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Chughtai M, Shah NV, Sultan AA, et al. The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty. Ann Transl Med. 2019;7(4):68doi: 10.21037/atm.2018.11.27.
Chughtai, M., Shah, N. V., Sultan, A. A., Solow, M., Tiberi, J. V., Mehran, N., North, T., Moskal, J. T., Newman, J. M., Samuel, L. T., Bhave, A., & Mont, M. A. (2019). The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty. Annals of translational medicine, 7(4), 68. https://doi.org/10.21037/atm.2018.11.27
Chughtai, Morad, et al. "The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty." Annals of translational medicine vol. 7,4 (2019): 68. doi: https://doi.org/10.21037/atm.2018.11.27
Chughtai M, Shah NV, Sultan AA, Solow M, Tiberi JV, Mehran N, North T, Moskal JT, Newman JM, Samuel LT, Bhave A, Mont MA. The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty. Ann Transl Med. 2019 Feb;7(4):68. doi: 10.21037/atm.2018.11.27. PMID: 30963063; PMCID: PMC6409240.
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Ann Transl Med. 2019 Feb;7(4):68. doi: 10.21037/atm.2018.11.27.

The role of prehabilitation with a telerehabilitation system prior to total knee arthroplasty.

Annals of translational medicine

Morad Chughtai, Neil V Shah, Assem A Sultan, Maximillian Solow, John V Tiberi, Nima Mehran, Trevor North, Joseph T Moskal, Jared M Newman, Linsen T Samuel, Anil Bhave, Michael A Mont

Affiliations

  1. Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
  2. Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York, USA.
  3. St. George's University School of Medicine, Grenada, West Indies, USA.
  4. Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, CA, USA.
  5. Southern California Permanente Medical Group, Los Angeles, CA, USA.
  6. Henry Ford Health System, Detroit, MI, USA.
  7. Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA.
  8. Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, Baltimore, Maryland, USA.
  9. Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York, USA.

PMID: 30963063 PMCID: PMC6409240 DOI: 10.21037/atm.2018.11.27

Abstract

BACKGROUND: The purpose of the current study was to evaluate the usage of prehabilitation on a telehealth platform prior to total knee arthroplasty (TKA) and its impact on short-term outcomes. Specifically, the study examined whether patients participating in a prehabilitation program impacted length of stay (LOS) and discharge disposition.

METHODS: A total of 476 consecutive patients who underwent TKA at three institutions were included. The average age of the 476 patients was 65.1 years (range, 35 and 93 years). There was a total of 114 patients who utilized the novel prehabilitation program that provided exercises, nutritional advice, education regarding home safety and reducing medical risks, and pain management skills prior to surgery. A group of 362 patients who did not utilize the program formed the control cohort. The outcomes evaluated were LOS and discharge disposition to home, home with health aide (HHA), or skilled nursing facility (SNF).

RESULTS: The average LOS in the prehabilitation group was significantly shorter than in the control group (2.0

CONCLUSIONS: Prehabilitation preceding TKA in the current study showed early benefits in LOS and discharge disposition. This study will help expand the current literature and educate orthopaedic surgeons on a novel technology. To truly appreciate the role of telerehabilitation in the setting of TKA, further investigation is needed to investigate long-term outcomes, cost analysis, and patient and clinician satisfaction.

Keywords: Prehabilitation; telerehabilitation; total knee arthroplasty (TKA)

Conflict of interest statement

Conflicts of Interest: MA Mont: (I) AAOS: Board or committee member; (II) Cymedica: Paid consultant; (III) DJ Orthopaedics: Paid consultant; Research support; (IV) Johnson & Johnson: Paid consultant;

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