title: Rehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience.
abstract: After a total knee replacement, inadequate rehabilitation is associated with poor physical outcomes and a reduced longevity of the knee prosthesis. We have developed a low-bandwidth telemedicine system to enable rehabilitation services to be delivered directly to the home of patients in rural and remote areas. We have examined the experience of clinical physiotherapists and of 31 participants who received treatment via the system. High levels of satisfaction were reported by participants (mean responses > 7 on a 10 cm visual analogue scale). The service was found to be effective, safe and easy to use, and it integrated well into current clinical practice. The study demonstrates the potential for delivering physiotherapy services via low-bandwidth Internet connections.
authors.affiliation: Division of Physiotherapy, University of Queensland, Brisbane, Australia. t.russell@shrs.uq.edu.au
authors.forename: Trevor G
authors.initials: TG
authors.lastname: Russell
authors.forename: Peter
authors.initials: P
authors.lastname: Buttrum
authors.forename: Richard
authors.initials: R
authors.lastname: Wootton
authors.forename: Gwendolen A
authors.initials: GA
authors.lastname: Jull
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation*; D001291:Attitude of Health Personnel; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration*; D006801:Humans; D017060:Patient Satisfaction; D026761:Physical Therapy Specialty / Q000458:organization & administration*; D011793:Queensland; D017216:Telemedicine / Q000379:methods*