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- The Effect of Telehealth-Based Rehabilitation on Patient Reported Outcomes and Objective Clinical Me...
The Effect of Telehealth-Based Rehabilitation on Patient Reported Outcomes and Objective Clinical Measurements in Patients With Degenerative Meniscal Tear
Authors : İsmail Uysal, Fatih Özden, Mehmet Özkeskin, İsmet Tümtürk, Bircan Yucekaya, Cem Yalın Kılınç
Pages : 201-211
Doi:10.37990/medr.1419747
View : 31 | Download : 51
Publication Date : 2024-05-16
Article Type : Research
Abstract :Aim: The study aimed to compare the effectiveness of telehealth-based home exercises and conventionally prescribed home exercises in patients with degenerative meniscal tears. Material and Method: A two-armed, randomized controlled study was conducted with 49 participants with degenerative meniscal disease. Patients were randomized into Telerehabilitation (TR=25) and Conventional Home Exercise Rehabilitation (CR=24) groups. The TR group provided video exercises and self-management education via an online platform. The same protocol was given to the CR group in the clinical setting. Pain with Visual Analog Scale, muscle strength with Hand-Held Dynamometer, proprioception with Baseline bubble inclinometer, functional status with Western Ontario and McMaster Universities Osteoarthritis Index, exercise adherence with Exercise Adherence Rating Scale, quality of life with Short Form-12 were evaluated at baseline and after eight weeks of intervention. In addition, satisfaction and usability were assessed with the Telemedicine Satisfaction and Usefulness Questionnaire at week 8. Results: The TR group improved activity pain, proprioception, some parameters of the muscle strength outcomes, and exercise adherence scores (p 0.05). In addition, 52 percent of the TR group reported high levels of satisfaction and usability. Conclusion: Despite increased participation and satisfaction, the telerehabilitation group noticed improvements in clinician-based measures (proprioception, strength) but not in rest pain, function, and quality of life. As a result, telerehabilitation-based home exercises prescribed to these patient groups are more effective.Keywords : Menisci, mobile health, self-care, video exercise