Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement: Randomized Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Telerehabilitation
- Conditions
- Total Hip Replacement
- Sponsor
- Istituto Ortopedico Rizzoli
- Enrollment
- 104
- Locations
- 1
- Primary Endpoint
- Hip disability and Osteoarthritis Outcome score (HOOS)
- Status
- Recruiting
- Last Updated
- 2 months ago
Overview
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.
Investigators
Eligibility Criteria
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
Arms & Interventions
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.
Intervention: Telerehabilitation
traditional physiotherapy
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.
Intervention: Traditional rehabilitation
Outcomes
Primary Outcomes
Hip disability and Osteoarthritis Outcome score (HOOS)
Time Frame: 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.
Hip disability and Osteoarthritis Outcome score (HOOS)
Time Frame: At baseline (day 0)
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.
Hip disability and Osteoarthritis Outcome score (HOOS)
Time Frame: After 8 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 Outcomes
- Harris Hip Score (HHS)(After 12 weeks)
- Timed Up and GO (TUG)(After 12 weeks)
- Timed Up and GO (TUG)(After 8 weeks)
- Harris Hip Score (HHS)(After 8 weeks)