Evaluating the Feasibility and Effectiveness of Using a Smartphone Application During Rehabilitation in Patients After Total Knee Replacement

NCT05434767 | Completed

• 1 other identifier: 2021/2718
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Despite best efforts to provide standardized and effective rehabilitation sessions post-total knee replacement (TKR), there are a few factors that may result in sub-optimal recovery in this group of patients. There is a need to develop innovative rehabilitation strategies that (i) provide patients with accurate cues allowing for better compliance and exercise performance, (ii) allow for therapists to ensure continuity of care, monitor compliance, and identify deviation from recovery trajectories post-discharge, prior to their first outpatient appointment, and (iii) reduce reliance on manpower and variability during rehabilitation sessions. Technological solutions that empower patients and allow home-based rehabilitation to take place without the need for real-time human supervision could be the key to improving effectiveness and lowering costs. A mobile application which detects key landmarks on the body for human pose estimation will allow patients to perform their rehabilitation exercises with real-time feedback allowing for proper execution of the exercises. Physiotherapists will be able to access the data generated from the exercise session via a command centre to monitor patients' recovery progress and compliance. The primary aim of this pilot study is to evaluate the feasibility of using a mobile application during rehabilitation in patients after a TKR surgery. The secondary aim is to study the effects of using a mobile application during rehabilitation on knee functional status, exercise self-efficacy, and treatment satisfaction after TKR surgery.

Conditions

Total Knee Replacement; Total Knee Arthroplasty

Outcome Measures

Primary Outcomes (1)

• Compliance

  Frequency of exercise sessions completed

  6 weeks post-surgery

Secondary Outcomes (11)

• Knee range-of-motion

  Pre-operation; 6 weeks post-surgery

• Gait speed

  Pre-operation; 6 weeks post-surgery

• Knee Pain

  Pre-operation; 6 weeks post-surgery

• 30 second sit to stand

  Pre-operation; 6 weeks post-surgery

• Self-report physical function

  Pre-operation; 6 weeks post-surgery

Study Arms (2)

Standard rehabilitation program

ACTIVE COMPARATOR

Other: Standard rehabilitation program

Mobile application

EXPERIMENTAL

Device: Mobile application

Interventions

Mobile application DEVICE

Participants will be instructed on the installation and use of the mobile application on their personal mobile phones. Participants will then have to perform the assigned exercises using the mobile application 3 times daily. Physiotherapists will still perform the required assessment/review, education, and intervention.

Mobile application

Standard rehabilitation program OTHER

All participants will be seen by physiotherapists in the ward post-TKR surgery and undergo standard inpatient rehabilitation. Patients will be given instructions to perform assigned exercises 3 times daily. Physiotherapists will perform the required assessment/review, education, and intervention.

Standard rehabilitation program

Eligibility Criteria

• Age: 45 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary unilateral total knee replacement
• Age \>= 45 years
• Under the Enhanced Recovery After Surgery (ERAS) programme (discharge on post-operative day 0/1)
• Willingness to be randomized to either mobile application group or standard hospital-based rehabilitation group
• Ability to provide informed consent
• Is technologically savvy - at least 6 months' experience using a smartphone and able to key in data into a smartphone
• English-speaking

You may not qualify if:

• Rheumatoid arthritis and other systemic arthritis
• A previous history of stroke and other major neurological conditions
• An intention to transfer to step-down care facilities post-operatively or intention to continue outpatient physiotherapy service at another institution
• Unable to perform 5 repetitions of inner-range quadriceps exercise

Sponsors & Collaborators

• Singapore General Hospital: lead

Study Sites (1)

Singapore General Hospital

Singapore, Singapore

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 15, 2022
• First Posted: June 28, 2022
• Study Start: June 29, 2022
• Primary Completion: October 20, 2023
• Study Completion: November 20, 2023
• Last Updated: December 21, 2023

Record last verified: 2023-12

Locations

SG (1)