Suero-Pineda, A. , Oliva-Pascual-Vaca, A. , Duran, M. Rodriguez-Pinero , RODRIGUEZ SANCHEZ-LAULHE, PABLO, Garcia-Frasquet, M. A. , Blanquero, J.
No
Rehabilitacion
Article
Científica
01/01/2024
001332332500001
Introduction: To assess whether, in patients with distal radius fracture feedback-guided exercises performed on a tablet touchscreen reduce healthcare usage and improve clinical recovery, more than the conventional home exercise program prescribed on paper. Material and methods: A multicentre, parallel, two-group, pragmatic, controlled trial with assessor blinding and intention-to-treat analysis. Forty-six patients with distal radius fracture were recruited in Andalusian Public Health System. . Participants in the experimental and control groups received the same in-patient physiotherapy sessions. Experimental group received a home exercise program using the ReHand tablet application and control group received an evidence-based home exercise program on paper. The primary outcome was the number of physiotherapy sessions tallied from hospitals data management system. Secondary outcomes included: the face-to-face rehabilitation consultations with a physiatrist, and clinical outcomes such as functional ability, grip strength, dexterity, pain intensity and range of motion. Results: The experimental group required fewer physiotherapy sessions (MD: -16.94; 95% CI: -32.5 to -1.38) and rehabilitation consultations (MD: -1.7; 95% CI: -3.39 to -0.02) compared to the control group. Conclusions: In patients with distal radius fracture, prescribing feedback-guided exercises performed on a tablet touchscreen provided by ReHand reduced number of physiotherapy sessions and rehabilitation consultations. (c) 2023 Sociedad Espanola ola de Rehabilitacio
Telerehabilitation; Distal radius fracture; Exercise therapy; Health resources; Digital therapeutics