Interactive Virtual Telerehabilitation After Total Knee Arthroplasty (REHABITIC)
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Purpose
The purpose of this clinical trial is to compare the effectiveness of a new interactive virtual telerehabilitation (IVT) system with the conventional program in the rehabilitation of patients after total knee arthroplasty.
| Condition | Intervention |
|---|---|
|
Knee Osteoarthritis |
Other: Interactive Virtual Telerehabilitation (IVT) Other: Standard care rehabilitation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effectiveness of an Interactive Virtual Telerehabilitation System in Patients After Total Knee Arthroplasty. A Randomized Controlled Trial |
- Active knee extension/flexion [ Time Frame: Change from baseline to 2 weeks ] [ Designated as safety issue: No ]Active knee extension/flexion measured by investigator
- Muscle strength [ Time Frame: Baseline to 2 weeks ] [ Designated as safety issue: No ]Measure of muscle stregth by investigator. That include measures of strength of the quadriceps, Harmstring muscle strength and Timed Getr-UP-ang-Go test
- Pain [ Time Frame: Baseline to 2 weeks ] [ Designated as safety issue: No ]Measure of pain by visual analog scales
- Functional capacity [ Time Frame: Baseline to 2 weeks ] [ Designated as safety issue: No ]Measure of functional capacity using questionnaires /Western Ontario and MacMaster University)
| Enrollment: | 140 |
| Study Start Date: | November 2008 |
| Study Completion Date: | December 2010 |
| Primary Completion Date: | November 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Interactive Virtual Telerehabilitation
Rehabilitation by IVT
|
Other: Interactive Virtual Telerehabilitation (IVT)
Rehabilitation after arthroplasty of knee using IVT
Other Name: Rehabilitation procedure (physical manipulation) plus IVT
|
|
Active Comparator: Standard rehabilitation care
Standard care rehabilitation after total knee arthroplasty
|
Other: Standard care rehabilitation
Standard care rehabilitation after total knee arthroplasty
Other Name: Rehabilitation procedure (physical manipulation)
|
Detailed Description:
Patients are distributed into two treatment groups: 1) Group I (control): standard clinical protocol of TKA rehabilitation consisting of 1-hour sessions for 10 days; and 2) Group II (IVT): 1-hour IVT sessions for 10 days (5 sessions under a therapist's supervision to verify the absence of medical complications + 5 sessions performed at home). The IVT is an interactive virtual software-hardware platform that facilitates the development of remote rehabilitation therapy for multiple diseases. Patients receive information required to perform exercise and the therapist remotely monitors the patient's performance. For the purpose of this trial, the IVT system was designed for lower limb motor recovery in patients undergoing TKA.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Post-TKA active range of motion: flexion 80º and extension -10º
- ABsence of stiffness
- Ability to walk with the use of a walking aid
- Ability to read and understand Spanish
- Ability to understand and accept the trial procedures and to sign an informed consent form in accordance with national legislation
Exclusion Criteria:
- Sensory, cognitive and/or praxic impairment
- Concomitant medical conditions that may influence the rehabilitation process
- Discharge destination other than home
- Patients with any local or systemic complication (e.g., surgical wound infection, suspicion of deep vein thrombosis…) in the three-month follow-up period
Contacts and Locations| Spain | |
| Hospital del Mar (PSMAR) | |
| Barcelona, Spain, 08003 | |
| Principal Investigator: | Jose M Muniesa, MD, PhD | Parc de Salut Mar |
| Study Director: | Ferran Escalada, Md, PhD | Parc de Salut Mar |
More Information
No publications provided
| Responsible Party: | Parc de Salut Mar |
| ClinicalTrials.gov Identifier: | NCT01604174 History of Changes |
| Other Study ID Numbers: | REHABITIC |
| Study First Received: | May 21, 2012 |
| Last Updated: | May 23, 2012 |
| Health Authority: | Spain: Comité Ético de Investigación Clínica |
Keywords provided by Parc de Salut Mar:
|
knee osteoarthritis arthroplasty rehabilitation |
Additional relevant MeSH terms:
|
Osteoarthritis Osteoarthritis, Knee Arthritis |
Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013