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KMID : 0361420160400040710
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Journal of Korean Academy of Rehabilitation Medicine
2016 Volume.40 No. 4 p.710 ~ p.717
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Proposal and Evaluation of a Telerehabilitation Platform Designed for Patients With Partial Rotator Cuff Tears: A Preliminary Study
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Salvador Israel Macias Hernandez
Diana Sureima Vasquez Sotelo
Marco Vinicio Ferruzca Navarro
Sanchez Susana Hazel Badillo
Josefina Gutierrez Martinez
Marco Antonio Nunez Gaona
Heriberto Aguirre Meneses
Oscar Benjamin Velez Gutierrez
Irene Tapia Ferrusco
Maria de los Angeles Soria Bastida
Roberto Coronado Zarco
Juan Daniel Morones Alba
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Abstract
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Objective: To propose and evaluate the effectiveness of a telerehabilitation platform designed for patients with rotator cuff (RC) tears.
Methods: During the first study phase, a virtual service platform that included information on RC tear pathology, joint care, and a series of instructions regarding therapeutic exercise was designed and created. Subsequently, in the clinical phase, a quasi-experimental study was performed. The platform was tested on patients and evaluated at baseline and at 1, 2, 3, and 6 months with respect to their pain levels and functionality on the Constant-Murley (CM) scale.
Results: Eleven patients were included, 5 women and 6 men, with a median age of 55 years (range, 42?68 years). Pain diminished from a baseline value of 64 mm (range, 40?80 mm) to 16 mm (range, 0?30 mm) at 6 months (p<0.001). Points on the CM scale rose from a baseline value of 54 points (range, 51?66 points) to 85 points (range, 70?100 points) at 6 months (p=0.001). Functionality in daily living and work activities, movement, and strength exhibited significant changes at 6 months (p<0.05).
Conclusion: Significant changes were observed in pain and functionality in this group of participants who used a telerehabilitation platform. To the best of our knowledge, this is the first study that included a specific program for RC tears.
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KEYWORD
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Telemedicine, Rehabilitation, Rotator cuff, Shoulder, Remote consultation
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