Rehabilitation Clinical Trial
Official title:
Patient Reported Outcome of Rehabilitation and Quality of Life in Computer Literate Patients Undergoing Primary Knee or Hip Arthroplasty and Randomized to Rehabilitation With or Without the Possible Use of a Mobile Application.
Verified date | July 2023 |
Source | University Hospital, Ghent |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Rehabilitation after primary knee or hip arthroplasty may include performing exercises with a physiotherapist. For patients who can work well with a computer, tablet or smartphone, it is now possible to use a mobile application (e.g. moveUp) to carry out a large part of the exercises more independently. This is done with online guidance by a physiotherapist via a mobile application that is CE marked in Europe. This study will investigate whether the effect of the mobile application on knee or hip rehabilitation and quality of life is equal to that of standard care (i.e. without the use of a mobile application).
Status | Completed |
Enrollment | 416 |
Est. completion date | May 29, 2023 |
Est. primary completion date | May 29, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Eligibility criteria: 1. The patient is aged 18 years or older, has a Belgian National Number, is insured by a Belgian sickness fund, and is not staying in a nursing home or long term rehabilitation centre. 2. The patient has sufficient knowledge of Dutch, French, German or English. 3. The patient has a planned date between the next 1 to 8 weeks for a primary unilateral unicompartmental knee arthroplasty (UKA); a bicompartmental knee arthroplasty, (BKA), consisting of either two UKA or a UKA and a patellar replacement; or a total knee arthroplasty (TKA) or a total hip arthroplasty (THA). 4. The patient is not planned to have a peri-operative procedure (e.g. intra-articular catheter) or postoperative procedure that is expected to significantly impact the rehabilitation in and out of hospital. 5. In the 6 months after arthroplasty the patient is not planned to have surgery that may impact the arthroplasty rehabilitation. 6. The patient is not suffering from a medical condition (e.g. Parkinson, multiple sclerosis, cerebrovascular accident) that is expected to significantly impact the rehabilitation or that constitutes a contra-indication for the use of the mobile application. 7. The patient confirms to have easy and daily access to the internet, a mobile phone, a personal email address and a computer, tablet or smartphone, until 8 months after randomization. 8. The patient does not upfront exclude the possibility whereby part of the rehabilitation is performed without a physical therapist physically being present. 9. The patient is willing to complete online the patient reported outcomes and is aware that if he/she fails in this computer literacy test (performed before randomization) he/she will not be randomized and hence not included in the study. He/she will receive usual rehabilitation care. |
Country | Name | City | State |
---|---|---|---|
Belgium | Antwerp University Hospital | Antwerp | |
Belgium | Centre Hospitalier Interrégional Edith Cavell (CHIREC), site Delta | Auderghem | |
Belgium | Centre Hospitalier Interrégional Edith Cavell (CHIREC), Hôpital de Braine L'Alleud-Waterloo | Braine-l'Alleud | |
Belgium | AZ Sint-Jan Brugge | Brugge | |
Belgium | AZ Monica Deurne | Deurne | |
Belgium | AZ Alma Eeklo | Eeklo | |
Belgium | AZ Maria Middelares | Gent | |
Belgium | Universitair Ziekenhuis Gent | Gent | |
Belgium | Jan Yperman Ziekenhuis | Ieper | |
Belgium | CHU de Liège, site du Sart Tilman | Liège | |
Belgium | AZ Damiaan | Oostende |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Ghent | Belgium Health Care Knowledge Centre, National Institute for Health and Disability Insurance (NIHDI), Belgium |
Belgium,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Incidents | Any malfunction or deterioration in the characteristics and/or performance of the medical device app, as well as any inadequacy in the labeling or the instructions for use which, directly or indirectly, might lead to or might have led to the death of a patient, or user or of other persons or to a serious deterioration in their state of health. | baseline until 6 months after arthroplasty | |
Other | Sensitivity endpoint KOOS-JR at 6 weeks | Change in KOOS-JR score from baseline at 6 weeks after arthroplasty. KOOS-JR is a Knee injury and Osteoarthritis Outcome Score for Joint Replacement. KOOS-JR is scored by summing the raw response (range 0-28) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health. | baseline until 6 weeks after arthroplasty | |
Other | Sensitivity endpoint HOOS-JR at 6 weeks | change in HOOS-JR score from baseline at 6 weeks after arthroplasty. HOOS-JR is a Hip dysfunction and Osteoarthritis Outcome score for Joint Replacement. HOOS-JR is scored by summing the raw response (range 0-24) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health. | baseline until 6 weeks after arthroplasty | |
Other | Sensitivity endpoint EQ5D-5L at 6 weeks | change in EQ5D-5L score from baseline at 6 weeks after arthroplasty. This score describes and values health-related quality of life and consist (1) the EQ-5D descriptive system with 5 dimensions each having 5 response levels from 1 indicating no problems to 5 indicating extreme problems, and (2) the EQ visual analogue scale (EQ VAS), a 0-100 scale with 0 score the worst health the patient can imagine and 100 the best health the patient can imagine. | baseline until 6 weeks after arthroplasty | |
Other | Sensitivity endpoint KOOS-JR at 6 months | Change in KOOS-JR score from baseline at 6 months after arthroplasty. KOOS-JR is aKnee injury and Osteoarthritis Outcome Score for Joint Replacement. KOOS-JR is scored by summing the raw response (range 0-28) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health. | baseline until 6 months after arthroplasty | |
Other | Sensitivity endpoint HOOS-JR at 6 months | Change in HOOS-JR score from baseline at 6 months after arthroplasty. HOOS-JR is a Hip dysfunction and Osteoarthritis Outcome score for Joint Replacement. HOOS-JR is scored by summing the raw response (range 0-24) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health. | baseline until 6 months after arthroplasty | |
Other | Sensitivity endpoint EQ5D-5L at 6 months | change in EQ5D-5L score from baseline at 6 months after arthroplasty. This score describes and values health-related quality of life and consist (1) the EQ-5D descriptive system with 5 dimensions each having 5 response levels from 1 indicating no problems to 5 indicating extreme problems, and (2) the EQ visual analogue scale (EQ VAS), a 0-100 scale with 0 score the worst health the patient can imagine and 100 the best health the patient can imagine. | baseline until 6 months after arthroplasty | |
Other | Deaths | anticipated and unanticipated deaths | baseline until 6 months after arthroplasty | |
Primary | Rehabilitation result 6 months after knee arthroplasty | Knee injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR score). KOOS-JR is scored by summing the raw response (range 0-28) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health. | 6 months after arthroplasty | |
Primary | Rehabilitation result 6 months after hip arthroplasty | Hip dysfunction and Osteoarthritis Outcome score for Joint Replacement (HOOS-JR score). HOOS-JR is scored by summing the raw response (range 0-24) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health. | 6 months after arthroplasty | |
Secondary | Rehabilitation result 6 weeks after knee arthroplasty | Knee injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR score). KOOS-JR is scored by summing the raw response (range 0-28) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health. | 6 weeks after arthroplasty | |
Secondary | Rehabilitation result 6 weeks after hip arthroplasty | Hip dysfunction and Osteoarthritis Outcome score for Joint Replacement (HOOS-JR score). HOOS-JR is scored by summing the raw response (range 0-24) and then converting it to an interval score using a table provided. The interval score ranges from 0 to 100 where 0 represents total hip disability and 100 represents perfect hip health. | 6 weeks after arthroplasty | |
Secondary | Quality of life assessment 6 weeks after arthroplasty | EQ5D-5L score. This score describes and values health-related quality of life and consist (1) the EQ-5D descriptive system with 5 dimensions each having 5 response levels from 1 indicating no problems to 5 indicating extreme problems, and (2) the EQ visual analogue scale (EQ VAS), a 0-100 scale with 0 score the worst health the patient can imagine and 100 the best health the patient can imagine. | 6 weeks after arthroplasty | |
Secondary | Quality of life assessment 6 months after arthroplasty | EQ5D-5L score. This score describes and values health-related quality of life and consist (1) the EQ-5D descriptive system with 5 dimensions each having 5 response levels from 1 indicating no problems to 5 indicating extreme problems, and (2) the EQ visual analogue scale (EQ VAS), a 0-100 scale with 0 score the worst health the patient can imagine and 100 the best health the patient can imagine. | 6 months after arthroplasty |
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