Evaluating the Feasibility and Effectiveness of Using a Smartphone Application During Rehabilitation in Patients After Total Knee Replacement: A Pilot Feasibility Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Compliance
研究概览
简要总结
Despite best efforts to provide standardized and effective rehabilitation sessions post-total knee replacement (TKR), there are a few factors that may result in sub-optimal recovery in this group of patients. There is a need to develop innovative rehabilitation strategies that (i) provide patients with accurate cues allowing for better compliance and exercise performance, (ii) allow for therapists to ensure continuity of care, monitor compliance, and identify deviation from recovery trajectories post-discharge, prior to their first outpatient appointment, and (iii) reduce reliance on manpower and variability during rehabilitation sessions.
Technological solutions that empower patients and allow home-based rehabilitation to take place without the need for real-time human supervision could be the key to improving effectiveness and lowering costs. A mobile application which detects key landmarks on the body for human pose estimation will allow patients to perform their rehabilitation exercises with real-time feedback allowing for proper execution of the exercises. Physiotherapists will be able to access the data generated from the exercise session via a command centre to monitor patients' recovery progress and compliance.
The primary aim of this pilot study is to evaluate the feasibility of using a mobile application during rehabilitation in patients after a TKR surgery. The secondary aim is to study the effects of using a mobile application during rehabilitation on knee functional status, exercise self-efficacy, and treatment satisfaction after TKR surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 45 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary unilateral total knee replacement
- •Age >= 45 years
- •Under the Enhanced Recovery After Surgery (ERAS) programme (discharge on post-operative day 0/1)
- •Willingness to be randomized to either mobile application group or standard hospital-based rehabilitation group
- •Ability to provide informed consent
- •Is technologically savvy - at least 6 months' experience using a smartphone and able to key in data into a smartphone
- •English-speaking
排除标准
- •Rheumatoid arthritis and other systemic arthritis
- •A previous history of stroke and other major neurological conditions
- •An intention to transfer to step-down care facilities post-operatively or intention to continue outpatient physiotherapy service at another institution
- •Unable to perform 5 repetitions of inner-range quadriceps exercise
结局指标
主要结局
Compliance
时间窗: 6 weeks post-surgery
Frequency of exercise sessions completed
次要结局
- Self-efficacy(Pre-operation; 6 weeks post-surgery)
- Knee range-of-motion(Pre-operation; 6 weeks post-surgery)
- Gait speed(Pre-operation; 6 weeks post-surgery)
- Self-report physical function(Pre-operation; 6 weeks post-surgery)
- Total contact time(6 weeks post-surgery)
- Quality of the mobile application(6 weeks post-surgery)
- Knee Pain(Pre-operation; 6 weeks post-surgery)
- 30 second sit to stand(Pre-operation; 6 weeks post-surgery)
- Participant satisfaction(6 weeks post-surgery)
- Treatment credibility(6 weeks post-surgery)
- Perceived usefulness and ease of use(6 weeks post-surgery)