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October 07, 2021
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VIDEO: Self-directed rehabilitation may provide similar outcomes as physical therapy

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SAN DIEGO — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Krishna R. Tripuraneni, MD, FAAOS, discussed the impact of a self-directed rehabilitation program on outcomes after total knee arthroplasty.

Tripuraneni and colleagues randomly assigned patients undergoing TKA to receive either self-directed rehabilitation through a smartwatch paired to a mobile application or traditional physical therapy in an outpatient setting. Researchers further divided the study group based on whether they had high or low exercise compliance based on percentage of completion of physical therapy.

Results showed no difference in KOOS JR and EuroQol 5D-5L scores among the groups at any time point in the study, as well as no differences in range of motion.

“Regardless of the level of compliance that a patient uses for this self-directed rehabilitation program utilizing a smartwatch and mobile application, we did not compromise any of the outcome measures that we set to accomplish,” Tripuraneni, of the New Mexico Orthopaedic Associates, said.