Tousignant Michel, Boissy Patrick, Corriveau Hélène, Moffet Hélène, Cabana Francois
Faculty of Medicine, University of Sherbrooke.
Faculty of Physical Education, University of Sherbrooke.
Int J Telerehabil. 2009 Sep 4;1(1):9-16. doi: 10.5195/ijt.2009.5997. eCollection 2009 Fall.
The purpose of this study was to investigate the efficacy of in-home telerehabilitation as an alternative to conventional rehabilitation services following knee arthroplasty. Five community-living elders who had knee arthroplasty were recruited prior to discharge from an acute care hospital. A pre/post-test design without a control group was used for this pilot study. Telerehabilitation sessions (16) were conducted by two trained physiotherapists from a service center to the patient's home using H264 videoconference CODECs (Tandberg 550 MXP) connected at 512 Kb\s. Disability (range of motion, balance and lower body strength) and function (locomotor performance in walking and functional autonomy) were measured in face-to-face evaluations prior to and at the end of the treatments by a neutral evaluator. The satisfaction of the health care professional and patient was measured by questionnaire. Results are as follows. One participant was lost during follow-up. Clinical outcomes improved for all subjects and improvements were sustained two months post-discharge from in-home telerehabilitation. The satisfaction of the participants with in-home telerehabilitation services was very high. The satisfaction of the health care professionals with the technology and the communication experience during the therapy sessions was similar or slightly lower. In conclusion, telerehabilitation for post-knee arthroplasty is a realistic alternative for dispensing rehabilitation services for patients discharged from an acute care hospital.
本研究的目的是调查家庭远程康复作为膝关节置换术后传统康复服务替代方案的疗效。从一家急症医院出院前，招募了5名接受膝关节置换术的社区居住老年人。本试点研究采用了无对照组的前后测试设计。由服务中心的两名经过培训的物理治疗师使用以512 Kb\s连接的H264视频会议编解码器（腾博550 MXP），在患者家中进行16次远程康复治疗。在治疗前和治疗结束时，由一名中立评估员通过面对面评估来测量残疾情况（活动范围、平衡能力和下肢力量）和功能（行走中的运动表现和功能自主性）。通过问卷调查来测量医疗保健专业人员和患者的满意度。结果如下。一名参与者在随访期间失访。所有受试者的临床结果均有所改善，且在家庭远程康复出院后两个月仍保持改善。参与者对家庭远程康复服务的满意度非常高。医疗保健专业人员对治疗期间的技术和沟通体验的满意度相似或略低。总之，膝关节置换术后的远程康复是为急症医院出院患者提供康复服务的一种切实可行的替代方案。
