Telerehabilitation After Total Knee Arthroplasty

NCT04923373 | Completed

• 1 other identifier: 2/11/2006
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

Conditions

Telerehabilitation; Total Knee Arthoplasty; Physiotherapy

Keywords

disability; geriatric

Outcome Measures

Primary Outcomes (4)

• Change in 6 - Minute Walk Test

  Change in walking distance in 6 minutes ( in meters)

  Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

• Change in Knee Society Score

  Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome.

  Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

• Change in range of knee motion [degrees]

  Change in knee flexion

  Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

• Change of knee pain intensity in Visual Analogue Scale

  Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain

  Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

Study Arms (2)

telerehabilitation

EXPERIMENTAL

physiotherapeutic programme brochure exercises 7/week controlled by phone every week (5x in total)

Other: telerehabilitation

standard physiotherapy

ACTIVE COMPARATOR

Supervised physical therapy 3/ week, \+ physiotherapeutic programme brochure 4/week

Procedure: standard physiotherapy

Interventions

telerehabilitation OTHER

Procedure for both groups: I pre surgery evaluation 1. initial training in hospital 2. physiotherapeutic programme telerehabilitation versus standard 7 times a week Therapy duration: 6 weeks post-surgery II 6weeks post-surgery evaluation

telerehabilitation

standard physiotherapy PROCEDURE

standard physiotherapy

standard physiotherapy

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized),
• informed consent to participate in the study,
• full medical record,
• patients' regular control visits,
• knee degenerative disorder stage II and III according to Altman classification,
• ability to understand and independently perform the complete physiotherapeutic programme

You may not qualify if:

• partial arthroplasty,
• deformation aetiology other knee degenerative disorder,
• cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints,
• poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme,
• intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme,
• lack of informed consent to participate in the study.

Sponsors & Collaborators

• University of Rzeszow: lead

Study Sites (1)

Szpital Specjalistyczny im. Świętej Rodziny

Rudna Mała, Podkarpackie Voivodeship, 36-060, Poland

Location

Related Publications (5)

• Truszczynska-Baszak A, Dadura E, Drzal-Grabiec J, Tarnowski A. Static balance assessment in patients with severe osteoarthritis of the knee. Knee. 2020 Oct;27(5):1349-1356. doi: 10.1016/j.knee.2020.06.014. Epub 2020 Jul 27.

  PMID: 33010747 RESULT

• Benz T, Angst F, Oesch P, Hilfiker R, Lehmann S, Mueller Mebes C, Kramer E, Verra ML. Comparison of patients in three different rehabilitation settings after knee or hip arthroplasty: a natural observational, prospective study. BMC Musculoskelet Disord. 2015 Oct 24;16:317. doi: 10.1186/s12891-015-0780-2.

  PMID: 26497597 RESULT

• Russell TG, Buttrum P, Wootton R, Jull GA. Rehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience. J Telemed Telecare. 2004;10 Suppl 1:85-7. doi: 10.1258/1357633042614384.

  PMID: 15603622 RESULT

• Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, Belmonte R, Muniesa JM. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. J Rehabil Med. 2013 Apr;45(4):392-6. doi: 10.2340/16501977-1119.

  PMID: 23474735 RESULT

• Moffet H, Tousignant M, Nadeau S, Merette C, Boissy P, Corriveau H, Marquis F, Cabana F, Ranger P, Belzile EL, Dimentberg R. In-Home Telerehabilitation Compared with Face-to-Face Rehabilitation After Total Knee Arthroplasty: A Noninferiority Randomized Controlled Trial. J Bone Joint Surg Am. 2015 Jul 15;97(14):1129-41. doi: 10.2106/JBJS.N.01066.

  PMID: 26178888 RESULT

MeSH Terms

Interventions

Telerehabilitation

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: The patients (n=105) were randomly divided into two groups: telerehabilitation group (n=54) - 42 women and 12 men and control group (n=51) 40 women and 11 men - direct physiotherapist supervised group.

Study Record Dates

• First Submitted: May 25, 2021
• First Posted: June 11, 2021
• Study Start: March 1, 2010
• Primary Completion: December 15, 2011
• Study Completion: December 15, 2011
• Last Updated: June 11, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)