Traditional PT v Internet Based PT After Total Knee Arthroscopy

NCT04843280 | Completed

• 1 other identifier: DMAZ17D.288
• Study Type: interventional
• Target: 167
• Locations: 1 country
• Sites: 1

Brief Summary

Knee arthroscopy results in significant improvements in functional outcomes, pain relief and quality of life for patients suffering from mechanical symptoms associated with meniscal tears. Patients are able to return to their activities of daily living, occupation, or sport without significant limitations. Traditionally, patients have undergone formal physical therapy (PT) after knee arthroscopy to regain function. There is a significant cost and time commitment associated with traditional outpatient physical therapy. An internet based therapy program allows patients to perform therapy at home on their own time schedule. A recent study demonstrated that patients who undergo internet based PT after total knee arthroplasty performed as well patients receiving traditional physical therapy. These findings have not been studied in the knee arthroscopy patient population. The goal of this study is to compare traditional outpatient physical therapy rehabilitation to Internet-based rehabilitation in patients undergoing knee arthroscopy for partial meniscectomy. The purpose of this study is to compare functional outcome, and patient satisfaction, internet-based rehabilitation program vs. standard outpatient physical therapy after unilateral knee arthroscopy for meniscal tear.

Conditions

Physical Therapy

Outcome Measures

Primary Outcomes (3)

• Postoperative Knee Function

  Investigators will be measuring whether there is an increase in participants function as assessed by the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation. This will be measured on a scale of 0-100 with 0 being the lowest level of function and 100 being the highest level of function

  4 months

• Cost analysis

  cost analysis survey will be completed by participants to determine if there is a difference in outpatient physical therapy versus internet based physical therapy

  4 months

• Postoperative Physical therapy Patient Satisfaction

  Participant satisfaction with physical therapy will be assessed using the physical therapy satisfaction evaluation. This consist of a single question asking the participant how satisfied they are with their surgery on a scale of 0-10. 0 being not satisfied at all and 10 being extremely satisfied.

  4 months

Study Arms (2)

Traditional Physical Therapy

ACTIVE COMPARATOR

Participants who have undergone primary unilateral knee arthroscopy will undergo 6 weeks of formal outpatient physical therapy

Procedure: Traditional Outpatient Physical Therapy

Internet Based Physical Therapy

ACTIVE COMPARATOR

Participants who have undergone primary unilateral knee arthroscopy will undergo 6 weeks of internet based rehabilitation regime in the home through the online recovery program, FORCE Therapeutics

Procedure: FORCE therapeutics (physical therapy)

Interventions

FORCE therapeutics (physical therapy) PROCEDURE

6 weeks of internet based physical therapy following arthroscopic knee surgery

Internet Based Physical Therapy

Traditional Outpatient Physical Therapy PROCEDURE

6 weeks of outpatient physical therapy following arthroscopic knee surgery

Traditional Physical Therapy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Any patient undergoing unilateral primary knee arthroscopy for meniscal tear
• Any patient 18 years or older

You may not qualify if:

• Patients without access to the Internet
• Post-traumatic osteoarthritis
• Patients with ligamentous injury
• Patients with full thickness cartilage defects
• Patients with osteoarthritis or inflammatory arthritis
• Revision or conversion knee arthroscopy
• Patients receiving workers compensations
• Patients discharged to a rehabilitation unit or other form of respite care such as a skilled nursing facility, acute rehabilitation center, convalescent home, long-term care facility or nursing home.

Sponsors & Collaborators

• Rothman Institute Orthopaedics: lead

Study Sites (1)

Rothman Orthopaedic Institute

Philadelphia, Pennsylvania, 19107, United States

Location

MeSH Terms

Interventions

Physical Therapy Modalities

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Design

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

Study Record Dates

• First Submitted: March 31, 2021
• First Posted: April 13, 2021
• Study Start: July 30, 2017
• Primary Completion: February 19, 2019
• Study Completion: February 19, 2019
• Last Updated: April 13, 2021

Record last verified: 2021-04

Locations

US (1)