Clinical trial NCT02025400: Internet Enhanced, Patient-Centered Orthopedic Care: A Prospective, Randomized, Controlled Pilot Trial
Official title: Phase I Study Comparing Internet Delivered Home Exercise Programs to Standard Orthopedic Care and Outpatient Physical Therapy.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Knee Injuries
Shoulder Injuries
Rotator Cuff Disease
Meniscus Tear
Patellofemoral Pain
Keywords: Rehabilitation
eRehab
Physical Therapy
e-Health
Telemedicine
Telerehabilitation
Patient-Centered
Lead sponsor: Charlotte Sports Medicine Institute, PA
Sponsor class: OTHER
Collaborators: name: Advanced Orthopedic Specialists
name: The Orthopaedic Center
First posted: 2014-01-01
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* work-related injuries
* pain NRS-11 score greater than or equal to 6

Primary outcomes:
measure: Outcome scores for knee (KOOS) and shoulder (DASH)
timeFrame: six weeks
Secondary outcomes:
measure: NRS-11 pain scores
timeFrame: 6 weeks
Other outcomes:
measure: Patient utilization of an eRehab portal measured by number of logons and performance of a home exercise program as documented with an exercise log.
timeFrame: 6 weeks
measure: Patient cost of care per episode
timeFrame: 6 months
measure: Total cost of care per episode
timeFrame: 6 months
Locations:
city: Prince Frederick
country: United States
facility: Advanced Orthopaedic Specialists
state: Maryland
city: Charlotte
country: United States
facility: Charlotte Sports Medicine Institute
state: North Carolina
Study officials:
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