Disability and rehabilitation · 2025
The influence of sociodemographic and health factors on adherence to home-based rehabilitation after fast-track total knee arthroplasty: secondary analysis of a randomized controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Nuevo Montse, Modrego Adriana, Rodríguez-Rodríguez Daniel, Jauregui Ricardo, Fabrellas Núria, Zabalegui Adelaida, Prat-Fabregat Salvi
Аннотация
PURPOSE: Adherence to home rehabilitation following total knee arthroplasty (TKA) is essential to reach optimal functional outcomes, especially in fast-track procedures. The aim of this study is to identify which sociodemographic and health factors significantly affect adherence in this context.
METHODS: This is a secondary analysis of a randomized controlled trial with 52 patients. Adherence was measured as the percentage of completed exercises. Two statistical analyses were performed, one on the entire population and another on the telerehabilitation group only, to study which factors significantly affects adherence.
RESULTS: The analysis included the 42 patients with adherence data (23 TRH, 19 control). In Analysis I (n = 42), six variables were statistically significant: history of depression (p = 0.00026), educational level (p = 0.00151), social support (p = 0.00157), treatment group (p = 0.0081), history of diabetes (p = 0.01153), and ASA score (p = 0.02752). In Analysis II (TRH, n = 23), three variables were significant: history of depression (p = 0.003), educational level (p = 0.006), and history of hypertension (p = 0.047).
CONCLUSION: There are sociodemographic and health factors affecting adherence to home rehabilitation post-TKA. Depression stands out as a negative factor, while high educational level and social support improve adherence. Telerehabilitation has positive effects and reduces the influence of social and economic factors.
METHODS: This is a secondary analysis of a randomized controlled trial with 52 patients. Adherence was measured as the percentage of completed exercises. Two statistical analyses were performed, one on the entire population and another on the telerehabilitation group only, to study which factors significantly affects adherence.
RESULTS: The analysis included the 42 patients with adherence data (23 TRH, 19 control). In Analysis I (n = 42), six variables were statistically significant: history of depression (p = 0.00026), educational level (p = 0.00151), social support (p = 0.00157), treatment group (p = 0.0081), history of diabetes (p = 0.01153), and ASA score (p = 0.02752). In Analysis II (TRH, n = 23), three variables were significant: history of depression (p = 0.003), educational level (p = 0.006), and history of hypertension (p = 0.047).
CONCLUSION: There are sociodemographic and health factors affecting adherence to home rehabilitation post-TKA. Depression stands out as a negative factor, while high educational level and social support improve adherence. Telerehabilitation has positive effects and reduces the influence of social and economic factors.