Pre-operative One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After Total Joint Arthroplasty

NCT02872337 | Completed DMC

• 1 other identifier: 2015-306
• Study Type: interventional
• Target: 126
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study was to evaluate the efficacy of a one-time, preoperative physical therapy protocol on postoperative (1) discharge disposition, (2) pain, function and stiffness and (3) patient satisfaction.

Conditions

Arthroplasty

Outcome Measures

Primary Outcomes (1)

• Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT

  This included a review of the hospital database for hospital discharge time. At this institution PT discharge is defined as the ability to (1) independently transfer, (2) independently ambulate approximately 150 feet and (3) independently negotiate stairs (4) independent with home exercise program and activities of daily living. All of this data was recorded from hospital records

  Through Study Completion, an average of 3 days

Secondary Outcomes (4)

• Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

  This standard patient reported outcome was filled out preoperatively or at six weeks postoperatively

• Patient Satisfaction Scores

  from two weeks prior to surgery until 6 weeks after surgery

• Time to meet Physical Therapy discharge criteria

  Time from Surgery to meeting PT discharge criteria, an average of 3 days

• Hospital Length of Stay

  Time from Surgery until Hospital Discharge, an average of 2-3 days

Study Arms (2)

Experimental (Intervention): PreopPT Group

EXPERIMENTAL

This group will undergo the group preoperative education session. Following this session (intervention) this group underwent a one-time, one-on-one preoperative PT session. They also were given access to a web-based microsite which was customized to surgeon

Behavioral: Preoperative Physical Therapy Session; Behavioral: Group Preoperative Education Session (per the standard of care)

Control (standard of care): No PreopPT Group

PLACEBO COMPARATOR

This group underwent the current of standard of care at our institution. This only includes the group preoperative education session. No further preoperative education was given.

Behavioral: Group Preoperative Education Session (per the standard of care)

Interventions

Preoperative Physical Therapy Session BEHAVIORAL

This was a one-on-one preoperative physical therapy session on preoperative education. These patients were also given access to a surgery specific web-based microsite

Experimental (Intervention): PreopPT Group

Group Preoperative Education Session (per the standard of care) BEHAVIORAL

Control (standard of care): No PreopPT Group; Experimental (Intervention): PreopPT Group

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Unilateral Primary Knee OA or Hip OA
• Patients at least 18 years old up to 85.
• Undergoing surgery with one of the following study surgeons
• Able to independently ambulate ≥ half a block with or without assistive device
• Able to independently perform non-reciprocal stairs with or without assistive device/rails
• Patients that plan to D/C home post TKA / THA
• Patients that speak English only.

You may not qualify if:

• Rheumatoid arthritis
• Psoriatic arthritis
• Juvenile rheumatoid arthritis
• Knee or Hip revisions
• Patients under 18 years of age
• Patients unwilling or unable to complete PRO instrument or study questionnaires at the specified study time points pre-operatively or post-operatively
• Bilateral TKA and THA
• Uni-condylar knee arthroplasty or Hip resurfacing
• Patellar reconstruction
• Patient on disability, workman's compensation
• Patients unwilling to participate in PEdPTWP and/or Patient education class and booklet.
• Patients that plan to D/C to rehabilitation center post TKA and THA
• Patients that do not speak English
• Patients that do not have access to computer

Sponsors & Collaborators

• Hospital for Special Surgery, New York: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 1, 2016
• First Posted: August 19, 2016
• Study Start: February 1, 2015
• Primary Completion: October 1, 2015
• Study Completion: November 1, 2015
• Last Updated: June 22, 2023

Record last verified: 2023-06