Effects of home-based occupational therapy telerehabilitation via smartphone for outpatients after hip fracture surgery: A feasibility randomised controlled study. (May 2022)

• Record Type: Journal Article
• Authors: Li, Cabbee TL; Hung, Goris KN; Fong, Kenneth NK; Gonzalez, Pablo Cruz; Wah, Shu-hong; Tsang, Hector WH
• Is Part Of: Journal of telemedicine and telecare. Volume 28:Number 4(2022)
• Page Start: 239
• Page End: 247
• Publication Date: 2022-05
• Subjects: Telerehabilitation -- home-based training -- older adults -- hip fracture -- occupational therapy -- telehealth -- randomised controlled trial -- orthopaedics; Telecommunication in medicine -- Periodicals; 610
• DOI: 10.1177/1357633X20932434
• Languages: English
• ISSNs: 1357-633X

Abstract

Introduction: This study aimed to investigate the effects of a home-based occupational therapy telerehabilitation (TR) via smartphone in enhancing functional and motor performance and fall efficacy for outpatients receiving day hospital rehabilitation after hip fracture surgery in Hong Kong. Methods: This was a feasibility randomised controlled trial with two groups – an experimental group and a comparison group – and a sample of 31 older adults attending a geriatric day hospital who had undergone hip fracture surgery within 12 weeks of diagnosis. Patients were assessed at baseline, immediately after a three-week intervention and at three-week post-intervention follow-up for motor performance, activities of daily living (ADL) functioning and fall efficacy. The experimental group received a home programme using the Caspar Health e-system and a mobile app for smartphones, while the comparison group received paper-and-pencil instructions for the home programme on a weekly basis for three weeks. Results: Compared to the comparison group, significant improvements in fall efficacy and instrumental ADL performance at post intervention and follow-up were found in the experimental group. However, in the comparison group, inadequate social support was a factor contributing to better muscle strength testing in both the affected and non-affected legs. There were no significant differences between the two groups in regard to the other variables. Discussion: This study supports the potential use of TR via smartphone as an alternative home programme for use in occupational therapy practice with older adults after hip fracture surgery.