Knee Osteoarthritis
Conditions
Keywords
Quality of life, Telerehabilitation, Knee rehabilitation, Knee Osteoarthritis, Total Knee Replacement
Brief summary
This project is aimed to investigate the feasibility of employing communication and sensor technologies for the patient after a knee operation. In the study, it is hypothesized that the effectiveness of postoperative rehabilitation programs might be improved by establishing electronic communication between healthcare professionals and the patients. It is also believed that users satisfaction and patients quality of life will be improved. The telerehabilitation program promises a synchronized communication as well as an individualized training program (by health professionals) based on the patient's electronic reports.
Detailed description
Aim The objectives of this project are to assess the feasibility of using a telerehabilitation program for patients after a knee operation and investigate the acceptance of the provided solution by the patients and healthcare professionals. Hypothesis It is hypothesized that the acceptance and satisfaction of patients and healthcare professionals by using the telerehabilitation program will be high and correlated with patients' exercise adherence and health recovery. Telerehabilitation Group (Target Group) The subjects will be recruited before the operation and will be followed during an 8-week rehabilitation period. In addition to the telerehabilitation program, the subjects will receive the regular treatment offered by Farsø Hospital in connection with total knee replacement surgery and are to follow the same rehabilitation procedure as regular patients (see below). Before the operation, the project physiotherapist will hand over the telerehabilitation system equipment and instruct the subject how to use the system. In addition, the physiotherapist will also ask the subject to follow the instruction process and try the available services a few times. The physiotherapist makes sure that the subject can operate the system easily and without any challenges.
Interventions
DEVICETelerehabilitation
The telerehabilitation program equipment consists of the following devices: * a tablet with a keyboard and a fingerprint sensor * two wearable sensors * a wireless modem * measuring tape
Sponsors
Aalborg University Hospital
Aalborg University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged over 18 * Successful primary total knee replacement surgery at Farsø Hospital * Referred to the regular rehabilitation program (self-training at home) by the physiotherapists at Farsø Hospital * Ability to walk (with or without walking aids) * Able to use electronic technologies and devices (for example: smart phone, tablet) or at least one relative who can assist in this matter * Living in The North Denmark Region
Exclusion criteria
* Previous or current drug addiction defined as the use of cannabis, opioids or other drugs * Previous or current neurologic, musculoskeletal or mental illnesses * Any other aggravating medical complication (such as infection or DVT) * Lack of ability to understand and accept trial procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Usability of the telerehabilitation program: semi-structured interview | The interview is conducted two weeks after discharge. | The data is collected by a semi-structured interview |
| Exercise adherence | Everyday, started after discharge and for period of 8-weeks | Measured by telerehabilitation system reports |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported pain: VAS | Baseline (before operation), and every third day after discharge (for period of 8 weeks) | Measured by an electronic report of the visual analog scale (VAS) of pain \[minimum 0, Maximum 10\] higher values represent a higher level of pain |
| Self-reported knee swelling | Baseline (before operation), and every third day after discharge (for period of 8 weeks) | measured by an electronic report of knee circumference |
| Self-reported pain, stiffness, and physical function: KOOS | After discharge (weeks 2, 8) | Measured using Knee injury and Osteoarthritis Outcome Score (KOOS) |
| Users satisfaction: semi-structured interview | The interview is conducted two weeks after discharge. | Measured by semi-structured interview |
| Quality of life: EQ-5D | After discharge (weeks 2, 8) | Measured using Euro Quality of Life - 5 Dimension (EQ-5D) |
| Self-reported pain and physical function: OKS | Baseline (before operation), and after discharge (weeks 0,2,4,6,8) | measured by an electronic version of Oxford Knee Score (OKS) |
Countries
Denmark
Outcome results
None listed