Klinik Araştırma
The Effect of Telehealth-Based Rehabilitation on Patient Reported Outcomes and Objective Clinical Measurements in Patients With Degenerative Meniscal Tear
Öz
Aim: The study aimed to compare the effectiveness of telehealth-based home exercises and conventionally prescribed home exercises in patients with degenerative meniscal tears.
Material and Method: A two-armed, randomized controlled study was conducted with 49 participants with degenerative meniscal disease. Patients were randomized into Telerehabilitation (TR=25) and Conventional Home Exercise Rehabilitation (CR=24) groups. The TR group provided video exercises and self-management education via an online platform. The same protocol was given to the CR group in the clinical setting. Pain with Visual Analog Scale, muscle strength with Hand-Held Dynamometer, proprioception with Baseline bubble inclinometer, functional status with Western Ontario and McMaster Universities Osteoarthritis Index, exercise adherence with Exercise Adherence Rating Scale, quality of life with Short Form-12 were evaluated at baseline and after eight weeks of intervention. In addition, satisfaction and usability were assessed with the Telemedicine Satisfaction and Usefulness Questionnaire at week 8.
Results: The TR group improved activity pain, proprioception, some parameters of the muscle strength outcomes, and exercise adherence scores (p<0.05). The TR group was not superior to the CR group regarding pain at rest, quality of life and functional status (p>0.05). In addition, 52 percent of the TR group reported high levels of satisfaction and usability.
Conclusion: Despite increased participation and satisfaction, the telerehabilitation group noticed improvements in clinician-based measures (proprioception, strength) but not in rest pain, function, and quality of life. As a result, telerehabilitation-based home exercises prescribed to these patient groups are more effective.
Anahtar Kelimeler
Kaynakça
- Beaufils P, Becker R, Kopf S, et al. Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc. 2017;25:335-346.
- Englund M, Felson DT, Guermazi A, et al. Risk factors for medial meniscal pathology on knee MRI in older US adults: a multicentre prospective cohort study. Ann Rheum Dis. 2011;70:1733-9.
- Swart NM, van Oudenaarde K, Reijnierse M, et al. Effectiveness of exercise therapy for meniscal lesions in adults: a systematic review and meta-analysis. J Sci Med Sport. 2016;19:990-8.
- Essilfie A, Kang HP, Mayer EN, et al. Are orthopaedic surgeons performing fewer arthroscopic partial meniscectomies in patients greater than 50 years old? a national database study. Arthroscopy. 2019;35:1152-9.e1.
- Giuffrida A, Di Bari A, Falzone E, et al. Conservative vs. surgical approach for degenerative meniscal injuries: a systematic review of clinical evidence. Eur Rev Med Pharmacol Sci. 2020;24:2874-85.
- Stensrud S, Roos EM, Risberg MA. A 12-week exercise therapy program in middle-aged patients with degenerative meniscus tears: a case series with 1-year follow-up. J Orthop Sports Phys Ther. 2012;42:919-31.
- Skou ST, Thorlund JB. A 12-week supervised exercise therapy program for young adults with a meniscal tear: Program development and feasibility study. J Bodyw Mov Ther. 2018;22:786-91.
- Tuakli-Wosornu YA, Selzer F, Losina E, Katz JN. Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis. Arch Phys Med Rehabil. 2016;97:1945-52.
- Katz NB, Tenforde AS. Chapter 14 - Telerehabilitation for Musculoskeletal Injuries. In: Alexander M, ed. Telerehabilitation. New Delhi: Elsevier. 2022;197-212.
- Gilbert AW, Jaggi A, May CR. What is the patient acceptability of real time 1:1 videoconferencing in an orthopaedics setting? a systematic review. Physiotherapy. 2018;104:178-86.
- McCue M, Fairman A, Pramuka M. Enhancing quality of life through telerehabilitation. Phys Med Rehabil Clin N Am. 2010;21:195-205.
- Cottrell MA, Galea OA, O’Leary SP, et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2016;31:625-38.
- Richardson BR, Truter P, Blumke R, Russell TG. Physiotherapy assessment and diagnosis of musculoskeletal disorders of the knee via telerehabilitation. J Telemed Telecare. 2016;23:88-95.
- Herrero CP, Bloom DA, Lin CC, et al. Patient satisfaction is equivalent using telemedicine versus office-based follow-up after arthroscopic meniscal surgery: a prospective, randomized controlled trial. J Bone Joint Surg Am. 2021;103:771-7.
- Liu X, Faes L, Calvert MJ, Denniston AK. Extension of the CONSORT and SPIRIT statements. Lancet. 2019;394:1225.
- Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-91.
- Özden F, Sarı Z, Karaman ÖN, Aydoğmuş H. The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain. Ir J Med Sci. 2022;191:1229-39.
- Moses MJ, Tishelman JC, Stekas N, et al. Comparison of patient reported outcome measurement information system with neck disability index and visual analog scale in patients with neck pain. Spine. 2019;44: E162-7.
- Tüzün EH, Eker L, Aytar A, et al. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13:28-33.
- Suner-Keklik S, Cobanoglu-Seven G, Kafa N, et al. The validity and reliability of knee proprioception measurement performed with inclinometer in different positions. J Sport Rehabil. 2017;26.
- Ribeiro F, Venâncio J, Quintas P, Oliveira J. The effect of fatigue on knee position sense is not dependent upon the muscle group fatigued. Muscle Nerve. 2011;44:217-20.
- Bohannon RW, Kindig J, Sabo G, et al. Isometric knee extension force measured using a handheld dynamometer with and without belt-stabilization. Physiother Theory Pract. 2012;28:562-8.
- Newman-Beinart NA, Norton S, Dowling D, et al. The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS). Physiotherapy. 2017;103:180-5.
- Soylu C, Kütük B. Reliability and validity of the Turkish version of SF-12 health survey. Turk Psikiyatri Derg. 2022;33:108-17.
- Özkeskin M, Özden F, Ekmekçi Ö, Yüceyar N. The reliability and validity of the Turkish version of the Telemedicine Satisfaction and Usefulness Questionnaire (TSUQ) and Telemedicine Patient Questionnaire (TPQ) in individuals with multiple sclerosis. Neurol Sci. 2022;43:1921-7.
- Yang Y, Li S, Cai Y, et al. Effectiveness of telehealth-based exercise interventions on pain, physical function and quality of life in patients with knee osteoarthritis: a meta-analysis. J Clin Nurs. 2023;32:2505-20.
- Rennie K, Taylor C, Corriero AC, et al. The current accuracy, cost-effectiveness, and uses of musculoskeletal telehealth and telerehabilitation services. Curr Sports Med Rep. 2022;21:247-60.
- Shukla H, Nair S, Thakker D. Role of telerehabilitation in patients following total knee arthroplasty: evidence from a systematic literature review and meta-analysis. J Telemed Telecare. 2017;23:339-46.
- Özden F, Karaman ÖN, Tuğay N, et al. The relationship of radiographic findings with pain, function, and quality of life in patients with knee osteoarthritis. J Clin Orthop Trauma. 2020;11:S512-S7.
- Leeuw M, Goossens ME, Linton SJ, et al. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30:77-94.
- McHugh C, Kostic A, Katz J, Losina E. Effectiveness of remote exercise programs in reducing pain for patients with knee osteoarthritis: A systematic review of randomized trials. Osteoarthr Cartil Open. 2022;4:100264.
- Rothbaum BO, Meadows EA, Resick P, Foy DW. Cognitive-behavioral therapy. In: Foa EB, Keane TM, Friedman MJ, eds, Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies. New York: The Guilford Press. 2000;320-5.
- Jones SE, Campbell PK, Kimp AJ, et al. Evaluation of a novel e-learning program for physiotherapists to manage knee osteoarthritis via telehealth: qualitative study nested in the PEAK (physiotherapy exercise and physical activity for knee osteoarthritis) randomized controlled trial. J Med Internet Res. 2021;23:e25872.
- Jiang S, Xiang J, Gao X, et al. The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: a systematic review and meta-analysis. J Telemed Telecare. 2018;24:257-62.
- Roos EM, Roos HP, Lohmander LS. WOMAC Osteoarthritis Index—additional dimensions for use in subjects with post-traumatic osteoarthritis of the knee. Osteoarthritis Cartilage. 1999;7:216-21.
- Azma K, RezaSoltani Z, Rezaeimoghaddam F, et al. Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: a randomized clinical trial. J Telemed Telecare. 2018;24:560-5.
- Russell TG, Buttrum P, Wootton R, Jull GA. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg Am. 2011;93:113-20.
- Gianola S, Stucovitz E, Castellini G, et al. Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: a randomized controlled trial. Medicine. 2020;99:e19136.
- An J, Ryu H-K, Lyu S-J, et al. Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: a single-blind randomized controlled trial. Int J Environ Res Public Health. 2021;18:6071.
- Armijo-Olivo S, da Costa BR, Cummings GG, et al. PEDro or Cochrane to assess the quality of clinical trials? A meta-epidemiological study. PloS One. 2015;10:e0132634.
Yıl 2024,
Cilt: 6 Sayı: 2, 201 - 211, 16.05.2024
Öz
Kaynakça
- Beaufils P, Becker R, Kopf S, et al. Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc. 2017;25:335-346.
- Englund M, Felson DT, Guermazi A, et al. Risk factors for medial meniscal pathology on knee MRI in older US adults: a multicentre prospective cohort study. Ann Rheum Dis. 2011;70:1733-9.
- Swart NM, van Oudenaarde K, Reijnierse M, et al. Effectiveness of exercise therapy for meniscal lesions in adults: a systematic review and meta-analysis. J Sci Med Sport. 2016;19:990-8.
- Essilfie A, Kang HP, Mayer EN, et al. Are orthopaedic surgeons performing fewer arthroscopic partial meniscectomies in patients greater than 50 years old? a national database study. Arthroscopy. 2019;35:1152-9.e1.
- Giuffrida A, Di Bari A, Falzone E, et al. Conservative vs. surgical approach for degenerative meniscal injuries: a systematic review of clinical evidence. Eur Rev Med Pharmacol Sci. 2020;24:2874-85.
- Stensrud S, Roos EM, Risberg MA. A 12-week exercise therapy program in middle-aged patients with degenerative meniscus tears: a case series with 1-year follow-up. J Orthop Sports Phys Ther. 2012;42:919-31.
- Skou ST, Thorlund JB. A 12-week supervised exercise therapy program for young adults with a meniscal tear: Program development and feasibility study. J Bodyw Mov Ther. 2018;22:786-91.
- Tuakli-Wosornu YA, Selzer F, Losina E, Katz JN. Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis. Arch Phys Med Rehabil. 2016;97:1945-52.
- Katz NB, Tenforde AS. Chapter 14 - Telerehabilitation for Musculoskeletal Injuries. In: Alexander M, ed. Telerehabilitation. New Delhi: Elsevier. 2022;197-212.
- Gilbert AW, Jaggi A, May CR. What is the patient acceptability of real time 1:1 videoconferencing in an orthopaedics setting? a systematic review. Physiotherapy. 2018;104:178-86.
- McCue M, Fairman A, Pramuka M. Enhancing quality of life through telerehabilitation. Phys Med Rehabil Clin N Am. 2010;21:195-205.
- Cottrell MA, Galea OA, O’Leary SP, et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2016;31:625-38.
- Richardson BR, Truter P, Blumke R, Russell TG. Physiotherapy assessment and diagnosis of musculoskeletal disorders of the knee via telerehabilitation. J Telemed Telecare. 2016;23:88-95.
- Herrero CP, Bloom DA, Lin CC, et al. Patient satisfaction is equivalent using telemedicine versus office-based follow-up after arthroscopic meniscal surgery: a prospective, randomized controlled trial. J Bone Joint Surg Am. 2021;103:771-7.
- Liu X, Faes L, Calvert MJ, Denniston AK. Extension of the CONSORT and SPIRIT statements. Lancet. 2019;394:1225.
- Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-91.
- Özden F, Sarı Z, Karaman ÖN, Aydoğmuş H. The effect of video exercise-based telerehabilitation on clinical outcomes, expectation, satisfaction, and motivation in patients with chronic low back pain. Ir J Med Sci. 2022;191:1229-39.
- Moses MJ, Tishelman JC, Stekas N, et al. Comparison of patient reported outcome measurement information system with neck disability index and visual analog scale in patients with neck pain. Spine. 2019;44: E162-7.
- Tüzün EH, Eker L, Aytar A, et al. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13:28-33.
- Suner-Keklik S, Cobanoglu-Seven G, Kafa N, et al. The validity and reliability of knee proprioception measurement performed with inclinometer in different positions. J Sport Rehabil. 2017;26.
- Ribeiro F, Venâncio J, Quintas P, Oliveira J. The effect of fatigue on knee position sense is not dependent upon the muscle group fatigued. Muscle Nerve. 2011;44:217-20.
- Bohannon RW, Kindig J, Sabo G, et al. Isometric knee extension force measured using a handheld dynamometer with and without belt-stabilization. Physiother Theory Pract. 2012;28:562-8.
- Newman-Beinart NA, Norton S, Dowling D, et al. The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS). Physiotherapy. 2017;103:180-5.
- Soylu C, Kütük B. Reliability and validity of the Turkish version of SF-12 health survey. Turk Psikiyatri Derg. 2022;33:108-17.
- Özkeskin M, Özden F, Ekmekçi Ö, Yüceyar N. The reliability and validity of the Turkish version of the Telemedicine Satisfaction and Usefulness Questionnaire (TSUQ) and Telemedicine Patient Questionnaire (TPQ) in individuals with multiple sclerosis. Neurol Sci. 2022;43:1921-7.
- Yang Y, Li S, Cai Y, et al. Effectiveness of telehealth-based exercise interventions on pain, physical function and quality of life in patients with knee osteoarthritis: a meta-analysis. J Clin Nurs. 2023;32:2505-20.
- Rennie K, Taylor C, Corriero AC, et al. The current accuracy, cost-effectiveness, and uses of musculoskeletal telehealth and telerehabilitation services. Curr Sports Med Rep. 2022;21:247-60.
- Shukla H, Nair S, Thakker D. Role of telerehabilitation in patients following total knee arthroplasty: evidence from a systematic literature review and meta-analysis. J Telemed Telecare. 2017;23:339-46.
- Özden F, Karaman ÖN, Tuğay N, et al. The relationship of radiographic findings with pain, function, and quality of life in patients with knee osteoarthritis. J Clin Orthop Trauma. 2020;11:S512-S7.
- Leeuw M, Goossens ME, Linton SJ, et al. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30:77-94.
- McHugh C, Kostic A, Katz J, Losina E. Effectiveness of remote exercise programs in reducing pain for patients with knee osteoarthritis: A systematic review of randomized trials. Osteoarthr Cartil Open. 2022;4:100264.
- Rothbaum BO, Meadows EA, Resick P, Foy DW. Cognitive-behavioral therapy. In: Foa EB, Keane TM, Friedman MJ, eds, Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies. New York: The Guilford Press. 2000;320-5.
- Jones SE, Campbell PK, Kimp AJ, et al. Evaluation of a novel e-learning program for physiotherapists to manage knee osteoarthritis via telehealth: qualitative study nested in the PEAK (physiotherapy exercise and physical activity for knee osteoarthritis) randomized controlled trial. J Med Internet Res. 2021;23:e25872.
- Jiang S, Xiang J, Gao X, et al. The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: a systematic review and meta-analysis. J Telemed Telecare. 2018;24:257-62.
- Roos EM, Roos HP, Lohmander LS. WOMAC Osteoarthritis Index—additional dimensions for use in subjects with post-traumatic osteoarthritis of the knee. Osteoarthritis Cartilage. 1999;7:216-21.
- Azma K, RezaSoltani Z, Rezaeimoghaddam F, et al. Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: a randomized clinical trial. J Telemed Telecare. 2018;24:560-5.
- Russell TG, Buttrum P, Wootton R, Jull GA. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg Am. 2011;93:113-20.
- Gianola S, Stucovitz E, Castellini G, et al. Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty: a randomized controlled trial. Medicine. 2020;99:e19136.
- An J, Ryu H-K, Lyu S-J, et al. Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: a single-blind randomized controlled trial. Int J Environ Res Public Health. 2021;18:6071.
- Armijo-Olivo S, da Costa BR, Cummings GG, et al. PEDro or Cochrane to assess the quality of clinical trials? A meta-epidemiological study. PloS One. 2015;10:e0132634.
Toplam 40 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Fizyoterapi |
| Bölüm | Özgün Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 16 Mayıs 2024 |
| Gönderilme Tarihi | 14 Ocak 2024 |
| Kabul Tarihi | 13 Mart 2024 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 6 Sayı: 2 |
Chief Editors
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey
Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey
E-mail: medrecsjournal@gmail.com
Publisher:
Medical Records Association (Tıbbi Kayıtlar Derneği)
Address: Düzce / Türkiye
Publication Support:
Effect Publishing & Agency
Phone: + 90 (553) 610 67 80
E-mail: info@effectpublishing.com