2023 ISAKOS Biennial Congress ePoster
Comparison Between Supervised Rehabilitation and Telerehabilitation in Patellofemoral Pain Syndrome Patients During the COVID-19 Pandemic
Ki-Mo Jang, MD, PhD, Prof., Seoul KOREA, REPUBLIC OF
Jin Hyuck Lee, PT, PhD, Seongbuk-Gu/ Seoul, KOREA KOREA, REPUBLIC OF
Jun-Gu Park, MD, Seoul KOREA, REPUBLIC OF
Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, KOREA, REPUBLIC OF
FDA Status Not Applicable
Summary
Telerehabilitation may be as effective as supervised rehabilitation in improving functional outcomes in patients with PFPS, and it can be a suitable treatment method to improve psychological and functional ability during the COVID-19 pandemic.
ePosters will be available shortly before Congress
Abstract
Background
Patellofemoral pain syndrome (PFPS) is a common cause of anterior knee pain, and therapeutic exercise rehabilitations are generally recommended for PFPS patients. Despite recommendations on the importance of telerehabilitation during COVID-19 pandemic, insufficient studies have investigated functional outcomes of the telerehabilitation in patients with PFPS. This study aimed to compare the muscle strengths, muscle activation time, patient-reported outcomes between supervised rehabilitation and telerehabilitation in female patients with PFPS. It was hypothesized that there would be no significant differences between supervised rehabilitation and telerehabilitation by the management of physical therapists in female patients with PFPS.
Materials And Methods
This study is a prospective comparative study. Total 61 patients (supervised rehabilitation group, n=30; telerehabilitation group, n=31) enrolled in this study. The muscle strength and activation time of the quadriceps and hamstrings were measured using an isokinetic device. The hip muscle strength was evaluated using a hand-held dynamometer. Patient-reported outcomes were assessed using the visual analog scale (VAS) for pain, Kujala Anterior Knee Pain Scale (AKPS) for functional ability, and Tampa scale for kinesiophobia (TSK-11).
Results
No significant differences were found in muscle strength, muscle activation time, or patient-reported outcomes of the involved knees between the supervised rehabilitation and telerehabilitation groups (P > 0.05). In addition, the rate of change in all parameters did not differ significantly between the two groups.
Conclusion
Telerehabilitation may be as effective as supervised rehabilitation in improving functional outcomes in female PFPS patients. Telerehabilitation can be a suitable treatment method to improve psychological and functional ability during the COVID-19 pandemic. However, further studies are necessary to determine whether a home-exercise program performed individually without the supervision of therapists will be as effective as telerehabilitation.