Shoulder Prosthesis Telerehab Care Trial
PROTECT
The PROTECT-study: Home-based Telerehabilitation in the Post-operative Care After Shoulder Arthroplasty Compared to Usual Care: a Randomized Control Trial
1 other identifier
interventional
120
1 country
1
Brief Summary
The goal of this clinical trial is to compare the rehabilitation by use of a smartphone-app with the usual care of physical therapy in patients, 60 years and older, who underwent a primary shoulder arthroplasty. The main questions it aims to answer are:
- is the outcome of rehabilitation with the app as good as the usual care?
- is the outcome for both types of shoulder arthroplasty similar?
- what is the usability of the app?. Participants will
- have treatment according to the group they are allocated to
- fill in questionnaires at specific moments during the rehabilitation stage (0 - 3 months ) and at 1 year post-surgery
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2023
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 23, 2022
CompletedFirst Posted
Study publicly available on registry
January 26, 2023
CompletedStudy Start
First participant enrolled
March 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
April 12, 2024
April 1, 2024
3.6 years
December 23, 2022
April 11, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
SHOULDER PAIN AND DISABILITY INDEX (SPADI)_baseline pre-operative
Content: 5 questions for the subscale pain and 8 questions for the disability subscale. Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores. Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder
Prior to surgery
SHOULDER PAIN AND DISABILITY INDEX (SPADI)_baseline post-operative
Content: 5 questions for the subscale pain and 8 questions for the disability subscale. Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores. Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder
week 0
SHOULDER PAIN AND DISABILITY INDEX (SPADI)
Content: 5 questions for the subscale pain and 8 questions for the disability subscale. Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores. Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder
week 3
SHOULDER PAIN AND DISABILITY INDEX (SPADI)
Content: 5 questions for the subscale pain and 8 questions for the disability subscale. Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores. Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder
week 6
SHOULDER PAIN AND DISABILITY INDEX (SPADI)
Content: 5 questions for the subscale pain and 8 questions for the disability subscale. Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores. Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder
week 12
SHOULDER PAIN AND DISABILITY INDEX (SPADI)
Content: 5 questions for the subscale pain and 8 questions for the disability subscale. Scoring: numeric rating scale from 1 to 10, with a maximum of 130. The total score is the sum of the sub-scores. Interpretation: The higher the score the more pain and disability. The lower the score, the better patients perceive their shoulder
week 52
Secondary Outcomes (13)
ACTIVE MOBILITY (ROM) OF THE SHOULDER
Prior to surgery, week 3, week 6, week 12, week 52
PASSIVE MOBILITY (ROM) OF THE SHOULDER
Prior to surgery, week 3, week 6, week 12, week 52
STRENGTH
Prior to surgery, week 3, week 6, week 12, week 52
CONSTANT-MURLEY SCORE
Prior to surgery, week 3, week 6, week 12, week 52
ACTIVITIES OF DAILY LIVING EXTERNAL AND INTERNAL ROTATIONS (ADLEIR)
Prior to surgery, week 3, week 6, week 12, week 52
- +8 more secondary outcomes
Other Outcomes (6)
M-HEALTH APP USABILITY QUESTIONNAIRE (MAUQ)
Week 12
SYSTEM USABILITY SCALE (SUS)
Week 12
SINGLE EASE QUESTION (SEQ)
Week 12
- +3 more other outcomes
Study Arms (2)
APP-GROUP
EXPERIMENTALPatients allocated in the app-group will use the app to rehabilitate.
PHYSIO-GROUP
ACTIVE COMPARATORPatients allocated in the physio-group will rehabilitate according to the usual care protocol
Interventions
Patients allocated in the app-group will use the newly developed smartphone app te rehabilitate. 5 exercises are provided daily. Daily questionnaires will monitor exercise performance, VAS pain, household activities. Information modules will be sent at specific times.
Patients allocated in the physio-group will go, twice a week, to a physical therapist of their choice to rehabilitate. The physical therapist will follow the general guidelines provided by the hospital (surgeon).
Eligibility Criteria
You may qualify if:
- years and older
- primary total shoulder arthroplasty (anatomical and reverse)
- osteoarthritis, cuff tear arthropathy, pseudoparalysis
- return home after discharge from hospital
- no brace after surgery
- sufficient verbal and written comprehension
- hospitalization insurance
You may not qualify if:
- revision arthroplasty
- arthroplasty for fracture or tumor
- neurological disease (parkinson, stroke, ...)
- no access to smartphone, tablet or internet connectivity
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Ghentlead
- University Ghentcollaborator
Study Sites (1)
Ghent University Hospital
Ghent, 9000, Belgium
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alexander Van Tongel, PhD
University Ghent, University Hospital Ghent
- STUDY CHAIR
Ann Cools, PhD
University Ghent
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 23, 2022
First Posted
January 26, 2023
Study Start
March 1, 2023
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
September 30, 2026
Last Updated
April 12, 2024
Record last verified: 2024-04
Data Sharing
- IPD Sharing
- Will not share