The telerehabilitation systems studied until now often differ in terms of their communication structures and their feedback options. However, this could not be investigated with the currently available systems, as they are either not specific enough for the indications of a patient or do not offer a tool to communicate with a therapist. The current telerehabilitation offerings should be adapted to the individual and indication‑specific needs of the patients and should enable contact with the supervising therapists. In this regard, telerehabilitation seems to be the obvious choice since it can be performed irrespective of location and time, and it has the potential to increase both utilization and therapy adherence. Therefore, to improve the sustainability of postoperative therapies, more flexible and individualized offers need to be developed. In Germany, patients are offered numerous aftercare options, such as the multimodal intensified program (IRENA) or training rehabilitation aftercare (T‑RENA), but only about half of eligible patients take advantage of them. Currently, there is an ongoing study, whose results will soon be published, that seeks to determine barriers to using rehabilitation services. Prior studies have reported various barriers to using rehabilitation services, such as miscellaneous financial, structural, personal, and attitudinal determinants of access to rehabilitation. The effectiveness of rehabilitation after a knee or hip replacement has already been documented with substantial evidence however, maintaining the achieved therapeutic outcome remains a challenge. Īfter an orthopedic procedure, rehabilitation as a multidisciplinary approach can improve the function of the joints and the ability to maintain a normal daily life, as well as relieve a patient’s pain. A further increase in endoprosthetic interventions on the knee and hip joint is to be expected due to an aging society and an increasing rate of obesity. With these numbers, Germany ranks second (hip) and fourth (knee) in the world. According to data from the Organization for Economic Cooperation and Development (OECD), 299 total hip and 206 total knee replacements were performed per 100,000 people in Germany in 2015.
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