Physical Therapy Prior to Total Knee Replacement

NCT02279277 | Unknown

• 1 other identifier: Austin2014
• Study Type: interventional
• Target: 148
• Locations: 0 countries
• Sites: N/A

Brief Summary

In this study, the investigators are investigating the effects of physical therapy (PT) for treating high grade knee osteoarthritis (OA) in patients that are candidates for total knee replacement. Through the examination of patient outcomes, such as pain, stiffness, and physical function, the investigators will determine if PT prior to total knee replacement is an effective treatment in a patient with high grade OA.

Conditions

Osteoarthritis of the Hip

Outcome Measures

Primary Outcomes (1)

• Range of Motion following Total Knee Replacement

  6 weeks

Secondary Outcomes (2)

• Patient reported perception of pain following total knee replacement

  6 weeks

• Return to functional activities following total knee replacement

  6 weeks

Study Arms (2)

No physical therapy

NO INTERVENTION

No prescribed, supervised physical therapy prior to total knee replacement

Physical Therapy

ACTIVE COMPARATOR

Prescribed, supervised physical therapy prior to total knee replacement

Behavioral: Supervised physical therapy program prior to total knee replacement surgery

Interventions

Supervised physical therapy program prior to total knee replacement surgery BEHAVIORAL

Physical Therapy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Knee osteoarthritis (Kellgren-Lawrence grade 3 or 4) confirmed via standing AP radiograph
• Surgical candidate for TKA, having had a least a 3 months of pain affecting ADL's unresponsive to conservative treatment consisting of AT LEAST one non-narcotic medication AND one injection (corticosteroid or series of viscosupplementation). Injection must not have been administered within 6 weeks of start of PT trial
• Prior knee surgery from arthroscopies, meniscal surgery and ligament reconstruction

You may not qualify if:

• Anyone who received physical therapy in the last 6 months
• Inability to walk unaided for \>1 block
• Currently engaged in regular PT or a regular home exercise program
• Prior knee arthroplasty
• Prior knee surgery for trauma, tumor and osteotomy
• Injection given within 6 weeks of starting therapy
• Patients using daily narcotic medications within prior 6 weeks

Sponsors & Collaborators

• Rothman Institute Orthopaedics: lead

MeSH Terms

Conditions

Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 6, 2014
• First Posted: October 31, 2014
• Study Start: October 1, 2014
• Primary Completion: October 1, 2016
• Last Updated: October 31, 2014

Record last verified: 2014-10