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Is home-based real-time video conferencing telerehabilitation as effective as conventional face-to-face rehabilitation in patients with operated for distal radius fracture? A single-blind, randomized prospective study     
Yazarlar
Dr. Öğr. Üyesi Levent HOROZ Dr. Öğr. Üyesi Levent HOROZ
Türkiye
Doç. Dr. Başak ÇİĞDEM KARAÇAY Doç. Dr. Başak ÇİĞDEM KARAÇAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi İsmail CEYLAN Dr. Öğr. Üyesi İsmail CEYLAN
Türkiye
Dr. Öğr. Üyesi Mehmet Fevzi ÇAKMAK Dr. Öğr. Üyesi Mehmet Fevzi ÇAKMAK
Türkiye
Özet
Objectives: This study aims to investigate whether telerehabilitation is as effective as face-to-face rehabilitation in terms of joint range of motion (ROM), edema, and functionality in patients operated for distal radius fractures (DRFs). Patients and methods: Between May 2022 and May 2023, a total of 54 patients (8 males, 46 females; mean age: 56.8 +/- 11.6 years; range, 24 to 77 years) who underwent volar plate due to DRF with direct X-ray and computed tomography (CT) were included in this single-blind, randomized study. The patients were randomly divided into the face-to-face group (FFG) and telerehabilitation group (TRG). The same rehabilitation program was applied as face-to-face and Home-Based Real-Time Video Conferencing (HBRVC) telerehabilitation. Demographic data and participation times in rehabilitation sessions were recorded. A perimeter was measured using the Figure of 8 method. The ROM of the joint was measured by goniometry. Hand grip strength was measured with a hand dynamometer, and pinch grip was measured with a pinch meter. The Patient-Rated Wrist Evaluation (PRWE) and Disabilities of the Arm, Shoulder and Hand Questionnaire (Quick-DASH) were used to assess functionality. Results: In the initial evaluation, no statistically significant difference was found between age, smoking, dominant hand, operated hand, sex, and the number of participants in rehabilitation sessions (p>0.05). Comparing the values at Week 12 and Week 2, the change in pinch meter (p=0.007) and hand grip (p=0.030) values was higher in FFG than TRG. The Quick-DASH change (p<0.001) and PRWE change (p=0.001) values were statistically significantly lower in TRG than in FFG. Conclusion: The HBRVC telerehabilitation program seems to be as effective as face-to-face rehabilitation on joint ROM and edema in patients undergoing volar plate fixation for DRF. However, the telerehabilitation method on functionality and muscle strength is less effective than face-to-face rehabilitation.
Anahtar Kelimeler
Edema | range of motion | rehabilitation | telerehabilitation | wrist fractures
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Turkish Journal of Physical Medicine and Rehabilitation
Dergi ISSN 2587-1250
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 01-2024
Doi Numarası 10.5606/tftrd.2024.13739