Analysis of safety and effectiveness of a wireless telerehabitition system in the Primary Total Knee Arthroplasty immediate postoperative period
ESSKA Academy. Prat-Fabregat S. 11/08/19; 285210; epEKA-14 Topic: G4 - Tricompartmental (Simple) arthroplasty
Dr. Salvi Prat-Fabregat
Dr. Salvi Prat-Fabregat
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Abstract
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Introduction: Early mobilization and muscle strength empowerment are thought to be crucial in the immediate postoperative period after a primary Total Knee Arthroplasty (TKA). Once the patient is discharged from hospital, the rehabilitation process that started inside the hospital must continue without any delay. In this study, a novel tele-rehabilitation system has been used in order to provide the recently discharged TKA patients with home-based rehabilitation services. The safety and efficacy of this new system in helping the TKA patients with their postoperative rehabilitation exercises is studied and a measure of its impact on parameters such as therapy adherence is obtained.
Objectives: To demonstrate the safety and effectiveness of a wireless telerehabilitation system in the immediate TKA postoperative period when compared to conventional rehabilitation.
Aims: In the context of a rapid recovery system, a home-based wireless telerehabilitation system based on a wearable sensor has been used for monitoring patients' mobility parameters during therapeutic exercising. The system is able to provide biofeedback in real time and establish a remote connection between the physiotherapist and the patient. The aim of this study is to evaluate and measure the effectiveness and the impact of this novel system on direct and indirect costs.
Methods: The telerehabilitation system is used as a tool for home-based rehabilitation monitoring in a cohort of patients subjected to a TKA, starting at the time they return home after discharge. Patients will be expected to follow the exercise schedule and be monitored with the new system. Normal protocol for TKA includes 5 post-operative exercises which should be done twice in the morning and twice in the evening each.
This study is part of a prospective trial that has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 811755.
Results: The following outcome measures are evaluated pain (VAS scales), WOMAC, EuroQOL-5D, active and passive knee Range of Motion and muscle strength at discharge (baseline), after 2 weeks of rehabilitation and after 4 weeks of rehabilitation. We present the preliminary results of a clinical trial analyzing the clinical use of this new system in a cohort of patients treated by a TKA.
Introduction: Early mobilization and muscle strength empowerment are thought to be crucial in the immediate postoperative period after a primary Total Knee Arthroplasty (TKA). Once the patient is discharged from hospital, the rehabilitation process that started inside the hospital must continue without any delay. In this study, a novel tele-rehabilitation system has been used in order to provide the recently discharged TKA patients with home-based rehabilitation services. The safety and efficacy of this new system in helping the TKA patients with their postoperative rehabilitation exercises is studied and a measure of its impact on parameters such as therapy adherence is obtained.
Objectives: To demonstrate the safety and effectiveness of a wireless telerehabilitation system in the immediate TKA postoperative period when compared to conventional rehabilitation.
Aims: In the context of a rapid recovery system, a home-based wireless telerehabilitation system based on a wearable sensor has been used for monitoring patients' mobility parameters during therapeutic exercising. The system is able to provide biofeedback in real time and establish a remote connection between the physiotherapist and the patient. The aim of this study is to evaluate and measure the effectiveness and the impact of this novel system on direct and indirect costs.
Methods: The telerehabilitation system is used as a tool for home-based rehabilitation monitoring in a cohort of patients subjected to a TKA, starting at the time they return home after discharge. Patients will be expected to follow the exercise schedule and be monitored with the new system. Normal protocol for TKA includes 5 post-operative exercises which should be done twice in the morning and twice in the evening each.
This study is part of a prospective trial that has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 811755.
Results: The following outcome measures are evaluated pain (VAS scales), WOMAC, EuroQOL-5D, active and passive knee Range of Motion and muscle strength at discharge (baseline), after 2 weeks of rehabilitation and after 4 weeks of rehabilitation. We present the preliminary results of a clinical trial analyzing the clinical use of this new system in a cohort of patients treated by a TKA.
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