The Effects of a Home-based Occupational Therapy Tele-rehabilitation for Outpatients After Hip Fracture Surgery
- Conditions
- Telerehabilitation
- Interventions
- Behavioral: Caspar Telerehabilitation
- Registration Number
- NCT04259294
- Lead Sponsor
- The Hong Kong Polytechnic University
- Brief Summary
The investigators will investigate the effects of a home-based occupational therapy telerehabilitation (TR) via smartphones in enhancing functional and motor performances, and fall efficacy, for outpatients receiving day hospital rehabilitation after hip fracture surgery.
This is a feasibility randomized controlled trial with two groups - experimental and comparison groups, involving older adults after hip fracture surgery within 12 weeks attending the Geriatric Day Hospital. Patients will be assessed at baseline, immediately post 3-weeks intervention, and follow-up after 3-weeks for motor performances, daily activities functioning and fall efficacy. The experimental group will receive home program using the use of Caspar Health e-system and a mobile app in smartphones, while the comparison group will receive paper-and-pencil instructions for the home program on weekly basis, for 3 weeks.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 31
- Primary diagnosis of hip fracture
- Post-hip surgery within 12 weeks
- Aged 60 years old or above
- Medically stable
- With Abbreviated Mental Test scored 6 or above
- Having at least one functional limitation in the basic activities of daily living assessments
- The hip fracture is the result of malignancy
- There is risk of falls due to postural hypotension
- Either patients or caregiver do not understand Cantonese, English or Mandarin instructions
- They do not use a smartphone
- They are unable to read the instructions on the screen of the smartphone because of visual difficulty
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Telerehabilitation group via mobile apps Caspar Telerehabilitation The experimental group will receive home-based treatment program through mobile apps Control group via paper and pencil instructions Caspar Telerehabilitation The control group will receive treatment via written home program sheets
- Primary Outcome Measures
Name Time Method Timed up and go test (TUG) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) It measures fall risk and progress in walking speed (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Pain Visual Analogue Scale (VAS) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) It measures pain intensity. It consists of a 100mm horizontal line anchored with two opposite labels, i.e. labelled at the left end as 'no pain' (0mm) and at the right end as 'very severe pain' (100mm). (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Functional Reach Test (FR) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) It measures balance (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
Muscle strength (MS) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) It will be measured using a force gauge on the strength of Quadriceps of both the affected and the non-affected legs (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
- Secondary Outcome Measures
Name Time Method The Fall Efficacy Scale (FES) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) FES is a questionnaire to assess the level of confidence when patient perform activities of daily living without fear of fall. FES is a ten-item test rated on a 10-point scale from not confident at all to completely confident (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Morse Fall Scale (MFS) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) MFS predict the likelihood of falls. It consists of 6 variables: history of fall, the presence of a secondary diagnosis, the use of ambulatory aids, the administration of intravenous therapy, types of gait and mental status. MFS is rated as follows, 0: No risk for falls; \<25: Low risk; 25-45: Moderate risk ; \>45: High risk (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Hong Kong Chinese version of the Modified Barthel index (MBI) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) It measures performance in basic activities of daily living. The item scores range from '0', which indicates an inability to perform, to a maximum of '5, 10 or 15', which represents total independence. The total items score of 100 indicates complete independence in self-care performance. (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Hong Kong Chinese version of the Lawton Instrumental Activities of Daily Living (IADL) Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks) It assesses nine domains of function skills (ability to use telephone, shopping, meal preparation, laundry, housekeeping, handyman work, and transportation, medication and money management) The item scores range from '0' which indicates an inability to perform, to a maximum of '2,3 or 4' which represents total independence (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
Trial Locations
- Locations (1)
The Hong Kong Polytechnic University
🇭🇰Hong Kong, Hong Kong