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App-based rehabilitation after total hip or knee arthroplasty: a randomised controlled trial

Not Applicable
Completed
Conditions
total hip arthroplasty
total knee arthroplasty
Musculoskeletal - Osteoarthritis
Surgery - Other surgery
Registration Number
ACTRN12621000867897
Lead Sponsor
Sharyn Hunter
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
86
Inclusion Criteria

The inclusion criteria are: 1) adults greater than or equal to 18 years after unilateral primary THA and TKA; 2) possessing a mobile device (e.g. smartphone or tablet) with internet connection; 3) being able to access the mobile app (WeChat); 4) being able to undertake the program and relevant follow-up in three months after hospital discharge; 5) being able to communicate with the researcher in Chinese (Mandarin); 6) giving informed valid consent to participate in the study.

Exclusion Criteria

The participants will be excluded if they: 1) undergo revision and bilateral arthroplasty; 2) have concomitant health conditions that may interfere with the rehabilitation exercises, such as class II or above heart failure according to New York Heart Association; 3) receive other lower-limb surgery in the last six months, or will undertake another lower-limb surgery within three months; 4) have severe vision impairment or blindness according to the International Classification of Disease 11; 5) have major postoperative complications such as incision infection and venous thromboembolism.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in self-efficacy using Self-Efficacy for Rehabilitation Outcome Scale[Baseline (the day before hospital discharge), completion of the intervention (six weeks after hospital discharge), and four weeks later (10 weeks after hospital discharge).<br>The completion of the intervention that is six weeks after hospital discharge is considered the primary time endpoint.];Change in physical function using Hip Disability and Osteoarthritis Outcome Score Physical Function Short Form (HOOS-PS) or Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS) [Baseline (the day before hospital discharge), completion of the intervention (six weeks after hospital discharge), and four weeks later (10 weeks after hospital discharge).<br>The completion of the intervention that is six weeks after hospital discharge is considered the primary time endpoint.]
Secondary Outcome Measures
NameTimeMethod
Change in hip or knee pain using the Numeric Rating Scale of Pain[Baseline (the day before hospital discharge), completion of the intervention (six weeks after hospital discharge), and four weeks later (10 weeks after hospital discharge).];Change in depression using Hospital Anxiety and Depression Scale[Baseline (the day before hospital discharge), completion of the intervention (six weeks after hospital discharge), and four weeks later (10 weeks after hospital discharge).];Change in anxiety using Hospital Anxiety and Depression Scale[Baseline (the day before hospital discharge), completion of the intervention (six weeks after hospital discharge), and four weeks later (10 weeks after hospital discharge).];Change in health-related quality of life using EQ-5D-5L[Baseline (the day before hospital discharge), completion of the intervention (six weeks after hospital discharge), and four weeks later (10 weeks after hospital discharge).]
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