Development of a home-based exercise program delivered by means of a tablet-PC for patients after a Total Hip operation.

Background

Due to the projected growth of the older population and obesity epidemic, the number of Total Hip Arhtroplasties (THA) is expected to increase dramatically in the coming decades. In the Netherlands an increasing number of THA patients are undergoing fast track surgery, after which people leave the hospital within a few days. This quick transfer leads to suboptimal rehabilitation. In addition postoperative physiotherapy is not regularly covered by the health insurance. To avoid suboptimal rehabilitation a home based telemonitored rehabilitation program is recommended.
Objectives

The first aim is to determine the feasibility of a home based rehabilitation program delivered by means of a tablet-pc for patients after THA. Second aim is to get a first impression of the clinical effectiveness of the rehabilitation program.
Methods

The home based exercise program consists of strengthening, balance and walking exercises. Participants have to perform the exercises 5 times a week for 12 weeks. They will have weekly telephone contact with a coach. The exercise program is delivered by means of a tablet-pc. During the intervention and measurements participants wear a motion sensor.
Measurements

Measurements will be done preoperative (T0), postoperative at 4 weeks (T1), 12 weeks (T2) and 26 weeks (T3). Primary outcome measure is feasibility determined by an evaluation questionnaire and adherence to the program. Secondary outcome measure is effectiveness measured by the HOOS, SF-36, EQ5D, Timed Up & Go Test and the Five Times Sit-to Stand Test.

To determine the feasibility of a home based rehabilitation program delivered by means of a tablet-pc for patients after THA
To get a first impression of the clinical effectiveness of the rehabilitation program

Measurements will be done one week before the operation and 4 and 12 weeks postoperative. A follow up will be done 24 weeks postoperative.

The home based exercise program consists of strengthening, balance and walking exercises. Participants have to perform the exercises 5 times a week for 12 weeks. They will have weekly telephone contact with a coach. The exercise program will be delivered by means of a tablet-pc. During the intervention patients wear a motion sensor.