Effectiveness of tele-rehabilitation after total hip replacement: a systematic review and meta-analysis of randomized controlled trials

Figures & data

Table 1. Search strategies used in pubmed.

Search term
1 Tele-rehabilitation
2 telerehabilitation OR telemedicine OR remote rehabilitation
3 #1 OR #2
4 total hip replacement OR Hip Replacement Arthroplasty OR Total Hip Arthroplasties OR Hip replacement
5 Randomized controlled trial OR RCT
6 #3 AND #4 AND #5

Figure 1. Literature screening process.

Table 2. Summary of PEDro scores for included studies.

	1	2	3	4	5	6	7	8	9	10	11	Total Score	Quality
Vesterby et al. (2017) [19]	Y	Y	Y	Y	N	N	N	Y	Y	Y	Y	8	Good
Eichler et al. (2019) [20]	Y	Y	Y	Y	Y	N	N	Y	Y	N	N	7	Good
Nelson et al. (2020) [21]	Y	Y	Y	Y	N	N	Y	Y	Y	Y	Y	9	excellent
Kalron et al. (2018) [13]	Y	Y	Y	N	Y	N	N	Y	Y	Y	Y	8	Good
Fascio et al. (2022) [22]	Y	Y	Y	Y	N	Y	N	Y	Y	Y	Y	9	excellent
Saunders et al. (2018) [23]	Y	Y	Y	N	N	N	Y	Y	Y	Y	N	7	Good
Tang et al. (2019) [24]	Y	Y	Y	N	Y	N	Y	Y	Y	Y	N	8	Good
Wang et al. (2021) [25]	Y	Y	Y	Y	N	N	N	Y	Y	Y	Y	8	Good
Guan et al. (2021) [26]	Y	Y	Y	N	N	N	N	Y	Y	Y	Y	7	Good
Wang et al. (2022) [27]	Y	Y	Y	Y	N	N	Y	Y	Y	Y	Y	9	excellent

(1: inclusion criteria and source, 2: random allocation, 3: concealed allocation, 4: similarity at baseline, 5: subject blinding, 6: therapist blinding, 7: assessor blinding, 8: completeness of follow up, 9: intention-to-treat analysis, 10: between-group statistical comparisons, 11: point measures and variability).

Figure 2. Meta-analysis of TUG tests in experimental group and control group.

Figure 3. Meta-analysis results in HOOS scores.

Vesterby MS, Pedersen PU, Laursen M, et al. Telemedicine support shortens length of stay after fast-track hip replacement. Acta Orthop. 2017;88(1):41–47. doi: 10.1080/17453674.2016.1256939.

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Eichler S, Salzwedel A, Rabe S, et al. The effectiveness of telerehabilitation as a supplement to rehabilitation in patients after total knee or hip replacement: randomized controlled trial. JMIR Rehabil Assist Technol. 2019;6(2):e14236. doi: 10.2196/14236.

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Nelson M, Bourke M, Crossley K, et al. Telerehabilitation is non-inferior to usual care following total hip replacement—a randomized controlled non-inferiority trial. Physiotherapy. 2020;107:19–27. doi: 10.1016/j.physio.2019.06.006.

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Kalron A, Tawil H, Peleg-Shani S, et al. Effect of telerehabilitation on mobility in people after hip surgery: a pilot feasibility study. Int J Rehabil Res. 2018;41(3):244–250. doi: 10.1097/MRR.0000000000000296.

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Fascio E, Vitale JA, Sirtori P, et al. Early virtual-reality-based home rehabilitation after total hip arthroplasty: a randomized controlled trial. J Clin Med. 2022;11(7):1766. doi: 10.3390/jcm11071766.

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Saunders R, Seaman K, Emery L, et al. Comparing an eHealth program (My hip journey) with standard care for total hip arthroplasty: randomized controlled trial. JMIR Rehabil Assist Technol. 2021;8(1):e22944. doi: 10.2196/22944.

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Xiumei T. The comparative study of remote rehabilitation nursing and traditional nursing after total hip replacement in elderly patients with femoral fracture. Genomics and Applied Biology. 2019;38(12):5811–5816.

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Peixia W, Wenying W, Ying Y, et al. Effect of medical alliance combined with video recording guidance on the out-of-hospital rehabilitation of elderly patients undergoing hip replacement[J]. Chin J Modern Nurs. 2021;27(10):1340–1344.

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L G, J X, S Z. Application of remote live broadcast health education in home rehabilitation nursing of patients after hip replacement. Modern Nurse. 2021;27–28.

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Wang Q, Hunter S, Lee RL, et al. The effectiveness of a mobile application-based programme for rehabilitation after total hip or knee arthroplasty: a randomised controlled trial[J]. Int J Nurs Stud. 2023;140:104455. doi: 10.1016/j.ijnurstu.2023.104455.

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Data availability statement

The authors will supply the relevant data in response to reasonable requests.