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

Telerehabilitation Clinical Trial

Official title:

Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement: Randomized Clinical Trial.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06238960
• Other study ID #: TELERIABPTA
• Status: Recruiting
• Phase: N/A
• Start date: February 10, 2024
• Est. completion date: February 10, 2026

Study information

• Verified date: February 2024
• Source: Istituto Ortopedico Rizzoli
• Contact: Marco Ruggiero
• Phone: 3382001089
• Email: marco.ruggiero[@]ior.it
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 104
• Est. completion date: February 10, 2026
• Est. primary completion date: November 10, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 50 Years to 80 Years

Eligibility

Inclusion Criteria:

• 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).

Exclusion Criteria:

• patients undergoing revision of previous prosthesis surgery

• difficulty understanding the Italian language/language barrier

• unavailability stable wi-fi connection by the patient

Related Conditions & MeSH terms

• Physiotherapy
• Telerehabilitation
• Total Hip Replacement

Intervention

Other:
• Telerehabilitation
the patient will undergo 10 session of tele rehabilitation in continuity with traditional physiotherapy
• Traditional rehabilitation
the patient will undergo 16 session of outpatient physiotherapy rehabilitation

Locations

Country	Name	City	State
Italy	IRCCS Istituto ortopedico Rizzoli	Bologna	Italia

Sponsors (1)

Lead Sponsor	Collaborator
Istituto Ortopedico Rizzoli

Country where clinical trial is conducted

Italy, 

References & Publications (2)

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 Ju — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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)
Primary	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
Primary	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	Timed Up and GO (TUG)	The test measures the time (in seconds) it takes a patient to get up from a chair, walk 3 meters, reverse and sit back in the chair. It can be performed without aids or with the aid usually used by the patient to walk.	After 8 weeks
Secondary	Timed Up and GO (TUG)	The test measures the time (in seconds) it takes a patient to get up from a chair, walk 3 meters, reverse and sit back in the chair. It can be performed without aids or with the aid usually used by the patient to walk.	After 12 weeks
Secondary	Harris Hip Score (HHS)	a multi-disability measurement tool, validated and translated into Italian, composed of a questionnaire and a specific clinical examination which has the aim of evaluating ADL and function in subjects with hip pathology	After 8 weeks
Secondary	Harris Hip Score (HHS)	a multi-disability measurement tool, validated and translated into Italian, composed of a questionnaire and a specific clinical examination which has the aim of evaluating ADL and function in subjects with hip pathology	After 12 weeks