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Clinical Trials: Rehabilitation
IRB No. 19-006-2 (Dr. Mohamad Halawi, PI): Comparison of home health services versus surgeon-directed home rehabilitation following total joint arthroplasty: a randomized controlled trial.
There is limited prospective research examining clinical outcomes in joint replacement surgery for patients receiving an unsupervised home rehabilitation program. Recent literature suggests that patients experience the same clinical outcomeswhen they perform physical therapy independently at home following a surgeon's direction (surgeon-directed home rehabilitation)compared to their receiving visiting physical therapists at their home (home health services). There is also a dramatic cost benefit from prescribing unsupervised physical therapy. Hypothesis: Surgeon-directed home rehabilitation is clinically non-inferior to home health services while being significantly less costly. Objectives: To assess clinical outcomes, complications, and cost-effectiveness of surgeon-directed home rehabilitation compared with home health services.
IRB No. O19-030-2 (Dr. Robert Arciero, PI): The STaR Trial - Surgical Timing and Rehabilitation for Multiple Ligament Knee Injuries: A Multicenter Integrated Clinical Trial
The purpose of the STaR Trial is to look at the best way to treat people with a multiple ligament knee injury. A multiple ligament knee injury is an injury in which two or more of the major ligaments in the knee are completely torn. This study is looking at when is the best time to do surgery and when is the best time to start rehabilitation after surgery. More specifically, it is interested in determining the effects of early versus delayed surgery and early versus delayed post-operative rehabilitation for the treatment of multiple ligament knee injuries on return to pre-injury activity. This study will determine how the timing of surgery and rehabilitation affect when someone with a multiple ligament knee injury is able to return to their pre-injury level of activity, whether it’s for work or sports activity. Researchers will follow participants' recovery and return to activity for 24 months. During this time, researchers will record information from participants' routine clinical visits and send questionnaires to participants' to track their progress and return to activity that can be completed on a smartphone or computer.