The patient's perspective of in-home telerehabilitation physiotherapy services following total knee arthroplasty

Int J Environ Res Public Health. 2013 Aug 30;10(9):3998-4011. doi: 10.3390/ijerph10093998.


This study aimed at exploring patients' perceptions regarding telerehabilitation services received post total knee replacement. In this qualitative embedded single case study, semi-structured interviews were conducted with five patients who had previously received in-home telerehabilitation post total knee arthroplasty. Participants were asked to reflect on their 8-week rehabilitation process and on their experience with the home telerehabilitation program. Interviews were transcribed and a qualitative thematic analysis was conducted. Six overarching themes emerged from the patients' perceptions: (1) improving access to services with reduced need for transportation; (2) developing a strong therapeutic relationship with therapist while maintaining a sense of personal space; (3) complementing telerehabilitation with in-person visits; (4) providing standardized yet tailored and challenging exercise programs using telerehabilitation; (5) perceived ease-of-use of telerehabilitation equipment; and (6) feeling an ongoing sense of support. Gaining a better understating of the patient's experience in telerehabilitation will be essential as programs continue to be developed and implemented.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Arthroplasty, Replacement, Knee / rehabilitation*
  • Exercise Therapy
  • Female
  • Health Services Accessibility
  • Housing
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Physical Therapy Modalities
  • Telemedicine*