Effects of a Perioperative Action Observation and Motor Imagery Training in Patients Undergoing Total Knee Arthroplasty

NCT05459766 | Unknown

• 1 other identifier: CLF22/06
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study is aimed at investigating the effects of action observation and motor imagery training in patients undergoing total knee arthroplasty. Fifty participants will be enrolled during hospital admission and randomized into 2 groups (AO+MI and CTRL groups). AO+MI will undergo 12-minute AO+MI intervention for 3 days (preoperative day, first and second postoperartive days), whereas CTRL group will undergo usual care. At baseline, first and third postoperative days, participants will be assessed for mobility, pain, range of motion, quadriceps acrivation failure and patient's bady-pain representation by a blinded operator.

Conditions

Total Knee Arthoplasty

Outcome Measures

Primary Outcomes (1)

• Changes in functional mobility

  It will be assessed using the Timed Up and Go test

  At baseline, at 1 day and 3 days after surgery

Secondary Outcomes (4)

• Changes in active and passive knee range of motion

  At baseline, at 1 day and 3 days after surgery

• Changes in perceived pain

  At baseline and 3 days after surgery

• Changes in body pain representation at the level of the knee joint

  At baseline and 3 days after surgery

• Changes in quadriceps activation failure

  At baseline, at 1 day and 3 days after surgery

Study Arms (2)

AO+MI

EXPERIMENTAL

Video-clips observation representing motor contents, followed by motor imagery (12 minutes a day per 3 days).

Behavioral: Action observation and motor imagery

CTRL

ACTIVE COMPARATOR

Usual care, consisting of preoperative education.

Behavioral: Usual care

Interventions

Action observation and motor imagery BEHAVIORAL

Observation and imagination of functional tasks that will be performed during the postoperative rehabilitation program.

AO+MI

Usual care BEHAVIORAL

Participants will be educated about the postoperative rehabilitation program

CTRL

Eligibility Criteria

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

You may qualify if:

• patients scheduled for total knee arthroplasty
• age greater or equal to 18 years old
• ability to walk independently.

You may not qualify if:

• previous total knee arthoplasty on the contralateral side
• revision surgery
• dementia
• musculoskeletal and neurological disorders influencing functional recovery
• visual or auditory deficits.
• postoperative complications
• weight bearing restrictions
• lack of walking independency within the second postoperative day.

Sponsors & Collaborators

• Istituto Clinico Humanitas: lead

Study Design

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

Study Record Dates

• First Submitted: July 12, 2022
• First Posted: July 15, 2022
• Study Start: August 1, 2022
• Primary Completion: January 31, 2023
• Study Completion: January 31, 2023
• Last Updated: July 19, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share