Effectiveness of Telerehabilitation in Total Knee Arthroplasty

Comparison of the Effectiveness of Telerehabilitation in Individuals With Total Knee Arthroplasty

In patients who have had joint replacement surgery, there is a shortage of concrete evidence regarding the effectiveness of telerehabilitation. The aim of this study is to compare telerehabilitation with home based exercise program and standard home exercise program in total knee arthroplasty.

The primary aim of our study is to assess the effectiveness of telerehabilitation in comparison to the conventional approach, specifically focusing on particular parameters, in the context of post-total knee arthroplasty surgery. This investigation will entail a comparative analysis between a home exercise program prescription supplemented with visual and video resources using telerehabilitation and the conventional home exercise program prescription.

The aim of our study is comparison between two exercise prescription modalities : a standard home exercise program and an internet-based program utilizing the Rehab My Patient software with visual and video support, in addition to telerehabilitation program, which involves exercise prescription oversight via video consultations. This comparison will include the following parameters : range of motion, proprioception , function, kinesiophobia, pain , patient adherence, patient satisfaction and Quadriceps muscle strength.

Inclusion Criteria:

• Participants aged 50 and over
• Having a primary total knee arthroplasty surgery
• To possess a device, such as a smartphone or tablet, that enables access to mobile applications.
• To have the capability to use the internet and to have internet access.
• Proficiency in reading and writing in the Turkish language
• Having a Mini-Mental State Examination(MMSE) score of 24 or higher
• To be willing to participate in the study

Exclusion Criteria:

• Having cognitive problem
• Having a secondary total knee arthroplasty surgery
• Havig a revision surgery
• Having a history of cerebrovascular and/or cardiovascular events in the last 3 months
• Having uncontrolled diabetes and/or hypertension
• Having a arthrogenic muscle inhibition