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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

11.08.2023 | Original Article

Telerehabilitation is as effective as outpatient visits in the management of early osteoarthritis knee and mechanical low backache

verfasst von: Lakshmana Das, Pankaj Kumar Sharma, Gaganpreet Singh, Tarun Goyal

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 1/2024

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Abstract

Purpose

Teleconsultation services can be used to overcome the barriers imposed by the Covid-19 pandemic in providing basic orthopaedic rehabilitation services. Aim of the study is to compare the effectiveness of rehabilitation provided via outpatient and teleconsultation in patients with mechanical low backache (LBA) and early osteoarthritis (OA) of the knee joint utilizing Patient-Reported Outcome Measures. The satisfaction level of patients receiving teleconsultation will also be assessed.

Methodology

This study was a hospital-based prospective observational study. The study’s participants were divided into two groups (Outpatient and Teleconsultation, respectively), and each group was further divided into two subgroups of 100 participants each (Knee-pain subgroup 1; LBA subgroup 2). SF-12 questionnaire, visual analogue scale (VAS) score for pain, and functional outcome scores (KOOS score for knee pain and the modified Oswestry Disability Index-MODI for LBA) were assessed at initial presentation and 6 months follow-up. Participants’ satisfaction for teleconsultation service was assessed at final follow-up by 5 points Likert scale (5, very satisfied; 1, very dissatisfied).

Results

Mean consultation time was significantly longer in the outpatient group (p < 0.001). No statistically significant difference in the VAS score, KOOS score (58.0 ± 7.6 vs. 57.8 ± 9.2; p = 0.893), and MODI Score (24.7 ± 13.3 vs. 27.4 ± 12.4; p = 0.128) between the corresponding subgroups of the two groups at final follow-up. Eighty-seven percentage of the participants were satisfied (Likert score ≥ 4) with the teleconsultation services.

Conclusion

Teleconsultation is equally effective to that as face-to-face outpatient consultation in the rehabilitation of patients with early OA knee and mechanical LBA.

Level of study

Level 2, Prospective comparative study.

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Titel: Telerehabilitation is as effective as outpatient visits in the management of early osteoarthritis knee and mechanical low backache
verfasst von: Lakshmana Das
Pankaj Kumar Sharma
Gaganpreet Singh
Tarun Goyal
Publikationsdatum: 11.08.2023
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 1/2024
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-023-03673-0

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Telerehabilitation is as effective as outpatient visits in the management of early osteoarthritis knee and mechanical low backache