Effects of Tele- or In-person Prehabilitation in Candidates Awaiting Total Hip or Knee Arthroplasty
Osteoarthritis
About this trial
This is an interventional treatment trial for Osteoarthritis focused on measuring Prehabilitation, Telemedicine, Osteoarthritis, Arthroplasty, Hip, Knee
Eligibility Criteria
Inclusion Criteria:
- Age greater than 18 years;
- Waiting for a TKA or a THA
- Suffering from severe OA of hip or knee
- Quebec resident covered by the Régie de l'assurance maladie du Québec (Quebec public healthcare insurance)
- Speaks French
- Has a high-speed internet connection.
Exclusion Criteria:
- Suffering from inflammatory arthritis
- Scheduled for a bilateral surgery
- Has had a lower limb surgery in the past 6 months
- Scheduled for a revision of a previous TKA or THA
- Planned for a wide acetabular head hip prosthesis or a hip articular resurfacing
- Receiving a compensation from Quebec Commission de la santé et de la sécurité du travail (government insurer for workers and employers)
- Suffering from a severe psychiatric neurologic or cardiac disorder, or other types of disorders that could interfere with the rehabilitation program.
Sites / Locations
- CIUSSS Centre-est-de-l'île-de-Montréal - Hopital Maisonneuve-RosemontRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
In-person prehabilitation group
Tele-prehabilitation group
Usual care group
The participants in this group will receive a 12-week rehabilitation program (2x/week) including, education, stretching, strengthening, proprioceptive exercises of the lower limb and cardiovascular training using low-impact activities, in addition to walking aid adjustment. General information about pain control, such as ice application and medication usage will also be provided
The participants in this group will receive a 12-week rehabilitation program (2x/week) including, education, stretching, strengthening, proprioceptive exercises of the lower limb and cardiovascular training using low-impact activities, in addition to walking aid adjustment using a telecommunication software (Reacts®, Facetime® or Skype®). General information about pain control, such as ice application and medication usage will also be provided.
The participants in this group will be provided with the hospital's usual documentation before total joint arthroplasties, consisting of information regarding the pre- and post-surgery course and medication.