Clinical trial NCT02451085: The Effect of a Telerehabilitaion Program on Gait and Balance in Patients After Hip Surgery
Official title: The Effect of a Telerehabilitaion Program on Gait and Balance in Patients After Hip Surgery.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoarthritis, Hip
Hip Injuries
Keywords: hip
surgery
Replacement
Lead sponsor: Reuth Rehabilitation Hospital
Sponsor class: OTHER
Collaborators: name: Video Therapy Ltd.
First posted: 2015-05-21
Enrollment: 40
Sex: ALL
Minimum age (years): 50
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of the present study is to examine whether an intervention plan based on exercise through remote rehabilitation system leads to improvement in characteristics of walking and balance among patients after hip replacement surgery compared to the current conventional way of exercise among these patients.

Detailed description: Osteoarthritis is the main and most common reason for replacing hip joint and in forecast for 2020s this will be the fourth reason that causes disabilities throughout the world. Osteoarthritis causes not only physical limitation but also damage to the quality of life. Pain and functional limitation appear among about 10% of men and 18% of women over the age of 60. Pain and limitation in range of movement, functional decrease in daily functioning such as walking distance and endurance, difficulty in climbing up and down stairs are typical signs among those patients before surgery and treatment.

Other physical defects following hip replacement surgery last for over a year and they include a decrease in muscle strength round the operated hip, a defect in keeping balance in the operated leg and a functional decrease that includes decrease in walking speed, damage in the ability of climbing up and down stairs and difficulty in standing up.

Physical rehabilitation has importance among patients after hip joint surgery. Rehabilitation begins on the first stage at the rehabilitation hospital and continues after discharge at the community, at home or at the clinic. Often, the need for a continuing rehabilitation treatment after discharge exceeds the treatment provided actually by healthcare in Israel because of various reasons e.g. residence in remote areas, loads of patients who need treatment and high costs of manpower and reaching the treatments.

Remote Therapy is an alternative means to the present therapy in clinics which is provided at the patient's home and thus solving these problems. Remote Therapy employs technological communication and thus enables the patient to continue the rehabilitation process independently with no need for reaching the clinic which makes it easier for the patient and saves economic costs for the financial agent.

The purpose of the present study is to examine whether an intervention plan based on exercise through remote rehabilitation system leads to improvement in characteristics of walking and balance among patients after hip replacement surgery compared to the current conventional way of exercise among these patients

Eligibility criteria: Inclusion Criteria:

* One to three months after hip surgery
* Age 50-85

Exclusion Criteria:

* Individuals with central neurological disability
* Dependent individuals in passing from bed to wheelchair
* Significant cognitive disability according to the attendant physician
* Individuals with vascular-based pathologies

Primary outcomes:
measure: GAITMAT
timeFrame: Base line; change after 6 weeks treatment; and change after 10 weeks
measure: SMART STEP
timeFrame: Base line; change after 6 weeks treatment; and change after 10 weeks
measure: BBS (Berg Balance Scale)
timeFrame: Base line; change after 6 weeks treatment; and change after 10 weeks
Secondary outcomes:
measure: TUGT (Times Up And Go):
timeFrame: Base line; change after 6 weeks treatment; and change after 10 weeks
measure: THE FIVE SIT-TO-STAND TEST
timeFrame: Base line; change after 6 weeks treatment; and change after 10 weeks
measure: MLEFS- LOWER EXTREMITY FUNCTIONAL SCALE
timeFrame: Base line; change after 6 weeks treatment; and change after 10 weeks
measure: responsiveness to the treatment
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Tel Aviv
country: Israel
facility: Reuth Rehabilitation Hospital
Study officials:
affiliation: Reuth Rehabilitation Hospital
name: Jean-Jeaques Vatine, Prof
role: PRINCIPAL_INVESTIGATOR
affiliation: Tel Aviv University
name: Alon Kalron, PhD
role: PRINCIPAL_INVESTIGATOR
References: