Can Telerehabilitation Add A New Dimension In The Treatment Of Osteoarthritis Knee?
Journal of Pain & Relief
Osteoarthritis (OA) is among the five most disabling diseases. Aims of this study were to assess the efficacy of telerehabilitation via videoconferencing when compared to telephonic consultation for home based treatment of osteoarthritis knee. Methods: One hundred and twelve patients, 44 males and 68 females with average age of 51.35 years were divided into two groups A and B. After obtaining informed consent, a thorough evaluation was done to meet the inclusion and exclusion criteria. Group A
... ere taught exercises and instructed to complete the exercises under the supervision of the physiotherapist via videoconferencing technology. For supervision of exercise completion, progression of exercises, additional demonstration, and consultation the sessions were held once every week for 5 weeks. They were also instructed to perform the exercises at home every day as directed till the next telerehabilitation session. Group B were taught the same exercises as group A and were given a home exercise program with week wise progression of the exercises illustrated for 5 weeks. Each week, a physiotherapist from the study contacted each participant by telephone for consultation and queries. Both groups were evaluated for pain, stiffness, and physical function, pre-post-intervention using the WOMAC index. Results: The percentage of difference for pain, stiffness, and physical function for group A were 53.7%, 58.94% and 50.05% respectively. On other hand for group B the percentage of differences was 31.8%, 47.78% and 26.73 % respectively. Conclusion: THR via videoconferencing is better than telephonic consultation for home based exercise program in osteoarthritis of knee.