Role of tele-rehabilitation in patients following total hip replacement: Systematic review of clinical trials

J Pak Med Assoc. 2022 Jan;72(1):101-107. doi: 10.47391/JPMA.832.

Abstract

Objective: Tele-rehabilitation to explore current evidence on the effectiveness of tele-rehabilitation compared to face-to-face rehabilitation for patients after total hip replacement.

Methods: The systematic review of clinical trials comprised search of Cochrane, Medline, Embase and PEDro databases from 2000 to date for English-language, human studies dealing with postoperative rehabilitation of total hip replacement patients. A thorough search was performed to retrieve articles missed through databases as well as unpublished grey literature. Methodological quality assessment was done using the Cochrane risk of bias tool, and the studies were critically appraised using the PEDro scale.

Results: Of the 150 studies initially found on the databases, 11(7.3%) were subjected to detailed review; 4(36.4%) randomised trials, 3(27.3%) randomised controlled protocols, 3(27%) randomised pilot studies, and 1(9%) prospective cohort study. Overall, 8(72.7%) studies were of 'high' quality and 3(27.3%) fell under the category of 'fair'.

Conclusions: Tele-rehabilitation group reported similar improvement in terms of activities of daily living and quality of life as did those exposed to traditional rehabilitation.

Keywords: Remote rehabilitation, Tele-rehabilitation, Total hip arthroplasty..

Publication types

  • Systematic Review

MeSH terms

  • Activities of Daily Living
  • Arthroplasty, Replacement, Hip*
  • Clinical Trials as Topic
  • Humans
  • Prospective Studies
  • Quality of Life
  • Telerehabilitation*