본문 바로가기
KERD
논문KCI 등재

Proposal and Evaluation of a Telerehabilitation Platform Designed for Patients With Partial Rotator Cuff Tears: A Preliminary Study

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류재활의학

초록

Objective To propose and evaluate the effectiveness of a telerehabilitation platform designed for patients with rotator cuff (RC) tears. Methods During the first study phase, a virtual service platform that included information on RC tear pathology, joint care, and a series of instructions regarding therapeutic exercise was designed and created. Subsequently, in the clinical phase, a quasi-experimental study was performed. The platform was tested on patients and evaluated at baseline and at 1, 2, 3, and 6 months with respect to their pain levels and functionality on the Constant-Murley (CM) scale. Results Eleven patients were included, 5 women and 6 men, with a median age of 55 years (range, 42–68 years). Pain diminished from a baseline value of 64 mm (range, 40–80 mm) to 16 mm (range, 0–30 mm) at 6 months (p<0.001). Points on the CM scale rose from a baseline value of 54 points (range, 51–66 points) to 85 points (range, 70–100 points) at 6 months (p=0.001). Functionality in daily living and work activities, movement, and strength exhibited significant changes at 6 months (p<0.05). Conclusion Significant changes were observed in pain and functionality in this group of participants who used a telerehabilitation platform. To the best of our knowledge, this is the first study that included a specific program for RC tears.

Abstract

Objective To propose and evaluate the effectiveness of a telerehabilitation platform designed for patients with rotator cuff (RC) tears. Methods During the first study phase, a virtual service platform that included information on RC tear pathology, joint care, and a series of instructions regarding therapeutic exercise was designed and created. Subsequently, in the clinical phase, a quasi-experimental study was performed. The platform was tested on patients and evaluated at baseline and at 1, 2, 3, and 6 months with respect to their pain levels and functionality on the Constant-Murley (CM) scale. Results Eleven patients were included, 5 women and 6 men, with a median age of 55 years (range, 42–68 years). Pain diminished from a baseline value of 64 mm (range, 40–80 mm) to 16 mm (range, 0–30 mm) at 6 months (p<0.001). Points on the CM scale rose from a baseline value of 54 points (range, 51–66 points) to 85 points (range, 70–100 points) at 6 months (p=0.001). Functionality in daily living and work activities, movement, and strength exhibited significant changes at 6 months (p<0.05). Conclusion Significant changes were observed in pain and functionality in this group of participants who used a telerehabilitation platform. To the best of our knowledge, this is the first study that included a specific program for RC tears.

참고문헌 (24)

  1. Brennan DM, "Human factors in the development and implementation of telerehabilitation systems", J Telemed Telecare, 14, pp.55~58 (2008)
  2. Hailey D, "Evidence of benefit from telerehabilitation in routine care: a systematic review", J Telemed Telecare, 17, pp.281~287 (2011)
  3. Rizzo AA, "The challenge of using virtual reality in telerehabilitation", Telemed J E Health, 10, pp.184~195 (2004)
  4. Hill AJ, "Using telerehabilitation to assess apraxia of speech in adults", Int J Lang Commun Disord, 44, pp.731~747 (2009)
  5. Ward EC, "Managing patient factors in the assessment of swallowing via telerehabilitation", Int J Telemed Appl, 2012, pp.132719~ (2012)
  6. Barr KP, "Rotator cuff disease", Phys Med Rehabil Clin N Am, 15, pp.475~491 (2004)
  7. Littlewood C, "Epidemiology of rotator cuff tendinopathy: a systematic review", Shoulder Elbow, 5, pp.256~265 (2013)
  8. Macias-Hernandez SI, "Eccentric strength training for the rotator cuff tendinopathies with subacromial impingement: current evidence", Cir Cir, 83, pp.74~80 (2015)
  9. Moosmayer S, "Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in 103 cases with a fiveyear follow-up", J Bone Joint Surg Am, 96, pp.1504~1514 (2014)
  10. Ellman H, "Diagnosis and treatment of incomplete rotator cuff tears", Clin Orthop Relat Res, (254), pp.64~74 (1990)
  11. Lewis JS, "Rotator cuff tendinopathy", Br J Sports Med, 43, pp.236~241 (2009)
  12. Clement ND, "Management of degenerative rotator cuff tears: a review and treatment strategy", Sports Med Arthrosc Rehabil Ther Technol, 4, pp.48~ (2012)
  13. Gomoll AH, "Rotator cuff disorders: recognition and management among patients with shoulder pain", Arthritis Rheum, 50, pp.3751~3761 (2004)
  14. Krischak G, "A prospective randomized controlled trial comparing occupational therapy with home-based exercises in conservative treatment of rotator cuff tears", J Shoulder Elbow Surg, 22, pp.1173~1179 (2013)
  15. Tousignant M, "A randomized controlled trial of home telerehabilitation for post-knee arthroplasty", J Telemed Telecare, 17, pp.195~198 (2011)
  16. Piqueras M, "Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthroplasty: a randomized controlled trial", J Rehabil Med, 45, pp.392~396 (2013)
  17. Kowalczewski J, "Inhome tele-rehabilitation improves tetraplegic hand function", Neurorehabil Neural Repair, 25, pp.412~422 (2011)
  18. Piotrowicz E, "Quality of life in heart failure patients undergoing home-based telerehabilitation versus outpatient rehabilitation: a randomized controlled study", Eur J Cardiovasc Nurs, 14, pp.256~263 (2015)
  19. Deaton M, "The elements of user experience: usercentered design for the web", Interactions, 10, pp.49~51 (2003)
  20. Van Straaten MG, "Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: a high-dose shoulder program with telerehabilitation", Arch Phys Med Rehabil, 95, pp.1810-7.e2~ (2014)
  21. Eriksson L, "Patients’ experiences of telerehabilitation at home after shoulder joint replacement", J Telemed Telecare, 17, pp.25~30 (2011)
  22. Safran O, "Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger", Am J Sports Med, 39, pp.710~714 (2011)
  23. Yamanaka K, "The joint side tear of the rotator cuff: a followup study by arthrography", Clin Orthop Relat Res, (304), pp.68~73 (1994)
  24. Eljabu W, "The natural history of rotator cuff tears: a systematic review", Arch Orthop Trauma Surg, 135, pp.1055~1061 (2015)

관련 논문AI추천

Preoperative Comparison of Shoulder Muscle Strength and Functional Outcomes in Rotator Cuff Tear PatientsIl-kyu Ahn, Jin-seong Kim, Oh-yun Kwon, Ui-jae Hwang한국전문물리치료학회 · 한국전문물리치료학회지2024 · 제31권 제3호Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair오재섭, Duk-hyun An, Won-jeong Jeong한국전문물리치료학회 · 한국전문물리치료학회지2023 · 제30권 제1호Clinical Outcomes of Conservative Treatment and Arthroscopic Repair of Rotator Cuff Tears: A Retrospective Observational Study최지은, Bo Ram Kim, Hyun Kyung Do, Jae-Young Lim, Jee Hyun Noh, Joong Hoon Lee, Min Jee Kim, Seihee Kim, Shi-Uk Lee, Soo Hyun Choi, Sun Gun Chung, Woo Hyung Lee대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제2호Reproducibility of the Isokinetic Joint Torque as a Rotator Cuff Weakness Test Protocol in Patients With Rotator Cuff Tendinitis김수용, 오재섭한국전문물리치료학회 · 한국전문물리치료학회지2017 · 제24권 제3호Design and Validation of a Computer Application for Diagnosis of Shoulder Locomotor System PathologyAlbert Bigorda-Sague, Carmen Campoy Guerrero, Gemma Ariza Carrio, Javier Trujillano Cabello대한의료정보학회 · Healthcare Informatics Research2019 · 제25권 제2호돌림근띠 근력강화를 위한 가정 운동프로그램이 유착성 관절주머니염 환자의 어깨 통증과 관절가동범위, 기능장애 수준, 삶의 질에 미치는 영향김선엽, 오병환한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제1호

이 간행물의 다른 논문 (23건)