Digital Rehabilitation After Hip Arthroplasty: a Randomized Controlled Trial
Clinique du Sport, Bordeaux Mérignac
60 participants
Jun 4, 2025
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria3
- Have an email address and a smartphone
- Patient speaking and writing French
- Patient covered by a social security scheme
Exclusion Criteria5
- 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
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Interventions
rehabilitation with a private physiotherapist. Patients usually undergo 15 rehabilitation sessions, in line with HAS recommendations; the number of sessions can go up to 25, depending on the patient's profile and needs.
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.
Locations(1)
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NCT06780319