Evidence map›Paper›PMID 31697239›Full record

ArticleJMIR rehabilitation and assistive technologies2019

The Effectiveness of Telerehabilitation as a Supplement to Rehabilitation in Patients After Total Knee or Hip Replacement: Randomized Controlled Trial.

Sarah Eichler, Annett Salzwedel, Sophie Rabe, Steffen Mueller, Frank Mayer, Monique Wochatz, Miralem Hadzic, Michael John, Karl Wegscheider, Heinz Völler

Open access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 5 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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  14. The Intersection of Sarcopenia and Musculoskeletal Pain: Addressing Interconnected Challenges in Aging Care.International journal of environmental research and public health · 2025
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  15. Article
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  18. [Postoperative rehabilitation after knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Sarah EichlerCenter of Rehabilitation Research, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0003-0424-2069
Annett SalzwedelCenter of Rehabilitation Research, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0003-2530-2673
Sophie RabeCenter of Rehabilitation Research, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0003-1792-1394
Steffen MuellerDepartment of Computer Science and Therapy Science, Trier University of Applied Science, Trier, Germany.ORCID https://orcid.org/0000-0003-1683-6243
Frank MayerUniversity Outpatient Clinic, Sports Medicine and Sports Orthopedics, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0003-0101-2858
Monique WochatzUniversity Outpatient Clinic, Sports Medicine and Sports Orthopedics, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0001-5562-5989
Miralem HadzicCenter of Rehabilitation Research, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0002-3546-8880
Michael JohnFraunhofer Institute for Open Communication Systems, Berlin, Germany.ORCID https://orcid.org/0000-0003-3745-9766
Karl WegscheiderInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0003-2974-3142
Heinz VöllerCenter of Rehabilitation Research, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0002-4495-2172
University of Potsdam · DEFraunhofer Institute for Open Communication Systems · DETrier University of Applied Sciences · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelerehabilitation can contribute to the maintenance of successful rehabilitation regardless of location and time. The aim of this study was to investigate a specific three-month interactive telerehabilitation routine regarding its effectiveness in assisting patients with physical functionality and with returning to work compared to typical aftercare.

objectiveThe aim of the study was to investigate a specific three-month interactive telerehabilitation with regard to effectiveness in functioning and return to work compared to usual aftercare.

methodsFrom August 2016 to December 2017, 111 patients (mean 54.9 years old; SD 6.8; 54.3% female) with hip or knee replacement were enrolled in the randomized controlled trial. At discharge from inpatient rehabilitation and after three months, their distance in the 6-minute walk test was assessed as the primary endpoint. Other functional parameters, including health related quality of life, pain, and time to return to work, were secondary endpoints.

resultsPatients in the intervention group performed telerehabilitation for an average of 55.0 minutes (SD 9.2) per week. Adherence was high, at over 75%, until the 7th week of the three-month intervention phase. Almost all the patients and therapists used the communication options. Both the intervention group (average difference 88.3 m; SD 57.7; P=.95) and the control group (average difference 79.6 m; SD 48.7; P=.95) increased their distance in the 6-minute-walk-test. Improvements in other functional parameters, as well as in quality of life and pain, were achieved in both groups. The higher proportion of working patients in the intervention group (64.6%; P=.01) versus the control group (46.2%) is of note.

conclusionsThe effect of the investigated telerehabilitation therapy in patients following knee or hip replacement was equivalent to the usual aftercare in terms of functional testing, quality of life, and pain. Since a significantly higher return-to-work rate could be achieved, this therapy might be a promising supplement to established aftercare.

trial registrationGerman Clinical Trials Register DRKS00010009; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00010009.

Indexed as

aftercareexercise therapyhome-basedrehabilitationtelerehabilitationtotal hip replacementtotal knee replacement

Identifiers

PMID31697239
PMCPMC6873150
OpenAlexW2971412656

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.