A Remote Physical Therapy Program Demonstrates Similar Outcomes Compared to In-Person, Supervised Physical Therapy After Same-Day Discharge Total Knee Arthroplasty: A Randomized Clinical Trial.

研究概要

One hundred seventy-one patients undergoing same-day discharge total knee arthroplasty were randomized to receive either remote physical therapy delivered through an electronic remote perioperative management program (n=76) or traditional, in-person supervised outpatient physical therapy (n=95). The primary outcome of interest was knee range of motion. Secondary outcomes included patient-reported outcome measures (KOOS Jr., VR-12 MCS/PCS), pain scores, functional assessments (timed up and go, 4-meter gait speed), and patient satisfaction. Outcomes were assessed preoperatively and at 6, 12, and 52 weeks postoperatively. Overall, the results of the study revealed no significant or clinically meaningful differences between groups in any outcomes, including functional recovery, pain, or satisfaction. Patients in the remote group incurred no travel or cost, while the outpatient group averaged $462.8 in copays and 133 minutes of travel. These findings suggest that remote rehabilitation is a viable, cost-effective option for selected patients after same-day discharge total knee arthroplasty.