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Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0001-6975-8344
Department of Orthopaedics, Surgical and Perioperative Sciences, Umeå University.
2009 (English)In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 15, no 5, p. 215-220Article in journal (Refereed) Published
Abstract [en]

We explored the benefit of video communication in home rehabilitation after shoulder joint replacement and compared it to referral for physiotherapy in the conventional way. A total of 22 patients were included in the study. The intervention group (n = 10) had training at home under the supervision of a physiotherapist at the hospital using videoconferencing. The control group (n = 12) had physiotherapy training in a conventional way in their home town. All patients had the same postoperative, three-phase-programme for two months. The outcome measures were a Visual Analogue Scale (VAS) for pain, range of motion (ROM), shoulder function ability (Constant score and SRQ-S) and health-related quality of life (SF-36). Questions about areas of priority for improvement and general satisfaction with the shoulder were also included. The telemedicine group received a greater number of treatments compared to the control group. After the intervention, there were significant improvements in VAS-pain, Constant score and SRQ-S for both groups. The telemedicine group improved significantly more in all three measurements than the control group (P < 0.001 for all). When changes from baseline to follow-up were compared, the telemedicine group improved significantly more in terms of decrease in pain (P = 0.004) and vitality (P = 0.001) than the control group. Despite some limitations, there seem to be clear benefits from physiotherapy at a distance with a telemedicine technique that allows patients to obtain access to physiotherapy at home.

Place, publisher, year, edition, pages
2009. Vol. 15, no 5, p. 215-220
Keyword [en]
Caring sciences - Physiotherapy
Keyword [sv]
Vårdvetenskap - Sjukgymnastik/fysioterapi
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-6945DOI: 10.1258/jtt.2009.081003Local ID: 545cdd70-8663-11de-8da0-000ea68e967bOAI: oai:DiVA.org:ltu-6945DiVA: diva2:979831
Note
Validerad; 2009; 20090811 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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