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The primary purpose of this this randomized interventional study is to determine if increased level of home-based rehabilitation coupled with a pre-TAVR consultation visit in transcatheter aortic valve replacement patients will improve functional status and quality of life and will decrease hospital readmission.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prehabilitation Visit/Increased Physical Therapy post-TAVR | Experimental |
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| Control | Active Comparator | Standard of care physical therapy post-TAVR |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prehabilitation visit/increased physical therapy post-TAVR | Procedure | Prior to TAVR, patients randomized to the intervention arm will meet with a licensed physical therapist for a 30-minute session in the ambulatory setting. Following TAVR, patients randomized to the intervention arm will receive 4 days per week of home-based physical therapy by a licensed physical therapist working for Revival Home Health Care |
| Measure | Description | Time Frame |
|---|---|---|
| Change in level of Activity measured by activity monitor called the ActiGraph wGT3X-BT. | Baseline, 2 Weeks | |
| Change in self-perceived physical health | Baseline, 2 Weeks | |
| Change in Independence in activities of daily living (ADLs). | Baseline, 2 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Reduction in hospital readmissions following intensive home-based physical therapy reduces | Baseline, 2 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Dodson, MD | New York University Medical School | Principal Investigator |
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| Standard of Care Arm | Procedure | Patients randomized to the usual care arm will receive home-based physical therapy for 2 days per week by Revival Home Health Care, which is the current standard of care. |
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