Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement.

Not Applicable

Recruiting

• Conditions: Physiotherapy; Total Hip Replacement; Telerehabilitation
• Interventions: Other: Telerehabilitation; Other: Traditional rehabilitation

• Registration Number: NCT06238960
• Lead Sponsor: Istituto Ortopedico Rizzoli

Brief Summary

Total arthroplasty (THA) is the treatment of choice for severe osteoarthritis of the hip joint. Following this type of intervention, a multidisciplinary rehabilitation approach allows you to reduce pain and improve the ability to carry out activities of daily living (ADL), but it is not clear what the optimal rehabilitation program is. Recently, the use of telerehabilitation has increased over the years. Specifically, in treatment of patients following THA surgery, telerehabilitation is able to give similar results to the treatment performed in person terms of pain and function. The aim of this study is to verify whether telerehabilitation associated with In-person treatment is comparable in terms of pain, recovery functionality and patient participation and satisfaction, compared to those provided by rehabilitation alone in the presence of patients undergoing THA surgery.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-01-26
• Study First Submitted QC: 2024-01-26
• Study First Posted: 2024-02-02
• Study Start: 2024-02-10
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-04
• Last Update Posted: 2025-03-06
• Primary Completion: 2025-11-10
• Study Completion: 2026-02-10

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 104

Inclusion Criteria

• Having undergone total hip replacement surgery (THA)
• Start outpatient treatment within 7 days of discharge from the Orthopedic Department
• Age between 50 and 80 years.
• Continuation of rehabilitation treatments at the IOR Physical Medicine and Rehabilitation service in Argenta.
• The subjects or any caregivers must be able to use an electronic device (PC, tablet, smartphone).

Exclusion Criteria

• patients undergoing revision of previous prosthesis surgery
• difficulty understanding the Italian language/language barrier
• unavailability stable wi-fi connection by the patient

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telerehabilitation	Telerehabilitation	the patients who will be randomized and subjected to the experimental treatment will undergo a physiotherapy treatment with a biweekly frequency which will be started at the same times as the standard group. After the sixth session, the process will continue through telerehabilitation until the end of outpatient treatment.
traditional physiotherapy	Traditional rehabilitation	Patients who will be randomized and subjected to standard treatment (usual care at our clinic) will undergo physiotherapy treatment on a bi-weekly basis in person.

Primary Outcome Measures

Name	Time	Method
Hip disability and Osteoarthritis Outcome score (HOOS)	After 12 weeks	The HOOS is a 40-item self-report questionnaire with 5 subscales. A normalized score is calculated for each subscale with 0 indicating extreme symptoms and 100 representing no symptoms.

Secondary Outcome Measures

Name	Time	Method
Timed Up and GO (TUG)	After 12 weeks	The test measures the time (in seconds) it takes a patient to get up from a chair, walk 3 meters, reverse and sit back in the chair. It can be performed without aids or with the aid usually used by the patient to walk.
Harris Hip Score (HHS)	After 12 weeks	a multi-disability measurement tool, validated and translated into Italian, composed of a questionnaire and a specific clinical examination which has the aim of evaluating ADL and function in subjects with hip pathology

Trial Locations

Locations (1)

IRCCS Istituto ortopedico Rizzoli; 🇮🇹 Bologna, Italia, Italy