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Physiotherapy at a distance : A controlled study of rehabilitation at home after a shoulder joint operation

Eriksson, Lisbeth; Lindström, Britta; Gard, Gunvor LU and Lysholm, Jack (2009) In Journal of Telemedicine and Telecare 15(5). p.215-220
Abstract

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... (More)

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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author
publishing date
type
Contribution to journal
publication status
published
in
Journal of Telemedicine and Telecare
volume
15
issue
5
pages
6 pages
publisher
SAGE Publications Ltd
external identifiers
  • scopus:68249122435
ISSN
1357-633X
DOI
10.1258/jtt.2009.081003
language
English
LU publication?
no
id
9d8f362b-31d9-44cb-8aa4-16800f47526c
date added to LUP
2016-12-19 13:56:30
date last changed
2017-11-14 09:51:33
@article{9d8f362b-31d9-44cb-8aa4-16800f47526c,
  abstract     = {<p>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&lt; 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.</p>},
  author       = {Eriksson, Lisbeth and Lindström, Britta and Gard, Gunvor and Lysholm, Jack},
  issn         = {1357-633X},
  language     = {eng},
  number       = {5},
  pages        = {215--220},
  publisher    = {SAGE Publications Ltd},
  series       = {Journal of Telemedicine and Telecare},
  title        = {Physiotherapy at a distance : A controlled study of rehabilitation at home after a shoulder joint operation},
  url          = {http://dx.doi.org/10.1258/jtt.2009.081003},
  volume       = {15},
  year         = {2009},
}