INVESTIGATION OF THE EFFECTS OF THE TELEREHABILITATION PROGRAM AFTER TOTAL KNEE PROSTHESIS SURGERY: A RANDOMIZED CONTROLLED TRIAL

Purpose: This study aimed to compare the protocols applied in individuals who received telerehabilitation (TR-PTR) and face-to-face physical therapy and rehabilitation (FF-PTR) program after total knee prosthesis (TKP) surgery in terms of physical and functional parameters and to evaluate the satisfaction of tele-rehabilitation (TR) service recipients. Methods: Thirty-seven individuals who underwent TKP surgery were randomly divided into two groups: TR-PTR and FF-PTR program. The knee joint range of motion (K-ROM) of the individuals included in the study was determined by universal goniometer; physical performances were evaluated with the "Timed Get-Up-and-Walk Test", "6-Minute Walk Test", and "5 Times Sit-to-Stand Test", their functionality was evaluated with the "Western Ontario and McMaster Universities Osteoarthritis Index" (WOMAC), and their compliance with the exercise program was evaluated with the "Exercise Adherence Rating Scale". "Tele-Health Usability Questionnaire" and "Tele-Medicine Satisfaction Questionnaire" were administered to the TR-PTR group. Assessments and evaluations in both groups were conducted face to face. Results: Significant improvements were found in active and passive measurements of K-ROM (except passive knee extension) (p<0.05), physical performance evaluations and functionality of both groups after treatment (p<0.05). It was found that the changes in these parameters were similar between the groups and there was no significant difference in terms of exercise adherence (p>0.05). Conclusion: TR-PTR and FF-PTR programs are effective in improving the physical and functional parameters of individuals after TKA surgery. We recommend the use of TR services in individuals with orthopedic problems because it gives similar results to the FF-FTR program.