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

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

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    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.

    TidsskriftResearch in Nursing & Health
    Udgave nummer1
    Sider (fra-til)29-38
    StatusUdgivet - 2019