Effectiveness of a home-based telerehabilitation system in patients after total hip arthroplasty: study protocol of a ra
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STUDY PROTOCOL
Open Access
Effectiveness of a home-based telerehabilitation system in patients after total hip arthroplasty: study protocol of a randomized controlled trial Chiara Busso1, Gabriele Castorina1, Marco Di Monaco2, Daniel Rodriguez3, Hadis Mahdavi3, Simone Balocco4, Marco Trucco2, Marco Conti5, Alessandro Castagna6 and Marco Alessandro Minetto1*
Abstract Background: The demand for total hip arthroplasty (THA) is quickly rising given the escalating global incidence of hip osteoarthritis, and it is widely accepted that the post-surgery rehabilitation is key to optimize outcomes. The overall objective of this study is to evaluate the effectiveness of a new telerehabilitation solution, ReHub, for the physical function and clinical outcome improvement following THA. The specific aims of this manuscript are to describe the study design, protocol, content of interventions, and primary and secondary outcomes and to discuss the clinical rehabilitation impact of the expected experimental results. Methods/design: This prospective, randomized, controlled, parallel-group trial will include 56 patients who had undergone primary THA. Patients are randomized to a control group (standard rehabilitation during the 2-week stay in the rehabilitation clinic followed by 3 weeks of unsupervised home-based rehabilitation) or an experimental group (standard rehabilitation during the 2-week stay in the rehabilitation clinic followed by 3 weeks of homebased ReHub-assisted telerehabilitation). The primary outcome is physical performance assessed through the Timed Up-and-Go (TUG) test. Secondary outcomes include independence level, pain intensity, hip disability, hip range of motion, muscle strength, and patient’s perception of clinical improvement. Discussion: Proving the clinical and cost-effectiveness of a home-based telerehabilitation program for physical and muscle function following THA could support its systematic incorporation in post-surgical rehabilitation protocols, which should be tailored to the individual and collective needs. Trial registration: ClinicalTrial.gov NCT04176315. Registered on 22 November 2019 Keywords: Hip dysfunction and Osteoarthritis Outcome Scale, Hip range of motion, Muscle strength, Timed Upand-Go test, Total hip arthroplasty
* Correspondence: [email protected] 1 Division of Physical Medicine and Rehabilitation, Department of Surgical Sciences, University of Turin, C.so Dogliotti 14, 10126 Turin, Italy Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a
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