Phase I Study Comparing Internet Delivered Home Exercise Programs to Standard Orthopedic Care and Outpatient Physical Therapy.
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- Outcome scores for knee (KOOS) and shoulder (DASH)
研究概览
简要总结
The investigators have previously reported on patient utilization of an eRehab patient education web portal that utilizes streaming, clinician prescribed video instruction to motivate and inform patients in self-care of their orthopedic condition, focusing on the importance of a home exercise program. The greatest barrier to patient use of this web-based home exercise treatment plan was the initial access to the program. The purpose of this study is to compare an Internet-based patient education rehab portal (eRehab) to formal physical therapy (PT) in terms of patient costs and outcomes.
详细描述
This is a prospective, randomized, controlled pilot study. Twenty-four patients who were candidates for a knee or shoulder orthopedic outpatient physical therapy referral were randomized to a 6-week treatment course of either PT or eRehab. Patients were evaluated for outcome scores (KOOS or DASH), pain NRS-11 scores, patient subjective outcomes and cost of treatment.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •patient diagnosed by board certified orthopedic surgeon to be in need of formal physical therapy referral
- •had the ability to access and use the Internet and email
- •English-speaking
- •non-pregnant adults
- •had not received formal physical therapy for their current diagnosis
排除标准
- •work-related injuries
- •pain NRS-11 score greater than or equal to 6
研究组 & 干预措施
Physical Therapy
This arm will receive the standard of care for orthopedic patients receiving a diagnosis and then a recommendation for outpatient physical therapy referral. They will follow through on the referral and attend physical therapy.
干预措施: Formal Physical Therapy (Other)
eRehab
This group will not go to formal therapy but receive Internet delivered patient education and exercise instruction. This group will then perform those exercises at home.
干预措施: eRehab (Other)
结局指标
主要结局
Outcome scores for knee (KOOS) and shoulder (DASH)
时间窗: six weeks
次要结局
- NRS-11 pain scores(6 weeks)
研究者
Jonathan Paul, MD
Director
Charlotte Sports Medicine Institute, PA