Digital Health Intervention, Geriatrics Rehabilitation, Hip Surgery, Rehabilitation Program
Conditions
Keywords
functional independence, home-based rehabilitation, self-management, orthogeriatrics
Brief summary
The goal of this clinical trial is to learn if a 12-week digitally supported, multimodal home rehabilitation program using the medical application Akina is as effective compared to routine care regarding functional independence in older adults undergoing hip surgery. How is this multimodal home rehabilitation program received by patients? Is this multimodal home program at least as effective in terms of functional indpendence, muscle status, mobility and quality of life compared to routine care? Researchers will compare the multimodal rehabilitation program using the application Akina to routine care to see if the program works to treat patients after hip surgery. Participants will: Undergo the rehab program at home or receive routine care (outpatient physiotherapy) for 12 weeks Visit the clinic after 6 and 12 weeks
Interventions
Multimodal personalized rehabilitation program including the medical application Akina and self-managed care based on a geriatric assessment
routine care
Sponsors
Study design
Intervention model description
Open-label, assessor-blinded, non-inferiority randomized clinical trial
Eligibility
Inclusion criteria
* Community-dwelling adults aged 55 to 80 years * Hospitalized for hip surgery with unrestricted weight bearing at University Hospital Bern
Exclusion criteria
* Discharge to inpatient rehabilitation * inability to comply with a rehabilitation program (e.g. comorbidity that prevents 30min light workout, major cognitive impairment) * end-of life situation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| FIM motor subscale | from baseline (day 1 post-surgery) to follow-up (12 weeks after surgery) | Change of the Functional independence measure (FIM) motor subscale from baseline to follow-up (12 weeks after surgery) between intervention and control group. The FIM motor subscale is a 13-item assessment tool ranging from a minimum of 13 points (dependence) to a maximum of 91 points (independence) |