Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2020;8(3):10 J Bone Joint Surg Am.2020;102(2):101-109.What this means for my practice?
The use of a virtual therapy program significantly reduces total healthcare utilization costs at 12 weeks post-op and does not result in any decrement in clinical outcomes. While this study was funded and co-authored by the manufacturer of this specific virtual therapy program, similar programs merit consideration. Importantly, despite a mean age of 65 years old, 90% of participants were "somewhat" or "very" comfortable with the use of technology.
Study Summary
Patients undergoing total knee arthroplasty require significant healthcare resources in terms of rehabilitation following their surgery. This therapy is key to success and the restoration of range of motion. This type of therapy usually takes place starting in the hospital, followed by home visits and outpatient therapy, along with transitional care for some patients as needed. In this study, patients were randomized to receive either standard care or a new virtual therapy modality (VERA) which they could use as often as they wanted. The authors found that patients in the VERA group had significantly lower healthcare costs at 12 weeks compared to standard care. Furthermore, there were no significant differences in important clinical outcomes between the groups.
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