Total Hip Replacement, Telerehabilitation, Physiotherapy
Conditions
Brief summary
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.
Interventions
OTHERTelerehabilitation
the patient will undergo 10 session of tele rehabilitation in continuity with traditional physiotherapy
the patient will undergo 16 session of outpatient physiotherapy rehabilitation
Sponsors
Istituto Ortopedico Rizzoli
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Having undergone total hip replacement surgery (THA) * Start outpatient treatment within 7 days of discharge from the Orthopedic Department * Age between 50 and 80 years. * Continuation of rehabilitation treatments at the IOR Physical Medicine and Rehabilitation service in Argenta. * The subjects or any caregivers must be able to use an electronic device (PC, tablet, smartphone).
Exclusion criteria
* patients undergoing revision of previous prosthesis surgery * difficulty understanding the Italian language/language barrier * unavailability stable wi-fi connection by the patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hip disability and Osteoarthritis Outcome score (HOOS) | At baseline (day 0) | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and GO (TUG) | After 8 weeks | 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. |
| Harris Hip Score (HHS) | After 8 weeks | 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 |
Countries
Italy
Contacts
CONTACTMarco Ruggiero
Outcome results
None listed