Brazeiro Mateus DE Col, Mueller Karen Fernanda, Rohde Camilla DA Silva, Lopes Bruna DE Moraes, Silva Marcelo Faria
Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Departamento de Fisioterapia, Porto Alegre, RS, Brazil.
Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Acta Ortop Bras. 2025 Apr 7;33(spe1):e278202. doi: 10.1590/1413-785220243201e278202. eCollection 2025.
compare a face-to-face exercise program (face-to-face group [FG]) to telerehabilitation (telerehabilitation group [TG]), in patients undergoing total hip arthroplasty (THA).
randomized clinical trial with 24 participants: 14 in the FG, which held weekly exercise sessions with face-to-face supervision in the clinic; and 10 in the TG, which performed exercises at home, with guidance from the booklet and weekly calls from the researchers. All participants underwent 6 weeks of intervention and were evaluated, by a blinded evaluator, in the pre- and post-intervention moments for: pain; kinesiophobia; functional; joint range of motion (ROM); and peak muscle torque (PT).
post-intervention only the TG (p = 0.018; d = 1,744) showed improvement in the results of the TUG, however both TG (p = 0.043; d = 1,876) and FG (p = 0.002; d = 1,854) showed improvement in the HHS results.
telerehabilitation proved to be as effective as face-to-face rehabilitation in improving PT, ROM and functional capacity of patients in the initial stage of THA rehabilitation. It can be considered a low-cost and easy access alternative in this post-operative phase.
比较全髋关节置换术(THA)患者的面对面运动计划(面对面组[FG])和远程康复(远程康复组[TG])。
一项随机临床试验,有24名参与者:14名在FG组,在诊所接受每周一次的面对面监督下的运动训练;10名在TG组,在家中进行运动训练,参照手册指导并接受研究人员每周的电话指导。所有参与者均接受6周的干预,并由一名盲法评估者在干预前后对以下指标进行评估:疼痛;运动恐惧;功能;关节活动范围(ROM);以及肌肉峰值扭矩(PT)。
干预后,只有TG组(p = 0.018;d = 1.744)在定时起立行走测试(TUG)结果上有所改善,然而TG组(p = 0.043;d = 1.876)和FG组(p = 0.002;d = 1.854)在髋关节 Harris 评分(HHS)结果上均有所改善。
在改善THA康复初期患者的PT、ROM和功能能力方面,远程康复被证明与面对面康复同样有效。在这个术后阶段,它可以被认为是一种低成本且易于获得的替代方案。