Telerehabilitation for Anterior Cruciate Ligament Reconstruction - TAR Program in Adolescents
NCT ID: NCT05799235
Last Updated: 2023-04-05
Study Results
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Basic Information
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UNKNOWN
NA
40 participants
INTERVENTIONAL
2023-02-15
2025-04-30
Brief Summary
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Telerehabilitation for this group of patients may help to augment rehabilitation by improving patient compliance and overcome barriers to behavioural change often observed in traditional in-person physiotherapy. It can also allow remote monitoring and provide feedback to patients during exercises. In addition, it is a useful tool during pandemic when in-person visits are not possible. Currently, very few studies have evaluated the use of telerehabilitation with remote monitoring for ACLR, especially in adolescents. The use of home-based telerehabilitation post ACLR may be key to improving patient motivation and exercise compliance in adolescents.
For this pilot study, the intervention group will undergo the TAR program in addition to standard care, which involves self-administered exercises in initial 12 weeks post ACLR using a mobile application. The mobile application will detect key landmarks on the body for human pose estimation. Participants will be able to perform their exercises with real-time feedback given, allowing for proper execution of the exercises. Exercise adherence, range of motion and pain scores will be tracked via the application and therapists are able to monitor via the online dashboard. The control group will undergo standard in-person physiotherapy.
Primary aim of this study is to examine exercise adherence in TAR program versus standard care post ACLR in adolescents. Secondary aims of this study are to examine the effects of TAR program on knee strength, range, function, quality of life, treatment satisfaction, self-determination and number of face-to-face rehabilitation sessions required after ACLR.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Telerehabilitation TAR program using a mobile application (intervention group)
Participants in the intervention group will undergo the telerehabilitation TAR program and install and utilise the application on their mobile device, and self-administer the home exercises as prescribed by their physiotherapists. The mobile application uses novel deep learning algorithm on a mobile platform to detect key landmarks on the body for human pose estimation. Participants will be able to perform their rehabilitation exercise with real-time feedback allowing for proper execution of the exercises. The participants will be instructed on the installation and use of the mobile application and will be expected to perform the prescribed exercises independently (using the application) as instructed by their Physiotherapists. This application will be used for the initial 12 weeks of post-op rehabilitation.
Telerehabilitation TAR program using a mobile application
Participants in this study arm will use a mobile application which allows participants to perform their home exercises with real-time feedback given, allowing for proper execution of exercises, on top of standard care.
Standard rehabilitation (control group)
Participants in the control group will attend standard in person rehabilitation sessions at the outpatient clinic. Participants will be prescribed a home exercise program as per standard care.
Standard rehabilitation sessions
Participants in this control group will attend standard in person rehabilitation sessions with home exercise program given as per standard care.
Interventions
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Telerehabilitation TAR program using a mobile application
Participants in this study arm will use a mobile application which allows participants to perform their home exercises with real-time feedback given, allowing for proper execution of exercises, on top of standard care.
Standard rehabilitation sessions
Participants in this control group will attend standard in person rehabilitation sessions with home exercise program given as per standard care.
Eligibility Criteria
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Inclusion Criteria
* Participants undergoing ACLR surgery
* Participants willing to be included in either the intervention group (utilizing the mobile application) or control group
Exclusion Criteria
* Participants with significant neurological or other lower limb impairments or conditions affecting mobility and function
* Participants with previous ACL surgeries of the same affected lower limb
* Participants with previous surgeries or trauma to the unaffected lower limb
12 Years
20 Years
ALL
No
Sponsors
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KK Women's and Children's Hospital
OTHER_GOV
Responsible Party
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Siao Hui Toh
Principal Investigator
Principal Investigators
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Siao Hui Toh, PhD
Role: PRINCIPAL_INVESTIGATOR
KK Women's and Children's Hospital
Locations
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KK Women's and Children's Hospital
Singapore, , Singapore
Countries
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Central Contacts
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Other Identifiers
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2022/2379
Identifier Type: -
Identifier Source: org_study_id
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