Internet Enhanced, Patient-Centered Orthopedic Care: A Prospective, Randomized, Controlled Pilot Trial
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|ClinicalTrials.gov Identifier: NCT02025400|
Recruitment Status : Completed
First Posted : January 1, 2014
Last Update Posted : January 1, 2014
|Condition or disease||Intervention/treatment||Phase|
|Knee Injuries Shoulder Injuries Rotator Cuff Disease Meniscus Tear Patellofemoral Pain||Other: eRehab Other: Formal Physical Therapy||Phase 1|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||24 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Phase I Study Comparing Internet Delivered Home Exercise Programs to Standard Orthopedic Care and Outpatient Physical Therapy.|
|Study Start Date :||July 2012|
|Actual Primary Completion Date :||October 2013|
|Actual Study Completion Date :||December 2013|
Active Comparator: Physical Therapy
This arm will receive the standard of care for orthopedic patients receiving a diagnosis and then a recommendation for outpatient physical therapy referral. They will follow through on the referral and attend physical therapy.
Other: Formal Physical Therapy
This intervention involves referral to a licensed physical therapist or supervised ATC-L.
This group will not go to formal therapy but receive Internet delivered patient education and exercise instruction. This group will then perform those exercises at home.
Growth in e-Health applications, defined as any computer or Internet application integrated into health services, has resulted in the development of treatment strategies to improve healthcare while reducing costs. The utilization of e-Health to provide a rehabilitative intervention has recently been identified in the cardiac literature as "e-rehabilitation" or "eRehab." This study specifically compares an orthopedic eRehab Internet application to standard outpatient physical therapy as an adjunct in the treatment of non-complicated knee and shoulder disorders.
- Outcome scores for knee (KOOS) and shoulder (DASH) [ Time Frame: six weeks ]
- NRS-11 pain scores [ Time Frame: 6 weeks ]
- Patient utilization of an eRehab portal measured by number of logons and performance of a home exercise program as documented with an exercise log. [ Time Frame: 6 weeks ]
- Patient cost of care per episode [ Time Frame: 6 months ]A patient's insurance explanation of benefits will be reviewed for 6 months from completion of the current episode of care to determine patient out of pocket expenses
- Total cost of care per episode [ Time Frame: 6 months ]Each patient's EOB will be reviewed to determine total cost of care for each episode of care
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02025400
|United States, Maryland|
|Advanced Orthopaedic Specialists|
|Prince Frederick, Maryland, United States, 20678|
|United States, North Carolina|
|Charlotte Sports Medicine Institute|
|Charlotte, North Carolina, United States, 28269|