Purpose: to assess the efficacy of telerehabilitation in patients after hip prosthesis comparing the combination of telerehabilitation and intensive physioterapy.
Methods: kari is the device used for this study; patients have been divided in two randomized groups: six patients were included, n=3 control group (1 male, 2 female) and n=3 experimental group (2 male, 1 female). the two groups were omogeneous (p>0,05 at t student’s test for average values) concerning age and for all items collected; both of them have followed a standard intensive rehab protocol starting from the second day after surgery, the experimental group in addition worked with kari for 20 minutes; the control group used instead a standard program of autonomous exercises. All patients worked six days a week, two times a day. Rating scales administer are: womac, berg, nrs, mrc, groc scale; rom in second day after surgery, at discharge and about day 40.
Results: At discharge, kari group was better at average womac score and average nrs (not statistically significant); the two groups were equivalent about hip rom, mrc and groc score; control group was better for average berg score (not statistically significant). Patients who worked with telerehabilitation stayed in hospital less time (9,3 days versus 10,5). At day 40 after surgery, the two groups were equivalent about all the investigated variables,
Conclusion: telerehabilitation is feasible since the very first days after total hip replacement. Our work, shows that telerehabilitation can improve autonomy, can decrease disability and can have positive effects upon pain and LOS.

Prehabilitation programs for patients undergoing orthopaedic surgeries have been gaining popularity in recent years. However, current literature has produced varying results. Therefore, the objective of this review was to evaluate the effectiveness of prehabilitation for patients undergoing orthopaedic surgery versus standard care. Bibliographic databases (MEDLINE, CINAHL, AMED, Embase, PEDro and Cochrane CENTRAL) for published and ISI Web of Science, System for Information on Grey Literature in Europe and EU clinical trials registry for unpublished trials were searched from 2000 to June 2022. Data were pooled using a random-effects model. Recommendations are made using GRADE. Primary outcome measures were pain, function, muscle strength and health related quality of life (HRQoL). Forty-eight trials involving 3548 participants were analysed. Pre-operatively, moderate certainty evidence favouring prehabilitation was reported for patients undergoing knee replacement (TKR) for: function (SMD -0.70, 95% CI -1.08, -0.32); muscle strength- flexion (SMD 1.00, 95% CI 0.23, 1.77); for patients undergoing hip replacement (THR) for: HRQoL on SF-36 (Weighted Mean Difference (WMD) 7.32, 95% CI 3.15, 11.54); muscle strength- Abduction (SMD 1.03, 95% CI 0.03, 2.02); and high certainty evidence for patients undergoing lumbar surgery for back pain (WMD –8.20, 95% CI -8.85, -7.55) and moderate certainty evidence for HRQoL (SMD 0.46,95% CI 0.13,0.78) . Post-operatively, moderate certainty evidence was reported for function: TKR at 6 weeks (SMD -0.51, 95% CI-0.85, -0.17); and lumbar surgery at 6 months (SMD -2.35, 95% CI -3.92, -0.79. Other statistically significant differences in outcomes favouring prehabilitation were of low to very low quality of evidence.

Abstract:
Objective: To investigate the effect of a home exercise program (tele-rehabilitations) versus a stretching exercise program on chronic non-specific mechanical neck pain patients. Design: Randomized controlled study. Setting: private physical therapy center Beni-suef, Egypt. Subjects: Thirty male and female patients with ages ranging from 30 to 50 years old diagnosed with mechanical neck pain. Intervention: Patients were randomized into two groups, 15 patients each. Group (A) received a stretching exercise program, and Group (B) received home program exercise and advice. Main measures: Patients in both groups were assessed before and after 2 weeks of treatment, the outcome measures; included use of a visual analogue scale (VAS), active cervical range of motion (ROM), and measurement of chest expansion. Results: The results obtained via (MANOVA) revealed that there was a statistically significant difference within results in all outcome measures (pain intensity level, active cervical ROM, and chest expansion) after 2 weeks of intervention (P<0.001), with statistically significant differences between group A and Group B for pain intensity level (P<0.001). However, no statistically significant differences between group A and Group B regarding an active cervical ROM and chest expansion outcomes were evident after 2 weeks of intervention (p>0.5) . Conclusion: it was concluded that chronic mechanical neck pain patients either receiving a home exercise program or a stretching exercise program would have less pain, improved cervical spine ROM and chest expansion. Passive stretching exercise, showed better improvement in both cervical active ROM and chest expansion when compared to a home exercise program.

Purpose: To compare the effectiveness of rehabilitation provided via outpatient and teleconsultation in patients with mechanical low back ache and early osteoarthritis (OA) of knee joint by means of PROM’s. Methodology: A prospective observational study. The study population was divided into two groups (Outpatient and Teleconsultation respectively) and each group was further divided into two subgroups of 100 participants each (Knee-pain subgroup 1; low back pain subgroup 2). Demographic profile and, anthropometric data of the participants were collected. SF-12 questionnaire, visual analogue scale (VAS) score for pain and functional outcome scores (KOOS score for knee pain and the modified Oswestry Disability Index- MODI for low back pain) were assessed at the initial presentation and at 3- months follow-up. Participant's satisfaction with the teleconsultation service was assessed at the final follow-up by 5 points Likert scale (5, very satisfied; 1, very dissatisfied). Results: Mean duration of consultation was significantly higher in physical consultation than in the teleconsultation group (p<0.001). No statistically significant difference in the VAS score, KOOS score (58.0 ± 7.6 vs 57.8 ± 9.2; p=0.893) and MODI Score (24.7 ± 13.3 vs 27.4 ± 12.4; p=0.128) between the corresponding subgroups of the two groups at final follow-up. 87% of the participants were satisfied (Likert score ≥ 4) with the teleconsultation services, while 12 % of participants remained neutral (Likert score = 3). Conclusion: Teleconsultation is equally effective to that as face-to-face outpatient consultation in the rehabilitation of patients with early OA knee and mechanical low back ache.