Efficacy of Real-Time Feedback Exercise Therapy in Patients Following Total Hip Arthroplasty: Protocol for a Pilot Cluster-Randomized Controlled Trial Article Swipe
Klaus Widhalm
,
Lukas Maul
,
Sebastian Durstberger
,
Peter Pütz
,
Sebastian Leder-Berg
,
Hans Kainz
,
Peter Augat
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2196/59755
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2196/59755
Background Osteoarthritis of the hip joint is an increasing functional and health-related problem. The most common surgical treatment is hip replacement to reduce pain and improve function. Rehabilitation after total hip arthroplasty (THA) is not regulated in Austria and mostly depends on the patient’s own initiative and possibilities. Functional deficits, such as valgus thrust of the leg, functional Trendelenburg gait, or Duchenne limp, are characteristic symptoms before and, due to the performance learning effect prior to surgery, also after the operation. Addressing these deficits is possible through neuromuscular-focused exercise therapy. The efficacy of such therapy relies significantly on the quality of performance, the frequency of exercise, and the duration of engagement. Enhancing sustainability is achievable through increased motivation and real-time feedback (RTF) on exercise execution facilitated by digital feedback systems. Objective This study will be performed to quantify the medium-term effectiveness of digital home exercise feedback systems on functional performance following THA. Methods A clinical trial with a cluster-randomized, 2-arm, parallel-group design with an 8-week intervention phase and subsequent follow-ups at 3 and 6 months postsurgery will be conducted. Feedback during exercising will be provided through a blended-care program, combining a supervised group exercise program with a self-developed digital feedback system for home exercise. In total, 70 patients will be recruited for baseline. The primary outcome parameters will be the frontal knee range of motion, pelvic obliquity, and lateral trunk lean. Secondary outcomes will be the sum scores of patient-reported outcomes and relevant kinematic, kinetic, and spatiotemporal parameters. Results The trial started in January 2024, and the first results are anticipated to be published by June 2025. RTF-supported home exercise is expected to improve exercise execution quality and therapeutic adherence compared to using paper instructions for excise guidance. Conclusions The anticipated findings of this study aim to offer new insights into the effect of a blended-care program incorporating digital RTF on exercise therapy after unilateral THA, in addition to knowledge on the functional status 3 and 6 months postsurgery, for further improvement in the development of rehabilitation guidelines following THA. Trial Registration ClinicalTrials.gov: NCT06161194; https://clinicaltrials.gov/study/NCT06161194 International Registered Report Identifier (IRRID) PRR1-10.2196/59755
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Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.2196/59755
- OA Status
- gold
- Cited By
- 1
- References
- 37
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4401728859Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2196/59755Digital Object Identifier
- Title
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Efficacy of Real-Time Feedback Exercise Therapy in Patients Following Total Hip Arthroplasty: Protocol for a Pilot Cluster-Randomized Controlled TrialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-08-20Full publication date if available
- Authors
-
Klaus Widhalm, Lukas Maul, Sebastian Durstberger, Peter Pütz, Sebastian Leder-Berg, Hans Kainz, Peter AugatList of authors in order
- Landing page
-
https://doi.org/10.2196/59755Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.2196/59755Direct OA link when available
- Concepts
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Physical therapy, Medicine, Randomized controlled trial, Physical medicine and rehabilitation, Arthroplasty, Rehabilitation, SurgeryTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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37Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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