Clinical trial NCT06238960: Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement.
Official title: Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement: Randomized Clinical Trial.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Total Hip Replacement
Telerehabilitation
Physiotherapy
Lead sponsor: Istituto Ortopedico Rizzoli
Sponsor class: OTHER
First posted: 2024-02-02
Enrollment: 104
Sex: ALL
Minimum age (years): 50
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Total arthroplasty (THA) is the treatment of choice for severe osteoarthritis of the hip joint. Following this type of intervention, a multidisciplinary rehabilitation approach allows you to reduce pain and improve the ability to carry out activities of daily living (ADL), but it is not clear what the optimal rehabilitation program is. Recently, the use of telerehabilitation has increased over the years. Specifically, in treatment of patients following THA surgery, telerehabilitation is able to give similar results to the treatment performed in person terms of pain and function. The aim of this study is to verify whether telerehabilitation associated with In-person treatment is comparable in terms of pain, recovery functionality and patient participation and satisfaction, compared to those provided by rehabilitation alone in the presence of patients undergoing THA surgery.


Eligibility criteria: Inclusion Criteria:

* Having undergone total hip replacement surgery (THA)
* Start outpatient treatment within 7 days of discharge from the Orthopedic Department
* Age between 50 and 80 years.
* Continuation of rehabilitation treatments at the IOR Physical Medicine and Rehabilitation service in Argenta.
* The subjects or any caregivers must be able to use an electronic device (PC, tablet, smartphone).

Exclusion Criteria:

* patients undergoing revision of previous prosthesis surgery
* difficulty understanding the Italian language/language barrier
* unavailability stable wi-fi connection by the patient

Primary outcomes:
measure: Hip disability and Osteoarthritis Outcome score (HOOS)
timeFrame: At baseline (day 0)
measure: Hip disability and Osteoarthritis Outcome score (HOOS)
timeFrame: After 8 weeks
measure: Hip disability and Osteoarthritis Outcome score (HOOS)
timeFrame: After 12 weeks
Secondary outcomes:
measure: Timed Up and GO (TUG)
timeFrame: After 8 weeks
measure: Timed Up and GO (TUG)
timeFrame: After 12 weeks
measure: Harris Hip Score (HHS)
timeFrame: After 8 weeks
measure: Harris Hip Score (HHS)
timeFrame: After 12 weeks
Other outcomes:
Locations:
city: Bologna
country: Italy
facility: IRCCS Istituto ortopedico Rizzoli
state: Italia
Study officials:
References:
citation: Sadiq S, Ahmad A, Ahmed A, Khan I, Asim HM, Aziz A. Role of tele-rehabilitation in patients following total hip replacement: Systematic review of clinical trials. J Pak Med Assoc. 2022 Jan;72(1):101-107. doi: 10.47391/JPMA.832.
citation: Nelson M, Bourke M, Crossley K, Russell T. Telerehabilitation is non-inferior to usual care following total hip replacement - a randomized controlled non-inferiority trial. Physiotherapy. 2020 Jun;107:19-27. doi: 10.1016/j.physio.2019.06.006. Epub 2019 Jun 25.