Evaluating the Efficacy of a Mobile Application in Postoperative Rehabilitation

Launched by YALE UNIVERSITY · May 6, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at how effective a mobile application can be for helping patients recover after orthopedic surgeries, such as hip or knee replacements, or spinal surgery. The goal is to see if using this app can improve rehabilitation outcomes, making it easier for patients to get back to their daily activities after surgery.

To participate in this study, individuals need to be between the ages of 65 and 74, have had a specific type of surgery (like a low-energy hip fracture or knee/hip replacement), and be able to use a mobile app for their physical therapy. They should also be able to read and speak English and agree to follow the study rules throughout its duration. However, people with severe cognitive or physical impairments, unstable medical conditions, or open surgical wounds will not be eligible. If you choose to take part, you can expect to engage with the app regularly as part of your recovery process, and you'll receive guidance to help you adhere to healthy lifestyle choices during the trial.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Provision of signed and dated informed consent form
• • Stated willingness to comply with all study procedures and availability for the duration of the study
• • English reading/speaking
• • Are status post low-energy hip fracture, total knee/hip arthroplasty, or single to multilevel spinal fusion without paralysis
• • Must be able bodied enough to participate in a mobile app tool for physical therapy
• • Agreement to adhere to Lifestyle Considerations (see section 5.3) throughout study duration\]
• Exclusion Criteria:
• • Severe cognitive impairment: Not alert and oriented to person, place, time, and reason for being the hospital; and unable to follow 2 step commands
• * Severe physical impairment:
• • Neurologic paralysis
• • Polytraumas with restrictions incompatible with anti-gravity exercises
• • Knee immobilization, bed rest
• * Unstable medical conditions:
• • On ventilatory support
• • Utilizing high degrees of oxygen support (continuous BiPAP, high flow nasal cannula, nonrebreather mask, aerosol mask \>3L/min)
• • Hemodynamic instability requiring pressor medication support (can include those on pressors for elevated mean arterial pressure goals (MAPs))
• • Neurologically instable with strokes, hemorrhages, increased intracranial pressures
• • Open wounds or surgical incisions
• • Tenuous closed wounds requiring immobilization or bending restrictions
• • Open wounds that are either packed/dressed or dressed with a wound vacuum
• • Surgical wounds that are draining fluid or purulence
• • Vulnerable populations
• • Incarcerated individuals
• • Patients without access to a mobile phone with iOS capability