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Journal of Telemedicine and Telecare

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J Telemed Telecare 2004;10:85-87
doi:10.1258/1357633042614384
© 2004 Royal Society of Medicine Press

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Rehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience

Trevor G Russell, Peter Buttrum, Richard Wootton and Gwendolen A Jull


Division of Physiotherapy, University of Queensland, Brisbane, Australia; Department of Physiotherapy, Queen Elizabeth II Jubilee Hospital, Brisbane, Australia; Centre for Online Health, University of Queensland, Brisbane, Australia; Division of Physiotherapy, University of Queensland, Brisbane, Australia

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.


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