Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Article Volume 4 Issue 2

In-Home Telerehabilitation for Proximal Humerus Fractures Compared to Conventional Rehabilitation: A Randomized Trial

Michel Tousignant1,2*, François Cabana3, Samuel Langlois-Michaud3, Simon Brière2 and Catherine Pagé1

1Research Centre on Aging, Centre Intégré Universitaire De Santé Et De Services Sociaux De l’Estrie - Centre Hospitalier Universitaire De Sherbrooke (CIUSSS De l’Estrie CHUS), Sherbrooke, Quebec, Canada
2School of Rehabilitation, Université De Sherbrooke, Sherbrooke, Quebec, Canada
3Department of Surgery, Faculty of Medicine and Health Sciences, Université De Sherbrooke, Sherbrooke, Quebec, Canada

*Corresponding Author: Michel Tousignant, Research Centre on Aging, Centre Intégré Universitaire De Santé Et De Services Sociaux De l’Estrie - Centre Hospitalier Universitaire De Sherbrooke (CIUSSS De l’Estrie CHUS), Sherbrooke and Department of Surgery, Faculty of Medicine and Health Sciences, Université De Sherbrooke, Sherbrooke, Quebec, Canada.

Received: December 23, 2019; Published: January 08, 2020

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Abstract

Objective: The objective of this trial was to investigate the effect of an in-home telerehabilitation program for proximal humerus fractures compared to outpatient clinic visits.

Materials and Methods: Patients with proximal humerus fractures were recruited by an orthopedic specialist during emergency room visits. Physiotherapy treatments were given over an 8-week period using a videoconferencing system (TELE) or through face-to-face visits at the outpatient clinic (USUAL). Disabilities, including shoulder range of motion (flexion, extension, internal rotation, external rotation, abduction), and shoulder and upper limb functions were measured in face-to-face evaluations before (T1), and immediately after (T2) the program. Participant satisfaction with the healthcare services received was also evaluated at T2. Statistical analysis used the results of 30 participants.

Results: All the clinical outcomes improved post-intervention in each of the TELE and USUAL groups. Also, patient satisfaction was equivalent for both groups, showing scores of over 80% for each satisfaction factor measured. No intergroup differences were revealed in this trial for each outcome measured (p > 0.1).

Conclusion: Therefore, in-home teletreatment seems to be a promising way to dispense rehabilitation services for this population, similar to the effectiveness of outpatient clinical visits.

Keywords: In-Home Teletreatment; Proximal Humerus Fracture; Range Of Motion; Satisfaction; Telerehabilitation

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References

  1. Brorson S., et al. “Effect of osteosynthesis, primary hemiarthroplasty, and non-surgical management for displaced four-part fractures of the proximal humerus in elderly: a multi-centre, randomised clinical trial”. Trials 10 (2009): 51. 
  2. Handoll HH and Ollivere BJ. “Interventions for treating proximal humeral fractures in adults”. The Cochrane Database of Systematic Reviews 11 (2015): CD000434. 
  3. Hodgson SA., et al. “Rehabilitation after two-part fractures of the neck of the humerus”. Journal of Bone and Joint Surgery 85.3 (2003): 419-422. 
  4. Lefevre-Colau MM., et al. “Immediate mobilization compared with conventional immobilization for the impacted nonoperatively treated proximal humeral fracture. A randomized controlled trial”. Journal of Bone and Joint Surgery 89.12 (2007): 2582-2590. 
  5. Lübbeke A., et al. “Upper extremity fractures in the elderly: consequences on utilization of rehabilitation care”. Aging Clinical and Experimental Research 17.4 (2005): 276-280. 
  6. Burdea G., et al. “Virtual reality-based orthopedic telerehabilitation”, EEE transactions on neural systems and rehabilitation engineering: a publication of the IEEE Engineering in Medicine and Biology Society 8.3 (2000): 430-432. 
  7. Bashshur R., et al. “The taxonomy of telemedicine”. Telemedicine journal and e-health: the official journal of the American Telemedicine Association 17.6 (2011): 484-494. 
  8. Romanow RJ. “Guidé par nos valeurs: L'Avenir des soins de santé au Canada, Santé Canada”. Ottawa (2002). 
  9. Tousignant M., et al. “In-home telerehabilitation for proximal humerus fractures: a pilot study”. International Journal of Telerehabilitation 6.2 (2015): 31-37. 
  10. Cabana F., et al. “Is an in-home telerehabilitation program for people with proximal humerus fracture as effective as a conventional face-to face rehabilitation program? A study protocol for a noninferiority randomized clinical trial”. BMC Sports Science, Medicine and Rehabilitation 8.1 (2016): 27. 
  11. Tousignant M., et al. “A randomized controlled trial of home telerehabilitation for post-knee arthroplasty”. Journal of Telemedicine and Telecare 17.4 (2011): 195-198. 
  12. Wang X., et al. “Technology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: a systematic review and meta-analysis”. BMC Musculoskeletal Disorders 20(1) (2019): 506. 
  13. Eriksson L., et al. “Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation”. Journal of Telemedicine and Telecare 15.5 (5) (2009): 215-220. 
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Citation

Citation: Michel Tousignant., et al. “In-Home Telerehabilitation for Proximal Humerus Fractures Compared to Conventional Rehabilitation: A Randomized Trial". Acta Scientific Medical Sciences 4.2 (2020): 65-70.




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