The Effect of a Telerehabilitaion Program on Gait and Balance in Patients After Hip Surgery

NCT02451085 | Completed

• 1 other identifier: 2015-2
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the present study is to examine whether an intervention plan based on exercise through remote rehabilitation system leads to improvement in characteristics of walking and balance among patients after hip replacement surgery compared to the current conventional way of exercise among these patients.

Conditions

Osteoarthritis, Hip; Hip Injuries

Keywords

hip; surgery; Replacement

Outcome Measures

Primary Outcomes (3)

• GAITMAT

  is an electronic path used to measure the time (timing) and space via pressure sensors placed on a track. The purpose of the system is to measure the events that occur during movement, data on time and space is measured and walking speed

  Base line; change after 6 weeks treatment; and change after 10 weeks

• SMART STEP

  is an instrument which provides feedback during walking about the amount of burden that the patient places on his leg. A feedback about placing the burden on the whole foot, toes or on the heel is possible. Investigators will set the minimal and maximal weight that we want the patient to reach while stepping. When the patient reaches the minimal weight, he will hear a single pip and when he reaches the maximal weight or more, he will hear two pips. In other words, this instrument gives us an indication for the patient's carrying of the weight- how much weight he placed on the leg while walking on each area and indication for the duration of the foot placed on the ground and in the air

  Base line; change after 6 weeks treatment; and change after 10 weeks

• BBS (Berg Balance Scale)

  the test includes 14 static and dynamic tasks for keeping balance. Each task receives a score from 0 to 4 points- according to the quality of task and performance time, maximal score of 56 points. Instructions regarding performing each task separately and the score of each task appear in the test form. The low performance in each task is considered in the score. In most tasks the patient is asked to keep a specific pose for a while. The score must be decreased if the patient does not meet the requirements of wished time or distance or if he gets external support or assisted by the tester.

  Base line; change after 6 weeks treatment; and change after 10 weeks

Secondary Outcomes (4)

• TUGT (Times Up And Go):

  Base line; change after 6 weeks treatment; and change after 10 weeks

• THE FIVE SIT-TO-STAND TEST

  Base line; change after 6 weeks treatment; and change after 10 weeks

• MLEFS- LOWER EXTREMITY FUNCTIONAL SCALE

  Base line; change after 6 weeks treatment; and change after 10 weeks

• responsiveness to the treatment

  6 weeks

Study Arms (2)

remote rehabilitation group

EXPERIMENTAL

'training with video therapy' a domestic exercise plan through remote rehabilitation system based on short film. (http://videotherapy.co/vt/home.php), the plan will include installation of exercises adapted according to the physical condition of the patient. The content of each exercise is dynamic and variable. The difference between each exercise and the other depends on the feedback that the patient fills at the end of each exercise and sends to the therapist. Before each exercise, it is shown with explanations about the importance of performing it the way of performing. Furthermore, during the training, the patient listens to vocal explanation about the quality and importance of performing the exercise, and a vocal counting is heard and then a positive feedback is given.

Behavioral: training with video therapy

conventional exercise group

OTHER

will receive instruction for self-training as accepted today through exercise sheet. The exercises will be suited to the ones provided to the patients in the intervention group. Moreover, a follow-up sheet will be given to the patients to fill in order to receive a feedback at the end of experiment. The training duration will be identical in both groups and will last for 30-45 minutes, three times a week.

Behavioral: conventional exercise

Interventions

training with video therapy BEHAVIORAL

training with video therapy

remote rehabilitation group

conventional exercise BEHAVIORAL

training in conventional way

conventional exercise group

Eligibility Criteria

• Age: 50 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• One to three months after hip surgery
• Age 50-85

You may not qualify if:

• Individuals with central neurological disability
• Dependent individuals in passing from bed to wheelchair
• Significant cognitive disability according to the attendant physician
• Individuals with vascular-based pathologies

Sponsors & Collaborators

• Reuth Rehabilitation Hospital: lead
• Video Therapy Ltd.: collaborator

Study Sites (1)

Reuth Rehabilitation Hospital

Tel Aviv, Israel

Location

MeSH Terms

Conditions

Osteoarthritis, Hip; Hip Injuries

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Wounds and Injuries

Study Officials

• Jean-Jeaques Vatine, Prof

  Reuth Rehabilitation Hospital

  PRINCIPAL INVESTIGATOR

• Alon Kalron, PhD

  Tel Aviv University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 20, 2015
• First Posted: May 21, 2015
• Study Start: July 1, 2015
• Primary Completion: August 10, 2017
• Study Completion: August 10, 2017
• Last Updated: September 17, 2019

Record last verified: 2019-09

Locations

IL (1)