Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement.

NCT06238960 | Recruiting

• 1 other identifier: TELERIABPTA
• Study Type: interventional
• Target: 104
• Locations: 1 country
• Sites: 1

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.

Conditions

Total Hip Replacement; Telerehabilitation; Physiotherapy

Outcome Measures

Primary Outcomes (3)

• Hip disability and Osteoarthritis Outcome score (HOOS)

  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.

  At baseline (day 0)

• Hip disability and Osteoarthritis Outcome score (HOOS)

  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.

  After 8 weeks

• Hip disability and Osteoarthritis Outcome score (HOOS)

  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.

  After 12 weeks

Secondary Outcomes (4)

• Timed Up and GO (TUG)

  After 8 weeks

• Timed Up and GO (TUG)

  After 12 weeks

• Harris Hip Score (HHS)

  After 8 weeks

• Harris Hip Score (HHS)

  After 12 weeks

Study Arms (2)

Telerehabilitation

EXPERIMENTAL

the patients who will be randomized and subjected to the experimental treatment will undergo a physiotherapy treatment with a biweekly frequency which will be started at the same times as the standard group. After the sixth session, the process will continue through telerehabilitation until the end of outpatient treatment.

Other: Telerehabilitation

traditional physiotherapy

ACTIVE COMPARATOR

Patients who will be randomized and subjected to standard treatment (usual care at our clinic) will undergo physiotherapy treatment on a bi-weekly basis in person.

Other: Traditional rehabilitation

Interventions

Telerehabilitation OTHER

the patient will undergo 10 session of tele rehabilitation in continuity with traditional physiotherapy

Telerehabilitation

Traditional rehabilitation OTHER

the patient will undergo 16 session of outpatient physiotherapy rehabilitation

traditional physiotherapy

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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).

You may not qualify if:

• patients undergoing revision of previous prosthesis surgery
• difficulty understanding the Italian language/language barrier
• unavailability stable wi-fi connection by the patient

Sponsors & Collaborators

• Istituto Ortopedico Rizzoli: lead

Study Sites (1)

IRCCS Istituto ortopedico Rizzoli

Bologna, Italia, 40136, Italy

RECRUITING

Related Publications (2)

• Sadiq S, Ahmad A, Ahmed A, Khan I, Asim HM, Aziz A. Role of tele-rehabilitation in patients following total hip replacement: Systematic review of clinical trials. J Pak Med Assoc. 2022 Jan;72(1):101-107. doi: 10.47391/JPMA.832.

  PMID: 35099447 RESULT

• Nelson M, Bourke M, Crossley K, Russell T. Telerehabilitation is non-inferior to usual care following total hip replacement - a randomized controlled non-inferiority trial. Physiotherapy. 2020 Jun;107:19-27. doi: 10.1016/j.physio.2019.06.006. Epub 2019 Jun 25.

  PMID: 32026820 RESULT

MeSH Terms

Interventions

Telerehabilitation

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Central Study Contacts

Marco Ruggiero

CONTACT

3382001089; marco.ruggiero@ior.it

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: January 26, 2024
• First Posted: February 2, 2024
• Study Start: February 10, 2024
• Primary Completion (Estimated): November 10, 2026
• Study Completion (Estimated): December 10, 2026
• Last Updated: February 23, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will share

Locations

IT (1)