Objective To compare the efficacy of home-based tele-rehabilitation with hospitalization rehabilitation in elderly patients after total hip arthroplasty(THA).Methods This is a two-arm,single-blind,parallel,non-inferiority randomized controlled trial.Sixty four patients who underwent THA in the Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine or Shanghai Tenth People's Hospital Affiliated to Tongji University,and received rehabilitation intervention at Shanghai First Rehabilitation Hospital from January 2021 to December 2022,were enrolled within one week after THA.Patients were randomly divided into tele-rehabilitation group(TELE group,n=32)and hospitalization rehabilitation group(ONSITE group,n=32).The rehabilitation intervention of the TETE group included remote video phone guidance and mobile APP rehabilitation training for 4 weeks(45 min,5/week).After the intervention,they received phone follow-up every 2 weeks and continued home training using the APP until the end of the 12-week follow-up.The ONSITE group received routine physical therapy intervention for 4 weeks(45 min,5/week).Training assignments were given before discharge,and telephone follow-up was conducted after discharge.The primary outcome was the Quality of Life(QOL)subscale of the Hip Disability and Osteoarthritis Outcome Score(HOOS)at the end of follow-up,the secondary outcome included the other subscales of HOOS,Short Form 12(SF12),Timed Up and Go(TUG)test,and Berg Balance Scale(BBS)at 4 and 12 weeks of enrollment,and HOOS scores at 4 weeks of enrollment.Results There were no significant differences with demographic and clinical characteristics between the TELE and ONSITE groups.At 12 weeks of follow-up assessment,the main differences between the two groups regarding the HOOS subscales gains adjusted for baseline values,were close to zero in both groups(P＞0.05).The TUG and BBS results of both groups were significantly improved,and there was no significant difference between two groups(P＞0.05).At each follow-up time point,there were no differences in physical and mental aspects between the two groups(P＞0.05).There were no physical and mental differences between the two groups(P＞0.05).Conclusion The results of the study demonstrate that home-based tele-rehabilitation is beneficial to promote the recovery of hip function after THA in elderly patients,and the efficacy is not inferior to hospitalization rehabilitation.The study indicates home-based tele-rehabilitation provides a alternative choice for the rehabilitation of patients after THA.
hip fracturetotal hip arthroplastyhome-based tele-rehabilitationthe elderly
万方数据
维普
