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Record W4211173136 · doi:10.28982/josam.1035076

The effect of telerehabilitation on early outcomes in patients undergoing primary total knee replacement: A prospective randomized study

2022· article· en· W4211173136 on OpenAlexaboutno aff
Adem Şahin, Anıl Agar, Cemil Ertürk

Bibliographic record

VenueJournal of Surgery and Medicine · 2022
Typearticle
Languageen
FieldMedicine
TopicTotal Knee Arthroplasty Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsTelerehabilitationMedicineWOMACPhysical therapyRehabilitationQuality of life (healthcare)OsteoarthritisTotal knee arthroplastyArthroplastySignificant differenceProspective cohort studyRandomized controlled trialMinimal clinically important differenceTelemedicineSurgeryHealth careInternal medicine

Abstract

fetched live from OpenAlex

Background/Aim: The continuity of rehabilitation is a problem after arthroplasty operations. There is a need for accessible rehabilitation programs for patients. The purpose of this study is to determine the difference in knee functions and patients' quality of life between patients doing home telerehabilitation and home rehabilitation after total knee arthroplasty (TKA). Methods: This prospective study was conducted on 90 patients, between June 2019 and January 2021. Patients are divided into three groups. Patients in group 1 are told to continue with the daily routine exercises which began in hospital. Group 2 patients got an information message to their mobile phones every day for the first month, reminding them of their postoperative exercises, whereas patients in group 3 are called by mobile phone for the same reminding. All patients participating in the study were evaluated by completing the Universities of Western Ontario and McMaster Osteoarthritis Index (WOMAC) scores, the Knee Society Clinical Evaluation System (KSS), the Barthel Index (BI) and the Quality of Life Scale Short Form 36 (SF-36) preoperatively and in the first and third months postoperatively, and the differences between the groups based on these scores were evaluated. Results: There was a statistically significant difference in WOMAC between the groups regarding first-month and third-month postoperatively (P=0.004 and P<0.001, respectively), as well as in KSS values between the same groups (P=0.048 and P=0.036, respectively). There was no statistically significant difference between the groups regarding postoperative first-month BI (P=0.826) and SF-36 values (P=0.264). There was a statistically significant difference between the groups regarding postoperative third-month BI and SF-36 values (P=0.035 and P<0.001, respectively). Conclusion: The telerehabilitation therapy appears to be more effective and successful than the control group, as shown by improvements in overall physical functions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.006
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.025
Threshold uncertainty score0.693

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.008
GPT teacher head0.257
Teacher spread0.249 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2022
Admission routes1
Has abstractyes

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