key: cord-0047413-kkzpqbry
authors: Sahu, Dipit; Rathod, Vaibhavi
title: Telerehabilitation during COVID 19: Shoulder rehabilitation
date: 2020-07-10
journal: J Shoulder Elbow Surg
DOI: 10.1016/j.jse.2020.07.001
sha: 17f1119276724e239ab798328f16fefb60f69a95
doc_id: 47413
cord_uid: kkzpqbry

nan

There are 4 domains to telehealth: 1) tele-education, 2) teleconsultation, 3) telemonitoring, and 11 4) teletreatment [8] . Telerehabilitation is a form of tele-treatment in which rehabilitation services 12 are dispensed at patients' home utilizing video telecommunication services with real-time 13 synchronous exchange of information [3] . Since telerehabilitation was found to be equally 14 effective as conventional therapy, it was being practiced even before the COVID times [3] , 15 however it is truly valuable now during the lockdown. Home based exercises for stiff shoulders 16 have been found to be effective in a large multicenter trial [6] and combining them with 17 teletherapy services is the logical next step. The advantages of telerehabilitation include reducing Punctuality on either side is also assured since the travel times are saved on both the ends.

supervision also maintains the motivation and self-confidence to progress through regular video 25 calls. There is a change in patients' perception from being a dependent person to being a 26 strengthened person at home, as he is transformed to become an active receiver from being a 27 passive receiver [4] . Rehabilitation in one's own home also empowers him and shifts the balance 28 of power from the physiotherapist to the patient [4] .

Both self-rehabilitation and telerehabilitation have shown good results in patients who have 30 undergone either shoulder surgery or conservative therapy for shoulder fractures [8] .

Telerehabilitation has been proven to produce good functional results, lower pain scores and high 32 patient satisfaction in patients with conservatively treated fracture of proximal humerus and also 33 in patients after shoulder arthroplasty [4] . No difference in patient satisfaction and patient-reported It is worthwhile to mention here that "mHealth" is another subset of tele-treatment which 38 includes application (app) based technology for smartphones and tablets to advance medical and 39 public health practice [7] . While several apps are concerned with a specific aspect of health 

Efficacy of tele-rehabilitation compared with office-based physical therapy in patients 59 with knee osteoarthritis: A randomized clinical trial

Patient reported outcomes 62 with remote orthopaedic consultations by telemedicine: A randomised controlled trial

Real-time telerehabilitation for 65 the treatment of musculoskeletal conditions is effective and comparable to standard 66 practice: A systematic review and meta-analysis

Patients' experiences of telerehabilitation at home 69 after shoulder joint replacement

Telemedicine in Rehabilitation