Using Telerehabilitation Tools to Deliver Quality Therapy to Patients Under Infective Isolation Precautions
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 主要终点
- Manual motor power testing
研究概览
简要总结
Single blinded Randomised Controlled trial comparing standard therapy to the intervention of up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period. Total recruitment: 60 patients.
详细描述
This is a single blinded randomised control trial. From August 2018 to March 2019, a total of 60 subjects, who match the inclusion exclusion criteria, will be recruited from patients transferred to the SGH Isolation wards.
They will be randomly assigned to control or treatment arm based on a block randomisation strategy predetermined and held by an independent party.
The treatment arm will be given up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period. They will be evaluated for motor strength, activity of daily living performance, mood and perceived level of health.
The control arm will be subject to the same assessments as the treatment arm at the start and end of the two week period. They will receive standard care in the ward including physiotherapy as prescribed by the managing team.
The assessors will be blinded to the arm of the study the subjects will be assigned to and will be independent of the terating physiotherapist.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Block Randomisation, Initial and final outcome assessors blinded to treatment arm
入排标准
- 年龄范围
- 21 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Able to give consent
- •Admitted to hospital for at least 5 days
- •MMT power grading 2-4/5
- •Isolated for prevention of transmission of MDROs
排除标准
- •• Unable or unwilling to consent for the trial
- •Assessed by managing team to be fit for discharge within the next 2 weeks
- •Pregnant women
- •Underlying medical disorders that result in pre-existing lower limb weakness
研究组 & 干预措施
Conventional therapy
The control arm will be subject to the same assessments as the treatment arm at the start and end of the two week period. They will receive standard care in the ward including physiotherapy as prescribed by the managing team
Intervention arm
The treatment arm will be given up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period. They will be evaluated for motor strength, activity of daily living performance, mood and perceived level of health.
干预措施: Telerehabilitation (Device)
结局指标
主要结局
Manual motor power testing
时间窗: 2 weeks
To assess change in the motor function level (as determined by 1. Medical Research Council (MRC) Manual Muscle Testing (MMT)) at the end of 2 weeks of assessment. 2. To assess change of quadriceps strength using a handheld dynamometer at the end of 2 weeks of assessment
次要结局
- Volume of therapy(2 weeks)
- Functional Independence Measure(2 weeks)
- Level of anxiety/ depression(2 weeks)
研究者
Geoffrey Sithamparapillai Samuel
Consultant, Department of Rehabilitation Medicine
Singapore General Hospital