A home-based tele-rehabilitation protocol for patients with hip fracture called @ctivehip.

Abstract

Home-based tele-rehabilitation programs are under development and may be a future option for some patients. The objectives of this non-randomized clinical trial are to design a home-based multidisciplinary tele-rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home-based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre-fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight-bearing, and with signed informed consent, will be allocated into a tele-rehabilitation group (n = 35) or a control group (n = 35). The inclusion criterion for the intervention group will be to have a caregiver with the ability to access the Internet who is willing to perform exercises and activities with the patient at home. The intervention includes a program of physical exercise and occupational therapy (five weekly sessions during 12 weeks), and recommendations for patients and their caregivers, all delivered through a website. The patient's functional level (Functional Independence Measure), quality of life (Euro-Qol), physical performance (Timed Up and Go), caregiver burden (Zarit Interview), and other descriptive data will be assessed at hospital discharge, 4 weeks, and 12 weeks. This project will add to the knowledge concerning the feasibility of tele-rehabilitation as an option to promote recovery of the pre-fracture functional level for some patients with a hip fracture. ClinicalTrials.gov Identifier: NCT02968589NCT.

• Authors: Mariana Ortiz-Piña, Zeus Salas-Fariña, Marta Mora-Traverso, Lydia Martín-Martín, Noelia Galiano-Castillo, Inmaculada García-Montes, Irene Cantarero-Villanueva, Carolina Fernández-Lao, Manuel Arroyo-Morales, Antonio Mesa-Ruíz, Yolanda Castellote-Caballero, Susana Salazar-Graván, Lise Kronborg, Miguel Martín-Matillas, Patrocinio Ariza-Vega
• Journal: Research in nursing & health (Res Nurs Health) Vol. 42 Issue 1 Pg. 29-38 (02 2019) ISSN: 1098-240X [Electronic] United States
• PMID: 30444530 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2018 Wiley Periodicals, Inc.

Topics

• Aged
• Aged, 80 and over
• Exercise Therapy (methods)
• Female
• Hip Fractures (rehabilitation)
• Humans
• Male
• Quality of Life
• Recovery of Function
• Telerehabilitation (methods)
• Treatment Outcome