Knee Connect: Physiotherapy Exercise Performance With Visual Feedback After Total Knee Arthroplasty
1 other identifier
interventional
10
1 country
1
Brief Summary
The main objective of this pilot study is to determine if using a portable, accelerometer based, visual feedback system improves exercise quality. The secondary objective of this study is to investigate the effect of motivational targets by testing the effects of increasing Range of Motion (ROM) targets. The results from this study will be used to improve the visual feedback system of the Knee Connect system and serve as starting point for a larger clinical study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Mar 2020
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 26, 2018
CompletedFirst Posted
Study publicly available on registry
November 13, 2018
CompletedStudy Start
First participant enrolled
March 9, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 22, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 28, 2022
CompletedJuly 12, 2024
March 1, 2021
2.5 years
October 26, 2018
July 10, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Knee angle (degrees)
The difference in measured knee angle with and without visual feedback.
One set of measurements 3-6 weeks post TKR
Knee velocity (degrees/s)
The difference in measured knee velocity with and without visual feedback.
One set of measurements 3-6 weeks post TKR
Secondary Outcomes (1)
Peak knee flexion and extension angle (degrees)
One set of measurements 3-6 weeks post TKR
Study Arms (1)
TKR Patients
EXPERIMENTALAny patient 3-6 weeks post-op from a TKR
Interventions
A device to measure knee angle. It sends data a smartphone or tablet to be displayed as part of a visual feedback system.
Eligibility Criteria
You may qualify if:
- Be enrolled in the "Knee Class" postoperative physiotherapy
- Be able to provide informed consent
- weeks post-operative from primary total knee replacement surgery
You may not qualify if:
- Revision total knee arthroplasty
- Neuromuscular disorder
- Knee Stiffness (knee flexion of \<90 degrees during previous Knee Class session)
- Hip Stiffness (hip flexion of \<90 degrees)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sunnybrook Holland Orthopaedic & Arthritic Centre
Toronto, Ontario, M4Y 1H1, Canada
Related Publications (7)
Manniche C, Hesselsoe G, Bentzen L, Christensen I, Lundberg E. Clinical trial of intensive muscle training for chronic low back pain. Lancet. 1988 Dec 24-31;2(8626-8627):1473-6. doi: 10.1016/s0140-6736(88)90944-0.
PMID: 2904582BACKGROUNDNwuga, G., & Nwuga, V. (1985). Relative therapeutic efficacy of the Williams and McKenzie protocols in back pain management. Physiotherapy practice, 1(2), 99-105.
BACKGROUNDKohles S, Barnes D, Gatchel RJ, Mayer TG. Improved physical performance outcomes after functional restoration treatment in patients with chronic low-back pain. Early versus recent training results. Spine (Phila Pa 1976). 1990 Dec;15(12):1321-4. doi: 10.1097/00007632-199012000-00016.
PMID: 2149211BACKGROUNDFriedrich M, Cermak T, Maderbacher P. The effect of brochure use versus therapist teaching on patients performing therapeutic exercise and on changes in impairment status. Phys Ther. 1996 Oct;76(10):1082-8. doi: 10.1093/ptj/76.10.1082.
PMID: 8863761BACKGROUNDLam, A. W., Varona-Marin, D., Li, Y., Fergenbaum, M., & Kulić, D. (2016). Automated rehabilitation system: Movement measurement and feedback for patients and physiotherapists in the rehabilitation clinic. Human-Computer Interaction, 31(3-4), 294-334.
BACKGROUNDLam AW, HajYasien A, Kulic D. Improving rehabilitation exercise performance through visual guidance. Annu Int Conf IEEE Eng Med Biol Soc. 2014;2014:1735-8. doi: 10.1109/EMBC.2014.6943943.
PMID: 25570311BACKGROUNDChkeir, A., Jaber, R., Hewson, D. J., Hogrel, J. Y., & Duchêne, J. (2014). Effect of Different Visual Feedback Conditions on Maximal Grip-Strength Assessment. In XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013 (pp. 1127-1131). Springer, Cham.
BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
David Wasserstein, MD
Sunnybrook Health Sciences Centre
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DEVICE FEASIBILITY
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 26, 2018
First Posted
November 13, 2018
Study Start
March 9, 2020
Primary Completion
September 22, 2022
Study Completion
September 28, 2022
Last Updated
July 12, 2024
Record last verified: 2021-03