None listed
Conditions
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 customised exercise program to adress the participants specific rehabilitation needs.
Sponsors
Study design
Eligibility
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.