Osteoarthritis, Hip
Conditions
Brief summary
Total hip replacement (THR) is one of the most common interventions in orthopedic surgery. Rehabilitation is essential for maximizing the effectiveness of the surgery. Tele-rehabilitation programs after orthopedic surgery have proven their effectiveness, validity and cost-efficacy. It seems of interest to test the potential advantages of early virtual reality based rehabilitation programs after total hip arthroplasty compared to standard care. The aim of the study is to evaluate the functional recovery following total hip arthroplasty and home telerehabilitation programs with a virtual reality based system.
Interventions
experimental group is equipped with a telerehabilitation system which comprises a tablet (VRRS tablet) and a set of inertial magnetic sensors. participants are invited to follow a daily rehabilitation exercise program provided via VRRS tablet
PROCEDUREstandard care
participants in the control group are invited to follow a daily rehabilitation exercise program and indications for the recovery as illustrated in the dimission booklets drawn up by the rehabilitation unit
Sponsors
I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* males and females from 50 to 70 years old * patients undergoing total hip arthroplasty with Anterior Minimally Invasive Surgery (AMIS) * Body Mass Index ≤ 31 * Schooling: Lower secondary certificate * Home internet connection * Caregiver presence * Domiciled in the conurbation of Milan * Written informed consent and consent to all phases of the study
Exclusion criteria
* congenital or post traumatic morphological abnormalities * presence of neurological conditions or cancer * presence of implanted devices subjected to electromagnetic interference * epilepsy * informed refusal * Ongoing anticoagulant or immunosuppressive therapies before surgery * Self reported pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) | 15 ± 1 days after the surgery (T3) | the HOOS JR scale scores ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) | baseline (before surgery (T0)), 4 ± 1 days after the surgery (T1), 7 ± 2 days after the surgery (T2) | the HOOS JR scale scores ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health |
| BARTHEL INDEX (BI) | baseline (before surgery (T0)), 4 ± 1 days after the surgery (T1), 15 ± 1 days after the surgery (T3) | the BI assesses the ability of an individual to care for him/herself. Its scores ranges from 0 to 100, where 100 represents complete independence |
| Functional Independence Measure (FIM) | baseline (before surgery (T0)), 4 ± 1 days after the surgery (T1), 15 ± 1 days after the surgery (T3) | The Functional Independence Measure (FIM) explores an individual's physical, psychological and social function. Its scores ranges from 18 (lowest) to 126 (highest) |
| Global Perceived Effect (GPE) | 15 ± 1 days after the surgery (T3) | The GPE scale asks the patient to rate, on a numerical scale from 1 to 5, where lower scores correspond to worse perceived effect, how much has the treatment received helped |
Countries
Italy
Outcome results
None listed