The Effects of a Home-based Occupational Therapy Tele-rehabilitation Via Smartphones for Outpatients After Hip Fracture Surgery in Hong Kong: A Feasibility Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Telerehabilitation
- Sponsor
- The Hong Kong Polytechnic University
- Enrollment
- 31
- Locations
- 1
- Primary Endpoint
- Timed up and go test (TUG)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
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.
Investigators
Kenneth N. K. Fong
Associate Professor
The Hong Kong Polytechnic University
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Timed up and go test (TUG)
Time Frame: 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)
Time Frame: 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)
Time Frame: 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)
Time Frame: 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 Outcomes
- The Fall Efficacy Scale (FES)(Measure assessing change between three time points (baseline, 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))
- 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))
- 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))