Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
ID05699031

Home-based Telerehabilitation After Shoulder Arthroplasty Compared to Usual Physical Therapy Care: The PROTECT Randomized Control Trial

Led by University Hospital, Ghent · Updated on 2024-04-12

120

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University Hospital, Ghent

Lead Sponsor

U

University Ghent

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the use of a smartphone app for home-based telerehabilitation compared to usual physical therapy care after primary shoulder arthroplasty in patients aged 60 years and older. The study aims to see if rehabilitation outcomes with the app are as good as with standard care, to compare outcomes between anatomical and reverse shoulder arthroplasty, and to assess the usability of the app. Participants are randomly assigned to one of two groups. The app group will use a smartphone app delivering five daily exercises, daily questionnaires on exercise performance, pain, and activities, and receive information modules at specific times. The physical therapy group will have twice-weekly sessions with a physical therapist following hospital guidelines. Rehabilitation and assessments occur from surgery up to 3 months, with follow-up at 1 year. During the study, participants complete questionnaires at specific times between surgery and one year post-operation. Outcome measures include the Shoulder Pain and Disability Index (SPADI) assessed before surgery, at weeks 0, 3, 6, 12, and at 52 weeks, along with secondary measures like shoulder mobility, strength, daily living activities, exercise adherence, and quality of life. Exercise diaries and questionnaires track progress and adherence. The total study duration for participants extends to one year post-surgery.

CONDITIONS

Brief Title

Shoulder Prosthesis Telerehab Care Trial

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 60 years or older
  • Underwent primary total shoulder arthroplasty (anatomical or reverse)
  • Diagnosed with osteoarthritis, cuff tear arthropathy, or pseudoparalysis
  • Returning home after hospital discharge
  • No brace used after surgery
  • Able to understand and communicate in written and spoken language
  • Have hospitalization insurance
Not Eligible

You will not qualify if you...

  • Undergoing revision arthroplasty
  • Arthroplasty performed for fracture or tumor
  • Having neurological diseases such as Parkinson's disease or stroke
  • No access to a smartphone, tablet, or internet connection

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Up to hospital discharge

Participants undergo shoulder arthroplasty surgery followed by immediate recovery and hospital discharge.

Hospital stay and discharge visit

Treatment

Duration - 12 weeks

Participants receive rehabilitation through either a smartphone app with daily exercises and questionnaires, or twice-weekly physical therapy sessions following usual care protocols.

Daily use of app or twice-weekly physical therapy visits for up to 12 weeks

Follow-up

Duration - Up to 52 weeks

Participants are assessed for shoulder function, pain, and quality of life at multiple time points after treatment to monitor recovery and long-term outcomes.

Assessments at weeks 3, 6, 12, and 52

Trial Site Locations

Total: 1 location

1

Ghent University Hospital

Ghent, Belgium, 9000

Actively Recruiting

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Research Team

D

Dominiek Vandenbosch, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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