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基于互联网的膝关节骨关节炎患者康复治疗的可行性和有效性:一项社区环境下随机对照试验的研究方案。

The feasibility and effectiveness of internet-based rehabilitation for patients with knee osteoarthritis: A study protocol of randomized controlled trial in the community setting.

作者信息

Xie Su-Hang, Wang Qian, Wang Li-Qiong, Zhu Si-Yi, Li Yi, He Cheng-Qi

机构信息

School of Rehabilitation Sciences, West China School of Medicine.

Department of Rehabilitation Medicine Center, West China Hospital, Sichuan University.

出版信息

Medicine (Baltimore). 2020 Oct 30;99(44):e22961. doi: 10.1097/MD.0000000000022961.

Abstract

BACKGROUND

Internet-based rehabilitation can ease the progression of chronic diseases. There had been studies on internet-based rehabilitation of knee osteoarthritis (OA), but them were conducted at home and ignored the potential benefits in the community setting. This study will explore the feasibility and effectiveness of internet-based rehabilitation accompanies wearable devices in the community setting for the patients with knee OA.

METHODS

An assessor-blinded randomized controlled feasibility trial will be performed to study the feasibility and effectiveness of internet-based rehabilitation program for the patients with knee OA in the community setting. Forty participants with knee OA will be recruited and randomly allocated into internet-based rehabilitation group (IRG) or control group (CG). The interventions of IRG will be performed in the community setting via web-based platform and wearable devices. The outcome measures will be conducted at baseline, and post-intervention 6 weeks, 12 weeks during the study. The feasibility will be tested by the proportion of participants who will complete the internet-based rehabilitation program within 12 weeks in IRG as well as the compliance and satisfaction. Additionally, the effectiveness of internet-based rehabilitation will be assessed by the Western Ontario and McMaster Universities Osteoarthritis Index, 11-point Numerical Rating Scale and Short Form-36 quality-of-life questionnaire.

CONCLUSION

The internet-based rehabilitation program and community-based interventions is feasible and efficacy to ameliorate the osteoarthritic pain and promote the physical function and quality of life for the patients with knee OA in the community setting.

TRIAL REGISTRATION NUMBER

The study was registered in the clinical trial registry ChiCTR2000033397.

摘要

背景

基于互联网的康复可缓解慢性病的进展。已有关于膝关节骨关节炎(OA)基于互联网康复的研究,但这些研究是在家庭环境中进行的,忽视了社区环境中的潜在益处。本研究将探讨在社区环境中,基于互联网的康复结合可穿戴设备对膝关节OA患者的可行性和有效性。

方法

将进行一项评估者盲法随机对照可行性试验,以研究社区环境中基于互联网的康复计划对膝关节OA患者的可行性和有效性。将招募40名膝关节OA患者,并随机分配到基于互联网的康复组(IRG)或对照组(CG)。IRG的干预将通过基于网络的平台和可穿戴设备在社区环境中进行。在研究期间,将在基线、干预后6周、12周进行结局测量。可行性将通过IRG中在12周内完成基于互联网康复计划的参与者比例以及依从性和满意度来测试。此外,将通过西安大略和麦克马斯特大学骨关节炎指数、11点数字评定量表和简短健康调查问卷36项生活质量问卷来评估基于互联网康复的有效性。

结论

基于互联网的康复计划和社区干预对于改善社区环境中膝关节OA患者的骨关节炎疼痛、促进身体功能和生活质量是可行且有效的。

试验注册号

该研究已在临床试验注册中心ChiCTR2000033397注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b7d/7598832/c1f5cb5d6bf0/medi-99-e22961-g001.jpg

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