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Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Orthopaedics.
2009 (English)In: Journal of Telemedicine and Telecare, ISSN 1357-633X, Vol. 15, no 5, 215-220 p.Article 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, 215-220 p.
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Medical and Health Sciences
Research subject
URN: urn:nbn:se:umu:diva-32530DOI: 10.1258/jtt.2009.081003PubMedID: 19590025OAI: diva2:303974
Available from: 2010-03-16 Created: 2010-03-16 Last updated: 2010-11-19Bibliographically approved

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