To investigate the impact on physical performance and walking abilities associated with fall risk and disability in the senior population, we created a telerehabilitation system. This is a multi-site, community setting, pre–post experimental study. We recruited participants from four rural areas in Thailand. All participants received eight weeks of tele-exercise, three sessions per week, via the telerehabilitation system. After the intervention, all participants underwent the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG) test, and the six-minute walk test (6MWT) using a wearable sensor system. A total of 123 participants participated in the study and 2 participants dropped out while conducting the study, thus 121 participants were included in the analysis. In comparison to the baseline, we discovered a considerable improvement in the SPPB score (0.65 ± 0.22, p < 0.001), TUG (−1.70 ± 0.86, p < 0.001), and 6MWT (10.23 ± 7.33, p = 0.007). Our study demonstrates the benefits of telerehabilitation on SPPB, TUG, and 6MWT related to disabilities and fall risk. This telerehabilitation technology demonstrated its viability in the community environment and demonstrated its capacity to offer fundamental components of remote rehabilitation services within the healthcare system.

Objective: The aim of the study was to study the effect of transcranial direct current stimulation on the left dorsolateral prefrontal cortex plus exercise on pain, function, and quality of life in chronic knee osteoarthritis. Design: Thirty-two participants with chronic knee osteoarthritis were randomly assigned to real transcranial direct current stimulation (anode: left dorsolateral prefrontal cortex, cathode: right supraorbital, 2 mA for 20 mins) or sham treatment, with quadriceps exercises three times weekly for 4 wks. Visual analog scale, pressure pain threshold, and the Western Ontario and McMaster University Osteoarthritis Index, and Short Form Health Survey-36, were assessed at baseline, posttreatment, and 4 wks later. Results: No significant differences were found between groups in any outcome after completing 12 sessions (mean difference [95% CI]: visual analog scale −0.30 [−9.49, 8.89]; pressure pain threshold 0.033 [−0.039, 0.105]; Western Ontario and McMaster University Osteoarthritis Index 4.22 [−3.35, 11.79]; Short Form Health Survey-36 −0.44 [−6.23, 5.35]) or at follow-up (visual analog scale 0.01 [−15.69, 15.71]; pressure pain threshold 0.008 [−0.113, 0.130]; Western Ontario and McMaster University Osteoarthritis Index 4.91 [−7.56, 17.37]; Short Form Health Survey-36 −2.96 [−12.11, 6.20]). Conclusions: The findings showed that transcranial direct current stimulation over the left dorsolateral prefrontal cortex provided no significant additional benefit to quadriceps exercise compared to sham stimulation in improving pain, function, or quality of life in individuals with chronic knee osteoarthritis.

Background: Existing research on the influence of symptom duration on the outcomes of ultrasound-guided shoulder hydrodilatation for frozen shoulder remains limited. This prospective analytical study aims to investigate the associations between symptom duration and other potential factors and shoulder function following ultrasound-guided shoulder hydrodilatation.Methods: This study was conducted at the Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital, and involved patients with frozen shoulder who underwent ultrasound-guided shoulder hydrodilatation. Using convenience sampling, 72 participants were recruited, and 36 were classified into the early hydrodilatation group and 36 into the late hydrodilatation group. Outcome measures were the Oxford Shoulder Score (OSS), visual analog scale (VAS), and shoulder range of motion (ROM), which were assessed both before and 6 weeks after the hydrodilatation procedure.Results: Duration of symptoms, age, sex, history of diabetes mellitus, physiotherapy, and baseline shoulder ROM did not exhibit any association with OSS changes. However, a high VAS score at baseline was associated significantly with improved shoulder function following ultrasound- guided shoulder hydrodilatation (P=0.006).Conclusions: There was no association between the duration of symptoms and enhanced shoulder function after ultrasound-guided shoulder hydrodilatation in short-term assessments. Patients with higher baseline shoulder pain severity tended to experience greater improvements in shoulder function compared to those with milder pain levels.Level of evidence: III.