Telerehabilitation in the remote care of patients’ post-orthopaedic surgery: Benefits and limitations for patients

Abstract

Objective

The aim of this study was to identify the factors that might influence patients’ adoption of telerehabilitation post-orthopaedic surgery knee and hip.

Method

Semi-structured interviews were conducted with 20 total hip arthroplasty (THA; n = 6) and total knee arthroplasty (TKA; n = 14) patients. These interviews were guided by an interview framework inspired by the Unified theory of acceptance and use of technology 2 (UTAUT2). The System Usability Scale (SUS) was used to assess patients’ perception of usability.

Results

The interviews highlighted facilitators perceived by the subjects, such as reinforcement and motivation to practice physical activity, personalised follow-up from clinicians (via gamification), complementarity to conventional therapy and cost (urban travel). The results also revealed perceived barriers, including the risk of injury and lack of relationship with the professional. These factors need to be considered in user-centred design. SUS results were not influenced by the subject gender, or age. The results obtained for the SUS indicate an average score of 54.6 ± 19.6, meaning that potential usability is slightly acceptable.

Conclusion

User-centred design is essential for adherence. Individualised and gamified programmes could improve patient care by encouraging participation and autonomy. Setting achievable goals and clinician support help maintain engagement, ensuring the long-term benefits of exercise. These key points could increase mass participation and thus improve telerehabilitation care.