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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telerehabilitation | Experimental | the patients who will be randomized and subjected to the experimental treatment will undergo a physiotherapy treatment with a biweekly frequency which will be started at the same times as the standard group. After the sixth session, the process will continue through telerehabilitation until the end of outpatient treatment. |
|
| traditional physiotherapy | Active Comparator | Patients who will be randomized and subjected to standard treatment (usual care at our clinic) will undergo physiotherapy treatment on a bi-weekly basis in person. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telerehabilitation | Other | the patient will undergo 10 session of tele rehabilitation in continuity with traditional physiotherapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hip disability and Osteoarthritis Outcome score (HOOS) | The HOOS is a 40-item self-report questionnaire with 5 subscales. A normalized score is calculated for each subscale with 0 indicating extreme symptoms and 100 representing no symptoms. | At baseline (day 0) |
| Hip disability and Osteoarthritis Outcome score (HOOS) | The HOOS is a 40-item self-report questionnaire with 5 subscales. A normalized score is calculated for each subscale with 0 indicating extreme symptoms and 100 representing no symptoms. | After 8 weeks |
| Hip disability and Osteoarthritis Outcome score (HOOS) | The HOOS is a 40-item self-report questionnaire with 5 subscales. A normalized score is calculated for each subscale with 0 indicating extreme symptoms and 100 representing no symptoms. | After 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Up and GO (TUG) | The test measures the time (in seconds) it takes a patient to get up from a chair, walk 3 meters, reverse and sit back in the chair. It can be performed without aids or with the aid usually used by the patient to walk. | After 8 weeks |
| Timed Up and GO (TUG) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marco Ruggiero | Contact | 3382001089 | marco.ruggiero@ior.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IRCCS Istituto ortopedico Rizzoli | Recruiting | Bologna | Italia | 40136 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35099447 | Result | 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. | |
| 32026820 | Result | 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. |
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| ID | Term |
|---|---|
| D000069350 | Telerehabilitation |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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| Traditional rehabilitation | Other | the patient will undergo 16 session of outpatient physiotherapy rehabilitation |
|
The test measures the time (in seconds) it takes a patient to get up from a chair, walk 3 meters, reverse and sit back in the chair. It can be performed without aids or with the aid usually used by the patient to walk. |
| After 12 weeks |
| Harris Hip Score (HHS) | a multi-disability measurement tool, validated and translated into Italian, composed of a questionnaire and a specific clinical examination which has the aim of evaluating ADL and function in subjects with hip pathology | After 8 weeks |
| Harris Hip Score (HHS) | a multi-disability measurement tool, validated and translated into Italian, composed of a questionnaire and a specific clinical examination which has the aim of evaluating ADL and function in subjects with hip pathology | After 12 weeks |
| D013812 |
| Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |