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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
70
Complejo Hospitalario Universitario de Granada
Granada, Spain
RECRUITINGFunctional Level
The primary outcome will be assessed with the Functional Independence Measure, which is one of the most widely used instruments to measure Functional Level of hip fracture patients.
Time frame: Participants will be followed over 12 weeks
Quality of life
The secondary outcome will be assessed with the EuroQoL Quality of Life Questionnaire which is one of the most widely used instruments to measure quality of life of hip fracture patients.
Time frame: 12 weeks
Mobility
Timed Up and Go test will be used to measure physical function.
Time frame: 12 weeks
Physical Function
Short Physical Performance Battery will be used to measure physical function.
Time frame: 12 weeks
Fitness
International Fitness Scale will be used to evaluate perceived patient´s overall fitness, cardio-respiratory fitness, muscular fitness, speed-agility and flexibility.
Time frame: 12 weeks
Emotional status
The Hospital Anxiety and Depression Scale will be used to evaluate the emotional status
Time frame: 12 weeks
Health Status
Health Status will be assessed using the American Society of Anesthesiologists Score
Time frame: 12 weeks
Cognitive status
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Mini-mental Test will be used to measure the cognitive status of hip fracture patients.
Time frame: 12 weeks
Fear of falling
Short Falls Efficacy Scale will be used to assess fear of falling
Time frame: 12 weeks
Pain
The pain will be assessed using the Visual Analogue Scale
Time frame: 12 weeks
Caregiver burden
Zarit Burden Interview will be used to evaluate the caregiver burden of care
Time frame: 12 weeks