Hip Fractures Clinical Trial
Official title:
Effectiveness of a Tele-rehabilitation Intervention to Improve Performance and Reduce Morbidity for People Post Hip Fracture - Randomized Controlled Trial
Most surviving hip-fracture patients experience reduced mobility and lose their functional
ability, which increases the risk of complications and rehospitalization. Post-discharge
transitional programs to reduce readmissions have shown some success. Telerehabilitation
refers to the use of technologies to provide rehabilitation services to people in their
homes. Considering the need for long-term follow-up care for people with hip fracture,
in-home telerehabilitation could increase independence, decrease hospital stays and reduce
the burden for caregivers.
The purpose of this three armed randomized controlled trial is to investigate the
effectiveness of an intervention program based on telerehabilitation on ADL, QOL, depression
and burden on caregivers compared to face-to-face home visits and usual care of
community-dwelling older adults after hip fracture.
90 older people with hip fractures will be randomly assigned to a telerehabilitation group
(N=30), face-to-face visits (N=30) and a control group.
The aim of the intervention is to improve the transition from rehabilitation units to
community dwelling. It will include 10 videoconferencing/ face-to-face sessions from an
occupational therapist in the presence of the primary caregiver. Each session will be
utilized to guide the participants to achieve their self-identified goals, focusing on
problem-solving for daily life situations and on the ability to implement the discussed
strategies for a variety of activities
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