Using Telerehabilitation Tools to Deliver Quality Therapy to Patients Under Infective Isolation Precautions
NCT ID: NCT03631524
Last Updated: 2018-11-09
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
60 participants
INTERVENTIONAL
2018-11-15
2019-12-20
Brief Summary
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Detailed Description
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They will be randomly assigned to control or treatment arm based on a block randomisation strategy predetermined and held by an independent party.
The treatment arm will be given up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period. They will be evaluated for motor strength, activity of daily living performance, mood and perceived level of health.
The control arm will be subject to the same assessments as the treatment arm at the start and end of the two week period. They will receive standard care in the ward including physiotherapy as prescribed by the managing team.
The assessors will be blinded to the arm of the study the subjects will be assigned to and will be independent of the terating physiotherapist.
1.1. Hypothesis We propose that for patients with deconditioning after a prolonged period of hospitalization and needing inpatient isolation precautions, that a 2-week course of daily, up to 1-hour long, physiotherapist-developed resistive training exercises will result in a 20% improvement in the motor power and a corresponding improvement in motor functioning and the perceived quality of life compared to a control group receiving standard therapy.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Conventional therapy
The control arm will be subject to the same assessments as the treatment arm at the start and end of the two week period. They will receive standard care in the ward including physiotherapy as prescribed by the managing team
No interventions assigned to this group
Intervention arm
The treatment arm will be given up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period. They will be evaluated for motor strength, activity of daily living performance, mood and perceived level of health.
Telerehabilitation
The treatment arm will be given up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period.
Interventions
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Telerehabilitation
The treatment arm will be given up to 1 hour of physiotherapist-prescribed resistive training exercises administered via a telerehabilitation device per day in addition to standard therapy for a total of 10 sessions over a 2 week period.
Eligibility Criteria
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Inclusion Criteria
* Admitted to hospital for at least 5 days
* MMT power grading 2-4/5
* Isolated for prevention of transmission of MDROs
Exclusion Criteria
* Assessed by managing team to be fit for discharge within the next 2 weeks
* Pregnant women
* Underlying medical disorders that result in pre-existing lower limb weakness
21 Years
99 Years
ALL
No
Sponsors
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National Medical Research Council (NMRC), Singapore
OTHER_GOV
Singapore General Hospital
OTHER
Responsible Party
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Geoffrey Sithamparapillai Samuel
Consultant, Department of Rehabilitation Medicine
Principal Investigators
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Geoffrey S Samuel, MBBS
Role: PRINCIPAL_INVESTIGATOR
Singhealth Pte Ltd
Central Contacts
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References
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Morgan DJ, Diekema DJ, Sepkowitz K, Perencevich EN. Adverse outcomes associated with Contact Precautions: a review of the literature. Am J Infect Control. 2009 Mar;37(2):85-93. doi: 10.1016/j.ajic.2008.04.257.
Ploutz-Snyder LL, Downs M, Ryder J, Hackney K, Scott J, Buxton R, Goetchius E, Crowell B. Integrated resistance and aerobic exercise protects fitness during bed rest. Med Sci Sports Exerc. 2014 Feb;46(2):358-68. doi: 10.1249/MSS.0b013e3182a62f85.
Other Identifiers
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2017/2994
Identifier Type: -
Identifier Source: org_study_id
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