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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
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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
external identifiers
  • scopus:68249122435
  • pmid:19590025
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
2024-01-19 16:02:15
@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}},
  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}},
  doi          = {{10.1258/jtt.2009.081003}},
  volume       = {{15}},
  year         = {{2009}},
}