The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty.
| Title: | The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty. |
|---|---|
| Authors: | Chughtai M; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.; Shah NV; Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York, USA.; Sultan AA; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.; Solow M; St. George's University School of Medicine, Grenada, West Indies, USA.; Tiberi JV; Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, CA, USA.; Mehran N; Southern California Permanente Medical Group, Los Angeles, CA, USA.; North T; Henry Ford Health System, Detroit, MI, USA.; Moskal JT; Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA.; Newman JM; Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York, USA.; Samuel LT; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.; Bhave A; Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, Baltimore, Maryland, USA.; Mont MA; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.; Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York, USA. |
| Source: | Annals of translational medicine [Ann Transl Med] 2019 Feb; Vol. 7 (4), pp. 68. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101617978 Publication Model: Print Cited Medium: Print ISSN: 2305-5839 (Print) Linking ISSN: 23055839 NLM ISO Abbreviation: Ann Transl Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Hong Kong] : AME Publishing Company |
| Abstract: | Background: The purpose of the current study was to evaluate the usage of prehabilitation on a telehealth platform prior to total knee arthroplasty (TKA) and its impact on short-term outcomes. Specifically, the study examined whether patients participating in a prehabilitation program impacted length of stay (LOS) and discharge disposition.; Methods: A total of 476 consecutive patients who underwent TKA at three institutions were included. The average age of the 476 patients was 65.1 years (range, 35 and 93 years). There was a total of 114 patients who utilized the novel prehabilitation program that provided exercises, nutritional advice, education regarding home safety and reducing medical risks, and pain management skills prior to surgery. A group of 362 patients who did not utilize the program formed the control cohort. The outcomes evaluated were LOS and discharge disposition to home, home with health aide (HHA), or skilled nursing facility (SNF).; Results: The average LOS in the prehabilitation group was significantly shorter than in the control group (2.0 vs. 2.7 days, P |
| Competing Interests: | Conflicts of Interest: MA Mont: (I) AAOS: Board or committee member; (II) Cymedica: Paid consultant; (III) DJ Orthopaedics: Paid consultant; Research support; (IV) Johnson & Johnson: Paid consultant; Research support; (V) Journal of Arthroplasty: Editorial or governing board; (VI) Journal of Knee Surgery: Editorial or governing board; (VII) Microport: IP royalties; (VIII) National Institutes of Health (NIAMS & NICHD): Research support; (IX) Ongoing Care Solutions: Paid consultant; Research support; (X) Orthopedics: Editorial or governing board; (XI) Orthosensor: Paid consultant; Research support; (XII)Pacira: Paid consultant; (XIII) Peerwell: Stock or stock Options, Paid Consultant; (XIV) Performance Dynamics Inc.: Paid consultant; (XV) Sage: Paid consultant; (XVI) Stryker: IP royalties; Paid consultant; Research support; (XVII) Surgical Techniques International: Editorial or governing board; (XVIII) TissueGene: Paid consultant; Research support. M Chughtai: Paid consultant for: DJ Orthopaedics, Sage Products, Stryker, Peerwell, Reflexion, Performace Dynamics. JT Moskal: (I) AAOS; American Association of Hip and Knee Surgeons; Corin U.S.A.; DePuy, A Johnson & Johnson Company; Invuity; Stryker; Think Surgical; (II) AAOS: Board or committee member; (III) American Association of Hip and Knee Surgeons: Board or committee member; (IV) Corin U.S.A.: IP royalties; Paid consultant; (V) DePuy, A Johnson & Johnson Company: IP royalties; (VI) Invuity: Stock or stock Options; (VII) Stryker: Paid consultant; Paid presenter or speaker; (VIII) Think Surgical: Stock or stock Options. JV Tiberi: (I) Peerwell: Stock or stock Options; (II) Stryker: Paid consultant; (II) Wolters Kluwer Health - Lippincott Williams & Wilkins: Publishing royalties, financial or material support.The other authors have no conflicts of interest to declare. |
| References: | J Bone Joint Surg Am. 2004 May;86-A(5):963-74. (PMID: 15118039); J Bone Joint Surg Am. 2005 Aug;87(8):1719-24. (PMID: 16085610); J Arthroplasty. 2006 Sep;21(6 Suppl 2):144-50. (PMID: 16950077); Clin Rheumatol. 2007 Oct;26(10):1641-5. (PMID: 17310271); J Bone Joint Surg Am. 2007 Apr;89(4):780-5. (PMID: 17403800); J Bone Joint Surg Am. 2007 Oct;89 Suppl 3:144-51. (PMID: 17908880); Stud Health Technol Inform. 2009;145:231-48. (PMID: 19592797); Phys Med Rehabil Clin N Am. 2010 Feb;21(1):195-205. (PMID: 19951786); J Bone Joint Surg Am. 2010 Dec;92 Suppl 2:117-32. (PMID: 21123596); J Strength Cond Res. 2011 Feb;25(2):318-25. (PMID: 21217530); J Bone Joint Surg Am. 2011 Jan 19;93(2):113-20. (PMID: 21248209); J Telemed Telecare. 2011;17(4):195-8. (PMID: 21398389); J Med Assoc Thai. 2012 Oct;95 Suppl 10:S58-66. (PMID: 23451440); Clin Orthop Relat Res. 2014 Jan;472(1):188-93. (PMID: 23649225); Physiother Can. 2013 Spring;65(2):116-24. (PMID: 24403671); Knee. 2014 Mar;21(2):387-90. (PMID: 24440451); Knee. 2014 Jun;21(3):647-54. (PMID: 24613585); Telemed J E Health. 2015 Jan;21(1):70-6. (PMID: 24841071); J Bone Joint Surg Am. 2014 Oct 1;96(19):e165. (PMID: 25274793); BMJ Open. 2016 Feb 02;6(2):e009857. (PMID: 26839013); J Telemed Telecare. 2017 Feb;23(2):339-346. (PMID: 26843466); Singapore Med J. 2016 Mar;57(3):138-43. (PMID: 26996450); Telemed J E Health. 2017 Feb;23(2):80-87. (PMID: 27529575); Phys Sportsmed. 2018 Feb;46(1):36-43. (PMID: 29125384); JAMA. 1994 May 4;271(17):1349-57. (PMID: 8158821) |
| Contributed Indexing: | Keywords: Prehabilitation; telerehabilitation; total knee arthroplasty (TKA) |
| Entry Date(s): | Date Created: 20190410 Latest Revision: 20220408 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC6409240 |
| DOI: | 10.21037/atm.2018.11.27 |
| PMID: | 30963063 |
| Database: | MEDLINE |
Journal Article