Efficacy of telerehabilitation in the postoperative period of patients with knee arthroplasty
Keywords:
telerehabilitation, knee arthroplasty, postoperative, revisionAbstract
Knee arthroplasty is a surgical operation to replace the damaged part of the knee. Subsequent physical rehabilitation is an essential part of improving functional outcomes and quality of life. Recently, it has been proposed to carry it out through telerehabilitation programs, which are defined as a set of tools to provide rehabilitation remotely. It involves the use of various communication technologies to efficiently provide rehabilitation services remotely. The objective is to evaluate the effectiveness of telerehabilitation in the postoperative period of patients with knee arthroplasty. A review was carried out following the PRISMA regulations. The databases of PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS were consulted. 106 studies were obtained. After removing duplicates and applying the inclusion criteria, 7 trials remained. The sample was 842 patients undergoing knee arthroplasty. The duration of the program ranged from 12 days to 16 weeks. All studies showed safety, tolerability and no major side effects. Telerehabilitation is effective in the postoperative period of patients with knee arthroplasty. This type of rehabilitation improves physical functions, quality of life, occupational performance, self-efficacy, knee range of motion, pain, and patient satisfaction. It is cost-effective, improves access to rehabilitation services, the efficiency of service delivery and may be a more practical alternative to standard care.
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