Effectiveness of telerehabilitation-based structured exercise program in individuals with unilateral transtibial amputation: a randomized controlled study

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dc.authoridCelik, Derya/0000-0002-2060-8510
dc.authorwosidKURTARAN, Mehmet/HNR-1962-2023
dc.contributor.authorKurtaran, Mehmet
dc.contributor.authorCelik, Derya
dc.date.accessioned2024-06-12T10:51:30Z
dc.date.available2024-06-12T10:51:30Z
dc.date.issued2024
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurposeThe study aimed to compare the effects of home exercise alone and telerehabilitation combined with home exercise in individuals with transtibial amputation.Materials and methodsThe telerehabilitation group (n = 24) received telerehabilitation combined with home exercise, while the control group (n = 24) received home exercise alone. Outcomes included the timed up-and-go (TUG) test and the 30-second chair-stand test (30CST), the Activities-specific Balance Confidence (ABC) Scale, the Trinity Amputation and Prosthesis Experience Scales (TAPES), the Amputee Body Image Scale (ABIS), and the Nottingham Health Profile (NHP). The analysis used a 2 x 2 mixed repeated measures ANOVA.ResultsThe group-by-time interactions were significant for TUG (p = 0.002, F[1;41] = 10.74) and 30CST (p = 0.001, F[1;41] = 11.48). The mean difference (6th week-baseline) was -0.49 for TUG and 0.95 for 30CST in the telerehabilitation group and -0.14 for TUG and 0.13 for 30CST in the control group. There were statistically meaningful group-by-time interactions on the ABC (p = 0.0004, F[1;41] = 14.47), the TAPES-activity restriction (p = 0.0001, F[1;41] = 28.96), TAPES-prosthesis satisfaction (p = 0.004, F[1;41] = 9.19), and the NHP (p = 0.0002, F[1;41] = 16.07) favoring the telerehabilitation group.ConclusionsTelerehabilitation combined with home exercise can offer greater benefits in improving gait, muscle strength, balance confidence, activity restriction, prosthesis satisfaction, and quality of life compared to home exercise alone for individuals with transtibial amputation.Implications for rehabilitationExercise helps individuals with lower limb amputation overcome their physical limitations and enables them to use their prostheses effectively.Physiotherapy and rehabilitation after amputation are not at the desired level, and individuals with lower limb amputation encounter various difficulties in accessing physiotherapy.Telerehabilitation has great potential to facilitate access to physiotherapy for individuals with amputation and reduce resource utilization.In a relatively small sample of amputees, this study shows that telerehabilitation-based exercise improves physical health and quality of life.en_US
dc.identifier.doi10.1080/09638288.2024.2310767
dc.identifier.issn0963-8288
dc.identifier.issn1464-5165
dc.identifier.pmid38329034en_US
dc.identifier.scopus2-s2.0-85184413660en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1080/09638288.2024.2310767
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18386
dc.identifier.wosWOS:001159509400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofDisability And Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAmputeesen_US
dc.subjectTelerehabilitationen_US
dc.subjectPhysiotherapyen_US
dc.subjectGaiten_US
dc.subjectSatisfactionen_US
dc.subjectQuality-Of-Lifeen_US
dc.subjectLower-Limb Amputationen_US
dc.subjectBalance Confidenceen_US
dc.subjectSocial Activityen_US
dc.subjectStrengthen_US
dc.subjectRehabilitationen_US
dc.subjectProsthesisen_US
dc.subjectPhysiotherapyen_US
dc.subjectReliabilityen_US
dc.subjectAdaptationen_US
dc.titleEffectiveness of telerehabilitation-based structured exercise program in individuals with unilateral transtibial amputation: a randomized controlled studyen_US
dc.typeArticleen_US

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