Teletherapie – Möglichkeiten der Rehabilitation bei Patient*innen nach Knie-Totalendoprothese

Zusammenfassung

Um den Bedarf an Physiotherapie bei der steigenden Zahl an Patient*innen nach einer endoprothetischen Versorgung auch in Zukunft zu decken, benötigen die Gesundheitsdienstleister*innen eine Lösung für die Bereitstellung einer angemessenen Therapie. Eine mögliche Option könnte die Teletherapie sein, die aufgrund der pandemischen Lage von SARS-COV-2 zunehmend an Bedeutung gewinnt. Teletherapie kann Menschen, die aus diversen Gründen nicht in die Praxis kommen können, eine Therapie ermöglichen, und birgt ein kostensparendes Potenzial.

Diese Arbeit sollte klären, ob die physiotherapeutische Teletherapie bei Patient*innen nach einer endprothetischen Versorgung des Knies mit einer konventionellen Physiotherapie vergleichbar ist. Anhand einer Literaturrecherche auf den Datenbanken Cochrane, Europe PMC und PubMed vom 01.01.-04.05.2021 wurden 4 geeignete RCTs gefunden. Alle 4 RCTs zeigten, dass die Teletherapie positive Auswirkungen auf die Funktion der Patient*innen nach einer Knie-Totalendoprothese hat und einer konventionellen Physiotherapie nicht unterlegen ist. Die Ergebnisse waren klinisch signifikant. Die Teletherapie kann demnach als Alternative in Betracht gezogen werden.

Allerdings sind manche Studien auf Grund von methodologischen Schwächen kritisch zu betrachten, sodass diese Arbeit keine eindeutige Empfehlung aussprechen kann. Für ein eindeutiges Ergebnis und eine starke klinische Empfehlung bei Patient*innen nach Knie-Totalendoprothese sind weitere Studien nötig.

Abstract

To meet the future demand for physiotherapy in the face of a growing number of patients after arthroplasty, health service providers need a solution for the provision of appropriate therapy. One potential option could be teletherapy, which is becoming increasingly important due to the pandemic situation surrounding SARS-COV-2. Remote options can enable therapy for people who cannot visit a practice for different reasons. They also have the potential to realize cost savings.

This review aimed to clarify whether remote physiotherapy in patients after knee arthroplasty was comparable to conventional physiotherapy. A literature review, carried out across the Cochrane, Europe PMC and PubMed databases for the period from January 1 to May 4, 2021, identified 4 suitable RCTs. All of the 4 RCTs demonstrated that remote therapy has a positive impact on function in patients after total arthroplasty of the knee and is not inferior to conventional physiotherapy. Results were clinically significant. Accordingly, teletherapy can be considered as an alternative.

However, some of the trials were viewed critically due to methodological weaknesses. Consequently, this review cannot give a definite recommendation. Further studies are required to get clear results and issue a strong clinical recommendation for patients after total knee arthroplasty.

Schlüsselwörter

Teletherapie - Rehabilitation - Knie-Totalendoprothese - Funktion

Key words

teletherapy - rehabilitation - total knee arthroplasty - function

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