Covid-19 Outbreak Highlights: Importance of Home- Based Rehabilitation in Orthopedic Surgery



1 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Irann

2 Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran


Effectiveness of rehabilitation process is undeniable in many musculoskeletal and joint conditions. There are increasing evidences that elecronic visits and tele-rehabalition programs are useful. When social distancing policies limit orthopedic surgeons to use hospital or clinic-based rehabilitation, developing of Home-based & Tele-rehabilitation modalities are highly recommended by Orthopedic surgeons , physiatrists and physiotherapists societies.


1. Fauci AS, Lane HC, Redfield RR. Covid-19-Navigating
the Uncharted [published online ahead of print]. N
Engl J Med. 2020; 10.
2. Leung CC, Lam TH, Cheng KK. Mass masking in the
COVID-19 epidemic: people need guidance. Lancet.
2020; 395(10228):945.
3. Hollander JE, Carr BG. Virtually perfect? Telemedicine
for covid-19. New England Journal of Medicine. 2020.
4. Portnow J, Kline T, Daly MA, Peltier SM, Chin C, Miller
JR. Multidisciplinary home rehabilitation: a practical
model. Clinics in geriatric medicine. 1991, 7(4):695-
5. Mehta SP, Roy JS. Systematic review of home
physiotherapy after hip fracture surgery. Journal of
rehabilitation medicine. 2011, 43(6):477-80.
6. Pallett EJ, Rentowl P, Johnson MI, Watson PJ.
Implementation fidelity of self-administered
transcutaneous electrical nerve stimulation (TENS)
in patients with chronic back pain: an observational
study. The Clinical journal of pain. 2014, 30(3):224-31.
7. Legendre G, Gonzalves A, Levaillant JM, Fernandez
D, Fuchs F, Fernandez H. Impact of at-home selfrehabilitation
of the perineum on pelvic floor function
in patients with stress urinary incontinence: Results
from a prospective study using three-dimensional
ultrasound. Journal de Gynécologie Obstétrique ET
Biologie de la Reproduction. 2016, 45(2):139-46.
8. Zampolini M, Todeschini E, Bernabeu MG, Hermens 
H, Ilsbroukx S, Macellari V, Magni R, Rogante M,
Scattareggia SM, Vollenbroek M, Giacomozzi C. Telerehabilitation:
present and future. Annali dell’Istituto
superiore di sanita. 2008; 44(2):125-34.
9. Wu D, Zhu X, Zhang S. Effect of home-based
rehabilitation for hip fracture: A meta-analysis of
randomized controlled trials. Journal of rehabilitation
medicine. 2018, 50(6):481-6.
10. Li D, Yang Z, Kang P, Xie X. Home-Based Compared
with Hospital-Based Rehabilitation Program for
Patients Undergoing Total Knee Arthroplasty for
Osteoarthritis: A Systematic Review and Metaanalysis
of Randomized Controlled Trials. American
journal of physical medicine & rehabilitation. 2017;
11. Mbada C, Olaoye M, Ayanniyi O, Johnson O, Odole A,
Dada O. Comparative Efficacy of Clinic-Based and
Telerehabilitation Application of Mckenzie Therapy
in Low-Back Pain. Archives of Physical Medicine and
Rehabilitation. 2017; 98(10):e46-7.
12. Iranian Orthopedic Association (IOA) guidance
in response to COVID-19 pandemic. ABJS. 2020;
8(Suppl 1).
13. Gardner K. Physical Therapist Management of Patients
with Diagnosed or Suspected COVID-19.
14. Von Bredow A. International PT Response to COVID-19
Recorded Event.
Volume 8, Supplement 1
April 2020
Pages 317-318
  • Receive Date: 11 April 2020
  • Revise Date: 13 April 2020
  • Accept Date: 14 April 2020
  • First Publish Date: 14 April 2020