Clinical trial NCT03846063: Development of an Effective Home-based-exercise-strategy
Official title: Pilot Study Into the Development of an Effective Home-based-exercise-strategy for Patients After THA Delivered on a Tablet-PC
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoarthritis, Hip
Total Hip Arthroplasty
Keywords: Total hip arthroplasty
Physiotherapy
Osteoarthritis
Usual care
Home-based rehabilitation program
Lead sponsor: University Medical Center Groningen
Sponsor class: OTHER
Collaborators: name: Frisius Medisch Centrum
name: Martini Hospital Groningen
First posted: 2019-02-19
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: A twelve-week home-based exercise strategy will be offered to patients after their discharge from the hospital. This home-based exercise strategy will be delivered by means of videos on a tablet-pc and consist of specified exercise instructions for improving muscle strength, balance and functional movements.
Primary purpose: OTHER

Brief summary: Osteoarthritis is one of the most common chronic diseases of the musculoskeletal system in elderly. Patients with osteoarthritis experience pain, stiffness and loss of mobility. Due to ageing Western societies in the coming decades the number of elderly with osteoarthritis will progressively increase. Osteoarthritis is a common indicator for a Total Hip Arthroplasty (THA). A hip replacement is one of the most successful orthopedic surgeries. However, with regard to the postoperative rehabilitation a lot can be improved. The current situation after a THA is that physical therapy in the Netherlands is not prescribed by default. Patients are resigned from the hospital and receive home exercises. However, it is not clear whether patients actually carry out these exercises and whether they perform the exercises correctly.


Eligibility criteria: Inclusion Criteria:

* Aged between 18 and 75 years
* Living independent
* Waiting for THA at either the Martini Hospital Groningen or the Medical Centre Leeuwarden in the Netherlands

Exclusion Criteria:

* Revision surgery
* Medical conditions that disallow independent living
* Cognitive impairment
* Inability to sufficiently read and understand Dutch
* Participating in another rehabilitation program

Primary outcomes:
measure: Adherence of a home-based rehabilitation program
timeFrame: 12 weeks
measure: Patient experience of a home-based rehabilitation program at week 4
timeFrame: 4 weeks
measure: Patient experience of a home-based rehabilitation program at week 12
timeFrame: 12 weeks
Secondary outcomes:
measure: Change in mobility (objective measurement (TUG))
timeFrame: 6 months
measure: Change in functional status (objective measurement (FTSST))
timeFrame: 6 months
measure: Change in functional status and hip-related quality of life (self-reported measurement (HOOS))
timeFrame: 6 months
measure: Change in health-related quality of life (self-reported measurement (SF-36))
timeFrame: 6 months
measure: Change in health-related quality of life (self-reported measurement (EQ-5D-3L))
timeFrame: 6 months
Other outcomes:
Locations:
Study officials:
affiliation: University Medical Center Groningen
name: Martin Stevens, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wijnen A, Hoogland J, Munsterman T, Gerritsma CL, Dijkstra B, Zijlstra WP, Dekker JS, Annegarn J, Ibarra F, Slager GE, Zijlstra W, Stevens M. Effectiveness of a Home-Based Rehabilitation Program After Total Hip Arthroplasty Driven by a Tablet App and Remote Coaching: Nonrandomized Controlled Trial Combining a Single-Arm Intervention Cohort With Historical Controls. JMIR Rehabil Assist Technol. 2020 Apr 27;7(1):e14139. doi: 10.2196/14139.