Mobile-based in-home telerehabilitation compared with in-hospital face-to-face rehabilitation for elderly patients after total hip arthroplasty in China's level 1 trauma center: a noninferiority randomized controlled trial

Frontiers in Surgery, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 14, 2025

Background Telerehabilitation is gaining popularity in European and American countries, but whether it can be successfully implemented China still lacks support from clinical studies. Objective This trial aimed to determine if a home-based telerehabilitation method clinically noninferior standard in-hospital face-to-face rehabilitation for elderly patients with total hip arthroplasty (THA) China. Methods multicenter randomized controlled was conducted January 2021 June 2022 at The First Rehabilitation Hospital Shanghai, Shanghai Jiao Tong University affiliated Sixth People's Tongji Tenth Hospital. Sixty-four were recruited this two-arm, single-assessor blinded, trial. participants randomly assigned the in-home group (TELE group) physical therapist in-person (PT group). intervention consisted of 12-week program video instructions remote coaching on mobile APP PT received assisted by one month outpatient clinic next two months. Patients evaluated baseline, 4 weeks, 12 weeks postoperatively employing functional tests (Timed Up & Go test Berg balance test) self-reported questionnaires (Hip disability Osteoarthritis Outcome Score (HOOS) Short Form (SF-12)). Results There no significant difference between groups demographic characteristics. 61 analyzed group: n = 31, women: 48.4% participants; TELE 30, 33.3% participants) whose median age 70 69 years, (IQR: 63–73) 66–72) respectively. At follow-up evaluation, main differences regarding HOOS gains, adjusted baseline values, close zero ( P > 0.05). primary secondary outcome measures groups. Conclusion Our results showed noninferiority advocated its application as reliable alternative who underwent THA. Clinical Trial Registration https://www.chictr.org.cn/ , Chinese Registry (Number: ChiCTR1900025825).

Language: Английский

Different intensities of aerobic training for patients with type 2 diabetes mellitus and knee osteoarthritis: a randomized controlled trial

Frontiers in Endocrinology, Journal Year: 2024, Volume and Issue: 15

Published: Sept. 2, 2024

Objective The purpose of this study was to compare different intensities aerobic exercise for patients with knee osteoarthritis (KOA) and type 2 diabetes mellitus (T2DM) in terms glycemic control, pain relief, functional outcomes. Methods A prospective randomized open-label parallel multicenter clinical trial conducted at two hospitals Shanghai Sichuan that included 228 (KOA). Enrollment occurred between January 2021 February 2023, follow-up completed September 2023. Participants were threshold training/high-intensive stationary cycling training (n=76), intensive endurance/moderate-intensive (n=77), regular rehabilitation programs (n=75). primary outcome the 6-month HbA1c level. Key secondary outcomes Knee Injury Osteoarthritis Outcome Score (KOOS) subscale quality life. Results Of patients, 212 (93%) trial. mean adjusted (sex, baseline BMI, measures) level decreased significantly high-intensive group compared other groups (high-intensity vs. control group; difference, 0.51%, 95% confidence interval, 0.05% 1.15%). Mean KOOS subscales life statistically moderate-intensity or high-intensity groups, but no statistical differences noted exercise. Patients all achieved a greater reduction BMI significant observed groups. Conclusion In KOA T2DM can improve programs. However, does not exert superior effect on relief improvement

Language: Английский