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Abstract
Knee Osteoarthritis (KOA) is one of the leading causes of limitations in performing activities that impact in impaired knee function and mobility, necessitating physiotherapy intervention. Advancements in current technology have made it possible to receive treatment without the need for in-person meetings. This study aims to assess the feasibility of telehealth physiotherapy in improving knee function in OA patients. The design of study is Systematic Review and Meta-Analysis, with study sources obtained from Scopus, ProQuest, and PubMed databases using keywords based on the PICO framework. Data analysis was performed using Review Manager. The study identified a total of 1.726 articles, with a final screening resulting in 5 articles that were further examined. Each study had a Randomized Control Trials (RCT) research design and was oriented towards comparing telehealth with face-to-face interventions. Telerehabilitation did not show significant changes due to various factors, including the study's duration, physiotherapist supervision, patient motivation and adherence, as well as the comprehensiveness of exercise instructions.
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Copyright (c) 2023 Yunita Rahayu Pratiwi, Suryo Saputra Perdana
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How to Cite
The Effectiveness of Telerehabilitation on Improving Knee Function in Patients with Osteoarthritis Knee: A Systematic Review and Meta Analysis. (2023). Kinestetik : Jurnal Ilmiah Pendidikan Jasmani, 7(4), 1090–1102. https://doi.org/10.33369/jk.v7i4.30588
References
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Adamse, C., Dekker-Van Weering, M. G., van Etten-Jamaludin, F. S., & Stuiver, M. M. (2018). The effectiveness of exercise-based telemedicine on pain, physical activity and quality of life in the treatment of chronic pain: A systematic review. Journal of Telemedicine and Telecare, 24(8), 511–526. https://doi.org/10.1177/1357633X17716576
Allen, K. D., Oddone, E. Z., Coffman, C. J., Datta, S. K., Juntilla, K. A., Lindquist, J. H., Walker, T. A., Weinberger, M., & Bosworth, H. B. (2010). Telephone-Based Self-management of Osteoarthritis. Annals of Internal Medicine, 153(9), 570. https://doi.org/10.7326/0003-4819-153-9-201011020-00006
Allen, K. D., Thoma, L. M., & Golightly, Y. M. (2022). Epidemiology of osteoarthritis. Osteoarthritis and Cartilage, 30(2), 184–195. https://doi.org/10.1016/J.JOCA.2021.04.020
Allen, K. D., Yancy, W. S., Bosworth, H. B., Coffman, C. J., Jeffreys, A. S., Datta, S. K., McDuffie, J., Strauss, J. L., & Oddone, E. Z. (2016). A Combined Patient and Provider Intervention for Management of Osteoarthritis in Veterans. Annals of Internal Medicine, 164(2), 73. https://doi.org/10.7326/M15-0378
An, J. A., Ryu, H. K., Lyu, S. J., Yi, H. J., & Lee, B. H. (2021). Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: A single-blind randomized controlled trial. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/ijerph18116071
Azma, K., RezaSoltani, Z., Rezaeimoghaddam, F., Dadarkhah, A., & Mohsenolhosseini, S. (2018). Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: A randomized clinical trial. Journal of Telemedicine and Telecare, 24(8), 560–565. https://doi.org/10.1177/1357633X17723368
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29–30, 100587. https://doi.org/10.1016/j.eclinm.2020.100587
De Morton, N. A. (2009). The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy, 55(2), 129–133. https://doi.org/10.1016/S0004-9514(09)70043-1
Doiron-Cadrin, P., Kairy, D., Vendittoli, P. A., Lowry, V., Poitras, S., & Desmeules, F. (2020). Feasibility and preliminary effects of a tele-prehabilitation program and an in-person prehabilitation program compared to usual care for total hip or knee arthroplasty candidates: a pilot randomized controlled trial. Disability and Rehabilitation, 42(7), 989–998. https://doi.org/10.1080/09638288.2018.1515992
Fukuda, K. (2020). Science, technology and innovation ecosystem transformation toward society 5.0. International Journal of Production Economics, 220, 107460. https://doi.org/10.1016/j.ijpe.2019.07.033
Gohir, S. A., Eek, F., Kelly, A., Abhishek, A., & Valdes, A. M. (2021). Effectiveness of Internet-Based Exercises Aimed at Treating Knee Osteoarthritis: The iBEAT-OA Randomized Clinical Trial. JAMA Network Open, 4(2). https://doi.org/10.1001/jamanetworkopen.2021.0012
Hahn, D. L. (2009). Importance of Evidence Grading for Guideline Implementation: The Example of Asthma. The Annals of Family Medicine, 7(4), 364–369. https://doi.org/10.1370/afm.995
Higgins, J. P. T. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
Hinman, R. S., Campbell, P. K., Lawford, B. J., Briggs, A. M., Gale, J., Bills, C., Kasza, J., Harris, A., French, S. D., Bunker, S. J., Forbes, A., & Bennell, K. L. (2020). Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare randomized controlled trial. British Journal of Sports Medicine, 54(13), 790–797. https://doi.org/10.1136/bjsports-2019-101183
Kemenkes RI. (2019). Hasil Riset Kesehatan Dasar Tahun 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Lack, S., Barton, C., Sohan, O., Crossley, K., & Morrissey, D. (2015). Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis. British Journal of Sports Medicine, 49(21), 1365–1376. https://doi.org/10.1136/bjsports-2015-094723
Lubis, Z. I. (2021). Analisis Kualitatif Penggunaan Telemedicine sebagai Solusi Pelayanan Kesehatan di Indonesia pada Masa Pandemik COVID-19. Physiotherapy Health Science (PhysioHS), 2(2), 76–82. https://doi.org/10.22219/physiohs.v2i2.15148
Mora, J. C., Przkora, R., & Cruz-Almeida, Y. (2018). Knee osteoarthritis: pathophysiology and current treatment modalities. Journal of Pain Research, Volume 11, 2189–2196. https://doi.org/10.2147/JPR.S154002
Multani, N. K., Singh, B., & Garg, S. (2006). Effectiveness of Telemedicine Services Integrated Into Physiotherapeutic Health Care System. Journal of Exercise Science and Physiotherapy, 2, 87–91.
Russell, T. G., Buttrum, P., Wootton, R., & Jull, G. A. (2011). Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty. The Journal of Bone and Joint Surgery-American Volume, 93(2), 113–120. https://doi.org/10.2106/JBJS.I.01375
Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of Medicine, 377(16), 1585–1592. https://doi.org/10.1056/NEJMsr1503323
Zhong, Z., Liu, B., Liu, G., Chen, J., Li, Y., Chen, J., Liu, X., & Hu, Y. (2019). A Randomized Controlled Trial on the Effects of Low-Dose Extracorporeal Shockwave Therapy in Patients With Knee Osteoarthritis. Archives of Physical Medicine and Rehabilitation, 100(9), 1695–1702. https://doi.org/10.1016/j.apmr.2019.04.020
References
Adamse, C., Dekker-Van Weering, M. G., van Etten-Jamaludin, F. S., & Stuiver, M. M. (2018). The effectiveness of exercise-based telemedicine on pain, physical activity and quality of life in the treatment of chronic pain: A systematic review. Journal of Telemedicine and Telecare, 24(8), 511–526. https://doi.org/10.1177/1357633X17716576
Allen, K. D., Oddone, E. Z., Coffman, C. J., Datta, S. K., Juntilla, K. A., Lindquist, J. H., Walker, T. A., Weinberger, M., & Bosworth, H. B. (2010). Telephone-Based Self-management of Osteoarthritis. Annals of Internal Medicine, 153(9), 570. https://doi.org/10.7326/0003-4819-153-9-201011020-00006
Allen, K. D., Thoma, L. M., & Golightly, Y. M. (2022). Epidemiology of osteoarthritis. Osteoarthritis and Cartilage, 30(2), 184–195. https://doi.org/10.1016/J.JOCA.2021.04.020
Allen, K. D., Yancy, W. S., Bosworth, H. B., Coffman, C. J., Jeffreys, A. S., Datta, S. K., McDuffie, J., Strauss, J. L., & Oddone, E. Z. (2016). A Combined Patient and Provider Intervention for Management of Osteoarthritis in Veterans. Annals of Internal Medicine, 164(2), 73. https://doi.org/10.7326/M15-0378
An, J. A., Ryu, H. K., Lyu, S. J., Yi, H. J., & Lee, B. H. (2021). Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: A single-blind randomized controlled trial. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/ijerph18116071
Azma, K., RezaSoltani, Z., Rezaeimoghaddam, F., Dadarkhah, A., & Mohsenolhosseini, S. (2018). Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: A randomized clinical trial. Journal of Telemedicine and Telecare, 24(8), 560–565. https://doi.org/10.1177/1357633X17723368
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29–30, 100587. https://doi.org/10.1016/j.eclinm.2020.100587
De Morton, N. A. (2009). The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy, 55(2), 129–133. https://doi.org/10.1016/S0004-9514(09)70043-1
Doiron-Cadrin, P., Kairy, D., Vendittoli, P. A., Lowry, V., Poitras, S., & Desmeules, F. (2020). Feasibility and preliminary effects of a tele-prehabilitation program and an in-person prehabilitation program compared to usual care for total hip or knee arthroplasty candidates: a pilot randomized controlled trial. Disability and Rehabilitation, 42(7), 989–998. https://doi.org/10.1080/09638288.2018.1515992
Fukuda, K. (2020). Science, technology and innovation ecosystem transformation toward society 5.0. International Journal of Production Economics, 220, 107460. https://doi.org/10.1016/j.ijpe.2019.07.033
Gohir, S. A., Eek, F., Kelly, A., Abhishek, A., & Valdes, A. M. (2021). Effectiveness of Internet-Based Exercises Aimed at Treating Knee Osteoarthritis: The iBEAT-OA Randomized Clinical Trial. JAMA Network Open, 4(2). https://doi.org/10.1001/jamanetworkopen.2021.0012
Hahn, D. L. (2009). Importance of Evidence Grading for Guideline Implementation: The Example of Asthma. The Annals of Family Medicine, 7(4), 364–369. https://doi.org/10.1370/afm.995
Higgins, J. P. T. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
Hinman, R. S., Campbell, P. K., Lawford, B. J., Briggs, A. M., Gale, J., Bills, C., Kasza, J., Harris, A., French, S. D., Bunker, S. J., Forbes, A., & Bennell, K. L. (2020). Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare randomized controlled trial. British Journal of Sports Medicine, 54(13), 790–797. https://doi.org/10.1136/bjsports-2019-101183
Kemenkes RI. (2019). Hasil Riset Kesehatan Dasar Tahun 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Lack, S., Barton, C., Sohan, O., Crossley, K., & Morrissey, D. (2015). Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis. British Journal of Sports Medicine, 49(21), 1365–1376. https://doi.org/10.1136/bjsports-2015-094723
Lubis, Z. I. (2021). Analisis Kualitatif Penggunaan Telemedicine sebagai Solusi Pelayanan Kesehatan di Indonesia pada Masa Pandemik COVID-19. Physiotherapy Health Science (PhysioHS), 2(2), 76–82. https://doi.org/10.22219/physiohs.v2i2.15148
Mora, J. C., Przkora, R., & Cruz-Almeida, Y. (2018). Knee osteoarthritis: pathophysiology and current treatment modalities. Journal of Pain Research, Volume 11, 2189–2196. https://doi.org/10.2147/JPR.S154002
Multani, N. K., Singh, B., & Garg, S. (2006). Effectiveness of Telemedicine Services Integrated Into Physiotherapeutic Health Care System. Journal of Exercise Science and Physiotherapy, 2, 87–91.
Russell, T. G., Buttrum, P., Wootton, R., & Jull, G. A. (2011). Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty. The Journal of Bone and Joint Surgery-American Volume, 93(2), 113–120. https://doi.org/10.2106/JBJS.I.01375
Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of Medicine, 377(16), 1585–1592. https://doi.org/10.1056/NEJMsr1503323
Zhong, Z., Liu, B., Liu, G., Chen, J., Li, Y., Chen, J., Liu, X., & Hu, Y. (2019). A Randomized Controlled Trial on the Effects of Low-Dose Extracorporeal Shockwave Therapy in Patients With Knee Osteoarthritis. Archives of Physical Medicine and Rehabilitation, 100(9), 1695–1702. https://doi.org/10.1016/j.apmr.2019.04.020
Allen, K. D., Oddone, E. Z., Coffman, C. J., Datta, S. K., Juntilla, K. A., Lindquist, J. H., Walker, T. A., Weinberger, M., & Bosworth, H. B. (2010). Telephone-Based Self-management of Osteoarthritis. Annals of Internal Medicine, 153(9), 570. https://doi.org/10.7326/0003-4819-153-9-201011020-00006
Allen, K. D., Thoma, L. M., & Golightly, Y. M. (2022). Epidemiology of osteoarthritis. Osteoarthritis and Cartilage, 30(2), 184–195. https://doi.org/10.1016/J.JOCA.2021.04.020
Allen, K. D., Yancy, W. S., Bosworth, H. B., Coffman, C. J., Jeffreys, A. S., Datta, S. K., McDuffie, J., Strauss, J. L., & Oddone, E. Z. (2016). A Combined Patient and Provider Intervention for Management of Osteoarthritis in Veterans. Annals of Internal Medicine, 164(2), 73. https://doi.org/10.7326/M15-0378
An, J. A., Ryu, H. K., Lyu, S. J., Yi, H. J., & Lee, B. H. (2021). Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: A single-blind randomized controlled trial. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/ijerph18116071
Azma, K., RezaSoltani, Z., Rezaeimoghaddam, F., Dadarkhah, A., & Mohsenolhosseini, S. (2018). Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: A randomized clinical trial. Journal of Telemedicine and Telecare, 24(8), 560–565. https://doi.org/10.1177/1357633X17723368
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29–30, 100587. https://doi.org/10.1016/j.eclinm.2020.100587
De Morton, N. A. (2009). The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy, 55(2), 129–133. https://doi.org/10.1016/S0004-9514(09)70043-1
Doiron-Cadrin, P., Kairy, D., Vendittoli, P. A., Lowry, V., Poitras, S., & Desmeules, F. (2020). Feasibility and preliminary effects of a tele-prehabilitation program and an in-person prehabilitation program compared to usual care for total hip or knee arthroplasty candidates: a pilot randomized controlled trial. Disability and Rehabilitation, 42(7), 989–998. https://doi.org/10.1080/09638288.2018.1515992
Fukuda, K. (2020). Science, technology and innovation ecosystem transformation toward society 5.0. International Journal of Production Economics, 220, 107460. https://doi.org/10.1016/j.ijpe.2019.07.033
Gohir, S. A., Eek, F., Kelly, A., Abhishek, A., & Valdes, A. M. (2021). Effectiveness of Internet-Based Exercises Aimed at Treating Knee Osteoarthritis: The iBEAT-OA Randomized Clinical Trial. JAMA Network Open, 4(2). https://doi.org/10.1001/jamanetworkopen.2021.0012
Hahn, D. L. (2009). Importance of Evidence Grading for Guideline Implementation: The Example of Asthma. The Annals of Family Medicine, 7(4), 364–369. https://doi.org/10.1370/afm.995
Higgins, J. P. T. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
Hinman, R. S., Campbell, P. K., Lawford, B. J., Briggs, A. M., Gale, J., Bills, C., Kasza, J., Harris, A., French, S. D., Bunker, S. J., Forbes, A., & Bennell, K. L. (2020). Does telephone-delivered exercise advice and support by physiotherapists improve pain and/or function in people with knee osteoarthritis? Telecare randomized controlled trial. British Journal of Sports Medicine, 54(13), 790–797. https://doi.org/10.1136/bjsports-2019-101183
Kemenkes RI. (2019). Hasil Riset Kesehatan Dasar Tahun 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Lack, S., Barton, C., Sohan, O., Crossley, K., & Morrissey, D. (2015). Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis. British Journal of Sports Medicine, 49(21), 1365–1376. https://doi.org/10.1136/bjsports-2015-094723
Lubis, Z. I. (2021). Analisis Kualitatif Penggunaan Telemedicine sebagai Solusi Pelayanan Kesehatan di Indonesia pada Masa Pandemik COVID-19. Physiotherapy Health Science (PhysioHS), 2(2), 76–82. https://doi.org/10.22219/physiohs.v2i2.15148
Mora, J. C., Przkora, R., & Cruz-Almeida, Y. (2018). Knee osteoarthritis: pathophysiology and current treatment modalities. Journal of Pain Research, Volume 11, 2189–2196. https://doi.org/10.2147/JPR.S154002
Multani, N. K., Singh, B., & Garg, S. (2006). Effectiveness of Telemedicine Services Integrated Into Physiotherapeutic Health Care System. Journal of Exercise Science and Physiotherapy, 2, 87–91.
Russell, T. G., Buttrum, P., Wootton, R., & Jull, G. A. (2011). Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty. The Journal of Bone and Joint Surgery-American Volume, 93(2), 113–120. https://doi.org/10.2106/JBJS.I.01375
Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of Medicine, 377(16), 1585–1592. https://doi.org/10.1056/NEJMsr1503323
Zhong, Z., Liu, B., Liu, G., Chen, J., Li, Y., Chen, J., Liu, X., & Hu, Y. (2019). A Randomized Controlled Trial on the Effects of Low-Dose Extracorporeal Shockwave Therapy in Patients With Knee Osteoarthritis. Archives of Physical Medicine and Rehabilitation, 100(9), 1695–1702. https://doi.org/10.1016/j.apmr.2019.04.020