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Exercicios face-to-face nao sao superiores a telereabilitacao no pos-operatorio recente de artroplastia total de quadril: ensaio clinico randomizado (Face-to-face exercises are not superior to tele-rehabilitation in recent post-operative total hip arthroplasty: a randomized clinical trial) [Portugese]
Brazeiro MDEC, Mueller KF, Rohde CDAS, Lopes BDEM, Silva MF
Acta Ortopedica Brasileira 2025 Apr;33(1):e278202
clinical trial
This trial has not yet been rated.

OBJECTIVE: compare a face-to-face exercise program (face-to-face group (FG)) to telerehabilitation (telerehabilitation group (TG)), in patients undergoing total hip arthroplasty (THA). METHODOLOGY: randomized clinical trial with 24 participants: 14 in the FG, which held weekly exercise sessions with face-to-face supervision in the clinic; and 10 in the TG, which performed exercises at home, with guidance from the booklet and weekly calls from the researchers. All participants underwent 6 weeks of intervention and were evaluated, by a blinded evaluator, in the pre- and post-intervention moments for: pain; kinesiophobia; functional; joint range of motion (ROM); and peak muscle torque (PT). RESULTS: post-intervention only the TG (p = 0.018; d 1,744) showed improvement in the results of the TUG, however both TG (p = 0.043; d 1,876) and FG (p = 0.002; d 1,854) showed improvement in the HHS results. CONCLUSION: telerehabilitation proved to be as effective as face-to-face rehabilitation in improving PT, ROM and functional capacity of patients in the initial stage of THA rehabilitation. It can be considered a low-cost and easy access alternative in this post-operative phase. Level of Evidence I, Randomized control trial.

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