Hip Fractures Clinical Trial
Official title:
@ctiveHip: Tele-rehabilitation System for Hip Fracture Patients
The purpose of this study is to determine if the @ctivehip tele-rehabilitation system improves the functional level and quality of life of hip fracture patients and reduce the caregiver burden.
Background: The best option for rehabilitation after a hip fracture is still unclear. The
home rehabilitation is one of the options and the use of tele-rehabilitation programs at home
could be the option for some patients in the future. The main objective of this study is to
improve the functional level and quality of life of hip fracture patients and reduce the
caregiver burden using the @ctivehip tele-rehabilitation system.
Methods: This project will include hip fracture patients who met the following inclusion
criteria: having a high pre-fracture functional level, not having severe cognitive
impairment, absence of terminal disease, absence of post-surgery complications, going to live
to their home or a relative home at hospital discharge, and signing an informed consent. The
criteria to be part of this experimental group will be: having internet at home and a main
caregiver with the ability to use the internet (@ctiveHip system). Patients without the
internet at home will be part of the no intervention group, and they will receive the usual
care, in addition to a triptych with information on recommendations and exercises to do at
home. Caregivers of patients of both groups will receive a training session on patient
management. Patients will be assessed at 4-weeks and 12 weeks after beginning to use the
@ctiveHip system. The primary outcome will be the Functional level, measured by the
Functional Independence Measure. The secondary outcomes: quality of life (Euro-qol), physical
function (Timed Up and Go, Short Physical Performance Battery, International Fitness Scale),
emotional status ( The Hospital Anxiety and Depression Scale ), health status (American
Society of Anesthesiologists Score), cognitive status (Mini-mental Test ), fear of falling
(Short Falls efficacy scale), pain (visual analogue scale), and caregiver burden of care
(Zarit Burden Interview).
Discussion: This study has been designed to provide a tele-rehabilitation system which
includes a rehabilitation protocol created by a multidisciplinary team of surgeons,
occupational therapist, physiotherapist, and sport scientist, to improve the functional level
of patients after hip fracture surgery. The @ctiveHip system could be a new low cost
treatment option for some hip fracture patients.
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