Implementation of a Rehabilitation Technology in Orthopedic and Neurological Rehabilitation to Increase Therapy Dosage: an Exploratory Study

PXL University College

Status and phase: Unknown; Phase 2; Phase 1

Conditions: Arthroplasty; Neurologic Disorder

Treatments: Device: i-ACT

Study type: Interventional

Funder types: Other

Identifiers

NCT04906681

Exploration in St-Trudo

Details and patient eligibility

About

Rehabilitation technology is more and more implemented in conventional therapy to increase the dosage of therapy and/or increase patient's motivation towards therapy. In orthopedic as well as neurological rehabilitation it is important to exercise with enough intensity and repetitions to improve functional performance in activities of daily life, and consequently quality of life. At the moment, not all (rehabilitation) technologies are adapted towards the wishes and needs of both patients and therapists for everyday use in the clinical setting. Also, not all technologies are fit for independent use by the patients. Researcher of PXL have developed a Kinect-based system (i.e. i-ACT) for rehabilitation and performed supervised research with i-ACT in neurological and musculoskeletal rehabilitation, and older adults. Within this research, patients will exercise with i-ACT under supervision of their therapist during weekdays, but in the weekends they will be motivated by the medical staff to perform their exercises with i-ACT. The medical staff will be present for safety reasons, but the patient is asked to use and exercise with i-ACT as independent as possible. The aim of this research is to explore to which extend i-ACT is suitable for semi-independent use by patients in orthopedic or neurological rehabilitation.

Enrollment: 40 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age over 18 years old
• post-operation of arthroplasty (hip or knee), or official medical diagnosis of stroke or Parkinson's disease
• understand Dutch instructions
• patient at St-Trudo ziekenhuis
• experiencing problems in functional performance

Exclusion criteria

• neglect
• spasticity (Brunström Fugl-Meyer < 50)
• cognitive disfunction (Mini Mental State Examination < 24)
• visual impairment (blind, cataract, etc.)
• persons who are not able to exit electric wheelchair

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Arthroplasty, hip or knee

Experimental group

Description:

Minimum 5x/week (of which minimal 3x/week with therapists and 2x/week during weekend), 30-60 minutes training, for 4 weeks, with i-ACT system. i-ACT provides individualised exercises based on patients own goalsetting.

Treatment:

Device: i-ACT

Neurology: stroke or Parkinson disease

Experimental group

Description:

Minimum 5x/week (of which minimal 3x/week with therapists and 2x/week during weekend), 30-60 minutes training, for 4 weeks, with i-ACT system. i-ACT provides individualised exercises based on patients own goalsetting.

Treatment:

Device: i-ACT