COMPARISON OF TELEREHABILITATION VS. CLINICAL SETUP REHABILITATION IN TKR PATIENTS

Abstract

Background: Osteoarthritis (OA) of the knee is a common condition among older adults, often leading to significant pain and disability. Total knee replacement (TKR) is frequently recommended for severe cases to alleviate symptoms and restore function. However, effective post-operative rehabilitation is crucial to maximize recovery outcomes and improve quality of life. Telerehabilitation is emerging as an accessible alternative to conventional physiotherapy, potentially enhancing patient adherence and functional outcomes while minimizing the need for in-person visits.

Objective: To evaluate the effectiveness of telerehabilitation compared to conventional physiotherapy in improving knee function and patient outcomes following TKR.

Methods: A randomized controlled trial was conducted at Horizon Hospital in Lahore, including 36 participants aged over 65 years, all of whom had undergone TKR. Participants were randomly assigned to either Group A (telerehabilitation) or Group B (conventional clinical therapy), with 18 individuals in each group. Data collection tools included the Knee Outcome Survey-Activities of Daily Living (KOS-ADLS) and the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) surveys, supplemented by electronic goniometer measurements of knee flexion and extension. Assessments were conducted at baseline and at the fourth week to compare outcomes statistically between the two groups.

Results: In the fourth week, Group A (telerehabilitation) showed significantly better outcomes in knee function and pain management compared to Group B (conventional therapy). KOOS-ADL scores improved significantly in Group A (p = 0.001) compared to Group B. WOMAC scores also demonstrated significant improvement in Group A (p = 0.000). Furthermore, knee flexion increased substantially for Group A, reaching 121.1° (p = 0.031), and knee extension deficit reduced to 2.6° (p = 0.028).

Conclusion: Telerehabilitation is an effective post-operative intervention for TKR, enhancing knee function, reducing pain, and improving overall patient satisfaction. This approach provides a practical and accessible solution, particularly beneficial for older adults with limited mobility.