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Telerehabilitation for patients with total knee replacement.

Internet-based outpatient telerehabilitation for patients with total knee replacement is as effective as traditional face-to-face therapy for improving physical and functional patient outcomes. A randomised controlled trial

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12606000346572
Enrollment
65
Registered
2006-08-14
Start date
2002-11-14
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This prospective randomised controlled trial will evaluate the efficacy of providing outpatient physiotherapy rehabilitation to patients via a low-bandwidth Internet-based telerehabilitation system. Possitive outcomes will pave the way for remotely delivered rehabilitation programs via the Internet.

Interventions

Outpatients participated in either a telerehabilitation once a week for a period of six weeks. The telerehabilitation program involved participants receiving their rehabilitation program via a videoconference established across an internet link using a custom built telerehabilitation system. As no physical contact between therapist and patient was possible across the link, the rehabilitation program consisted of self-applied techniques under the supervision of the remote therapist and a customis

Outpatients participated in either a telerehabilitation once a week for a period of six weeks. The telerehabilitation program involved participants receiving their rehabilitation program via a videoconference established across an internet link using a custom built telerehabilitation system. As no physical contact between therapist and patient was possible across the link, the rehabilitation program consisted of self-applied techniques under the supervision of the remote therapist and a customised exercise program to adress the participants specific rehabilitation needs.

Sponsors

University of Queensland
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Healthy subjects with no concomitant medical conditions that would prevent them from participating in a physical rehabilitation program (e.g. severe chronic obstructive pulmonary disease)2. Adult subjects who could provide informed consent. 3. Normal mentation with the ability to accurately follow commands4. Uni-compartmental, unilateral or bilateral total knee replacement. May have a fully constrained, semi-constrained or unconstrained prosthesis 5. Common surgical approach for total knee replacement including: medial parapatellar arthrotomy technique, subvastus arthrotomy technique or trivector-retaining arthrotomy technique6. The ability to attend physiotherapy rehabilitation for a minimum period of six weeks post operatively7. Ability to at least partially weight-bear.8. Ability to participate voluntarily and provide signed informed consent.

Exclusion criteria

1. Concomitant medical conditions such as malignancy, which may interfere with the normal rehabilitation process2. Medical conditions that may interfere with balance, such as Parkinson’s disease, or conditions in which the performance of an open kinetic chain, inner-range quadriceps contraction against resistance is contraindicated, such as anterior cruciate ligament surgery3. Inability to walk with or without a walking aid4. Inability to speak and write in English 5. Inability to refrain from receiving any additional therapy for their knee during the six-week intervention period apart from prescribed medication therapy.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026