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Effectiveness of physiotherapy with telerehabilitation in surgical patients

24-07-2018
Delayed postoperative recovery is one of the most important problems after surgery. Postoperative complications contribute highly to postoperative morbidity and can lead to a longer hospital stay and mortality and lower cost-effectiveness. In surgical patients, hand squeezing power, inspiratory muscle strength, physical activities and QoL are risk factors for postoperative complications and poor postoperative functional recovery. Physiotherapists play an important role in reducing physiological and functional capacity due to surgery by physical exercise training and maintenance of physical activity or physical activity levels over the pre- and postoperative course. These interventions may be effective for postoperative functioning.

Telerehabilitation has developed rapidly in the past few years. Patients value benefits such as reduced travel barriers, flexible training hours and the ability to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared to the usual care in surgical populations are not yet decisive.

The aim of this research is to study the effectiveness of physiotherapy with telerhabilitation on postoperative functional results and quality of life in surgical patients. Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Public Organization International Clinical Trials Registry Platform.
The study selection consisted of randomized controlled trials, controlled clinical trials, quasi-randomized trials and quasi-experimental studies with comparative controls were included without limitations in terms of language or publication date.

Twenty-three studies were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the total pooled standardized mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favor of telerehabilitation in surgical patients. The diversity in content of intervention and outcome measures limited the performance of a meta-analysis on all clinical outcome measures.

Physiotherapy with telerehabilitation has the potential to increase the quality of life, is feasible and has been shown to be effective. This may be sufficient reason to choose physiotherapy with telerhabilitation for surgical populations.

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