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  • 1.
    Eriksson, Lisbeth
    et al.
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Lindstöm, Britta
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Lysholm, Jack
    Department of Orthopaedics, Surgical and Perioperative Sciences, Umeå University.
    Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation2009In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, ISSN 1357-633X, Vol. 15, no 5, p. 215-220Article in journal (Refereed)
    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.

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