Digital Rehabilitation After Hip Arthroplasty: a Randomized Controlled Trial

Clinique du Sport, Bordeaux Mérignac60 enrolled

Overview

The study aims to compare the effectiveness of tele-rehabilitation versus no physical therapy after total hip arthroplasty (THA) in improving patient-reported outcomes and functional recovery. THR is a common surgical procedure to relieve pain and improve function in patients with a variety of hip conditions. Traditional physical therapy is a standard component of the post-operative care pathway for PTH patients, but can be hampered by logistical obstacles. Tele-rehabilitation is emerging as a promising alternative, offering the potential to overcome these barriers and improve access to care. The study uses a prospective monocentric design with two arms and a follow-up time of 6 months. The primary objective is assessed using the Timed up and go Test (TUG), while secondary objectives include patient-reported outcome measures, patient satisfaction, healthcare utilization, and return to physical activity.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hip Arthroplasty, Total

Interventions

Tele-rehabilitationPROCEDURE

Tele-education is a digital home-based intervention involving exercises and education. Patients are monitored remotely by a physiotherapist via a secure messaging system. The system consists of a mobile application for the patient and a web portal enabling the physiotherapist to review patient data (physical activity, pain levels, medication use, exercise adherence, patient-reported results, images, videos) on a daily basis and tailor the protocol accordingly.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Have an email address and a smartphone * Patient speaking and writing French * Patient covered by a social security scheme Exclusion Criteria: * Hip revision surgery, significant comorbidities (Parkinson's disease, multiple sclerosis, stroke) or psychiatric disorders (substance use) that could interfere with rehabilitation * Patients with disorders that make it difficult for them to express their feelings * Pregnant or breast-feeding patients * Patient under protective supervision * Patient not covered by a social security scheme

Outcomes

Primary Outcomes

Time Up and Go test

The TUG is a clinical test used to assess patients' mobility and risk of falling. It measures the time required for a person to stand up from a chair, walk a short distance, turn around, return to the chair and sit down.

Time frame: 6 weeks and 6 months after surgery