Kalron Alon, Tawil Heba, Peleg-Shani Sara, Vatine Jean-Jacques
Department of Physical Therapy, School of Health Professions.
Reuth Rehabilitation Hospital, Tel-Aviv, Israel.
Int J Rehabil Res. 2018 Sep;41(3):244-250. doi: 10.1097/MRR.0000000000000296.
The goal of this study was to evaluate the effects of telerehabilitation on mobility in people following hip surgery. This feasibility pilot randomized controlled trial included a sample of 40 participants, with 22 male and 18 female patients and mean age (SD) of 67.5 (7.8) years following a surgical intervention. Participants were equally divided and randomly assigned to a telerehabilitation or control intervention group (6 weeks, 3 sessions/week). Telerehabilitation was based on video clips of common rehabilitation exercises focusing on the lower limbs. The control group received an exercise booklet. Both groups participated in physical therapy sessions, twice a week. Outcome measures included the Timed Up and Go test, 2-min walk test, 10-m walk test, sit to stand test, walking speed, and mean step length. Measurements were completed at baseline, at termination of the intervention, and at a 4-week follow-up examination. Improvements in both groups were demonstrated in all outcome measures in the postintervention evaluation. Improvements in the telerehabilitation group were greater in five of six tests compared with those achieved by the controls. The telerehabilitation group showed greater improvements in the 2-min walking test (86.1%) and walking speed (65.6%). During follow-up, the telerehabilitation group continued to improve in all outcome measures in contrast to the control group, who showed no changes in five of the six outcome measures. Telerehabilitation, a complementary treatment to standard physical therapy, generates a positive effect on mobility in people following hip surgery.
本研究的目的是评估远程康复对髋关节手术后患者活动能力的影响。这项可行性试点随机对照试验纳入了40名参与者，其中男性22例，女性18例，手术干预后平均年龄（标准差）为67.5（7.8）岁。参与者被平均分为两组，并随机分配到远程康复或对照干预组（为期6周，每周3次）。远程康复基于关注下肢的常见康复锻炼视频片段。对照组收到一本锻炼手册。两组均每周参加两次物理治疗课程。结果测量包括计时起立行走测试、2分钟步行测试、10米步行测试、坐立测试、步行速度和平均步长。测量在基线、干预结束时以及4周随访检查时完成。在干预后评估中，两组在所有结果测量指标上均有改善。与对照组相比，远程康复组在六项测试中的五项测试中改善更大。远程康复组在2分钟步行测试（86.1%）和步行速度（65.6%）方面改善更大。在随访期间，与对照组相比，远程康复组在所有结果测量指标上持续改善，而对照组在六项结果测量指标中的五项没有变化。远程康复作为标准物理治疗的一种补充治疗方法，对髋关节手术后患者的活动能力产生了积极影响。
