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Набор скоро начнётся NCT07327008

The Effectiveness of Telerehabilitation in Liver Transplant Patients

Без фазы С лечением Liver Transplantation Telerehabilitation

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Telerehabilitation, Home exercise.
Кому может быть актуально
Состояния в реестре: Liver Transplantation, Telerehabilitation. Базовые параметры: 18 лет — 65 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Turkey (Türkiye)
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

Investigation of the Effectiveness of the Telerehabilitation Program in Patients With Liver Transplantation

Обзор

Liver transplantation is defined as a surgical procedure in which a liver with tissue damage and inability to perform its functions is replaced, in whole or in part, with a healthy liver obtained from a living or deceased donor. Post-transplantation treatment includes medical treatment, physiotherapy, and rehabilitation. Physiotherapy and rehabilitation, an important component of liver transplantation management, consists of three phases: preoperative, early postoperative, and late postoperative. Telerehabilitation is currently defined as the control or monitoring of rehabilitation remotely using telecommunication-related technologies. Studies on telerehabilitation in liver transplant patients are insufficient in the literature. The aim of this study is to investigate the effect of a telerehabilitation-based exercise program applied to liver transplant patients on exercise capacity, respiratory muscle strength, peripheral muscle strength, fatigue level and quality of life.

Подробное описание

Participants will be randomly divided into two groups: a telerehabilitation group and home exercise program group. Both groups will be evaluated before and after treatment (week 8). The telerehabilitation group will receive videoconference-based telerehabilitation three days a week for eight weeks. All exercises will be performed under the supervision of a physiotherapist. Each telerehabilitation session will last approximately 30-45 minutes. The exercises will be performed in the following order: breathing exercises, strengthening exercises, balance exercises, and walking exercises. The home exercise program group will receive an exercise brochure after the initial evaluation. Both groups will continue with their standard medical treatments, and a second evaluation will be conducted at the end of eight weeks. Participants' exercise capacity will be assessed using the "6-Minute Walk Test," fatigue level using "The Fatigue Severity Scale", respiratory muscle strength by measuring "Maximal inspiratory pressure (MIP)" and "Maximal expiratory pressure (MEP)", muscle strength using a digital dynamometer, balance using the "Timed Up and Go Test," and quality of life using the "The Liver Disease Symptom Index 2.0"

Вмешательства

  • Другое Telerehabilitation
    The telerehabilitation program will include breathing, strengthening, balance, and walking exercises, with increasing intensity week by week, and stretching exercises targeting major muscles will be given during the cool-down period.
  • Другое Home exercise
    Patients will be given brochures on breathing, strengthening, balance and walking exercises and asked to perform them without a physiotherapist.

Первичные конечные точки

  • 6-Minute Walk Test [Срок оценки: eight weeks]
  • Timed Up and Go Test [Срок оценки: eight weeks]
Вторичные конечные точки (4)
  • The Liver Disease Symptom Index 2.0 [Срок оценки: eight weeks]
  • The Fatigue Severity Scale [Срок оценки: eight weeks]
  • Respiratory Muscle Strength Measurement [Срок оценки: eight weeks]
  • Muscle Strength Measurement [Срок оценки: eight weeks]

Критерии участия

Критерии включения

  • Being between 18-65 years of age and having undergone a liver transplant
  • Having had a liver transplant operation at least 6 months prior
  • Spontaneous breathing
  • Hemodynamic stability
  • Reading and writing skills
  • Ability to mobilize independently, ability to follow verbal and visual instructions

Критерии исключения

  • Presence of unstable cardiovascular disease
  • Presence of primary lung disease requiring regular bronchodilator treatment
  • Presence of neuromuscular disease or neurological complications
  • Musculoskeletal limitation/use of assistive devices
  • Being a multiple organ transplant recipient
  • Presence of orthopedic disability and functional capacity limitation

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Turkey (Türkiye) · 1 центр
  • Istanbul University-Cerrahpasa, Faculty of Health Sciences, Physiotherapy and Rehabilitati — Büyükçekmece

Идентификаторы

NCT: NCT07327008 · IUC-FTR-AA-01

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗