ceylan, İ., & Çakmak, M. F. (2024) · Turkish Journal of Physical Medicine and Rehabilitation · doi:10.5606/tftrd.2024.13739 · Cited by 9
Metadata
- Authors
- Mayer, N., Portnoy, S., Palti, R., & Levanon, Y.
- Affiliations
- Tel Aviv University (IL)
- Sheba Medical Center (IL)
- Corresponding author
- Portnoy, Sigal
- ORCID
- Portnoy, Sigal
- Venue
- Applied Sciences
- Publisher
- MDPI AG
- Published
- 2021-02-14
- Volume
- 11
- Issue
- 4
- Pages
- 1708
- ISSN
- 2076-3417 (ISSN-L)
- OpenAlex
- W3130742113
- Cited by
- 17
- References
- 45
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 4 · 2022: 5 · 2021: 1
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Applied Sciences (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Elbow and Forearm Trauma Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- telerehabilitation, elbow fractures, upper limb function, biofeedback, elbow range of motion, hand function, postoperative rehabilitation, patient satisfaction, occupational therapy
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- Mayer, N., Portnoy, S., Palti, R., & Levanon, Y. (2021). The Efficacy of Tele-Rehabilitation Program for Improving Upper Limb Function among Adults Following Elbow Fractures: A Pilot Study. Applied Sciences. https://doi.org/10.3390/app11041708
