Clinical trial NCT03731208: Telerehabilitation of Patients After Knee Surgery
Official title: Future Patient - Telerehabilitation of Patients After Knee Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Osteoarthritis
Keywords: Quality of life
Telerehabilitation
Knee rehabilitation
Knee Osteoarthritis
Total Knee Replacement
Lead sponsor: Aalborg University
Sponsor class: OTHER
Collaborators: name: Aalborg University Hospital
First posted: 2018-11-06
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This project is aimed to investigate the feasibility of employing communication and sensor technologies for the patient after a knee operation.

In the study, it is hypothesized that the effectiveness of postoperative rehabilitation programs might be improved by establishing electronic communication between healthcare professionals and the patients. It is also believed that users satisfaction and patients quality of life will be improved.

The telerehabilitation program promises a synchronized communication as well as an individualized training program (by health professionals) based on the patient's electronic reports.

Detailed description: Aim The objectives of this project are to assess the feasibility of using a telerehabilitation program for patients after a knee operation and investigate the acceptance of the provided solution by the patients and healthcare professionals.

Hypothesis It is hypothesized that the acceptance and satisfaction of patients and healthcare professionals by using the telerehabilitation program will be high and correlated with patients' exercise adherence and health recovery.

Telerehabilitation Group (Target Group) The subjects will be recruited before the operation and will be followed during an 8-week rehabilitation period.

In addition to the telerehabilitation program, the subjects will receive the regular treatment offered by Farsø Hospital in connection with total knee replacement surgery and are to follow the same rehabilitation procedure as regular patients (see below).

Before the operation, the project physiotherapist will hand over the telerehabilitation system equipment and instruct the subject how to use the system. In addition, the physiotherapist will also ask the subject to follow the instruction process and try the available services a few times. The physiotherapist makes sure that the subject can operate the system easily and without any challenges.

Eligibility criteria: Inclusion Criteria:

* Aged over 18
* Successful primary total knee replacement surgery at Farsø Hospital
* Referred to the regular rehabilitation program (self-training at home) by the physiotherapists at Farsø Hospital
* Ability to walk (with or without walking aids)
* Able to use electronic technologies and devices (for example: smart phone, tablet) or at least one relative who can assist in this matter
* Living in The North Denmark Region

Exclusion Criteria:

* Previous or current drug addiction defined as the use of cannabis, opioids or other drugs
* Previous or current neurologic, musculoskeletal or mental illnesses
* Any other aggravating medical complication (such as infection or DVT)
* Lack of ability to understand and accept trial procedures

Primary outcomes:
measure: Usability of the telerehabilitation program: semi-structured interview
timeFrame: The interview is conducted two weeks after discharge.
measure: Exercise adherence
timeFrame: Everyday, started after discharge and for period of 8-weeks
Secondary outcomes:
measure: Self-reported pain, stiffness, and physical function: KOOS
timeFrame: After discharge (weeks 2, 8)
measure: Self-reported pain and physical function: OKS
timeFrame: Baseline (before operation), and after discharge (weeks 0,2,4,6,8)
measure: Self-reported pain: VAS
timeFrame: Baseline (before operation), and every third day after discharge (for period of 8 weeks)
measure: Self-reported knee swelling
timeFrame: Baseline (before operation), and every third day after discharge (for period of 8 weeks)
measure: Quality of life: EQ-5D
timeFrame: After discharge (weeks 2, 8)
measure: Users satisfaction: semi-structured interview
timeFrame: The interview is conducted two weeks after discharge.
Other outcomes:
Locations:
city: Aalborg
country: Denmark
facility: Aalborg University
city: Farsø
country: Denmark
facility: Aalborg University Hospital
Study officials:
References: