NCT06101355

Brief Summary

In patients who have had joint replacement surgery, there is a shortage of concrete evidence regarding the effectiveness of telerehabilitation. The aim of this study is to compare telerehabilitation with home based exercise program and standard home exercise program in total knee arthroplasty.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
48

participants targeted

Target at P25-P50 for not_applicable knee-osteoarthritis

Timeline
Completed

Started Aug 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2023

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

October 20, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 26, 2023

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2024

Completed
Last Updated

May 2, 2025

Status Verified

April 1, 2025

Enrollment Period

1.2 years

First QC Date

October 20, 2023

Last Update Submit

April 29, 2025

Conditions

Knee OsteoarthritisTotal Knee Arthroplasty

Keywords

Total Knee ArthroplastyTelerehabilitationHome ExerciseOsteoarthritisOrthopaedic Rehabilitation

Outcome Measures

Primary Outcomes (1)

  • Flexion Range of Motion of the Knee

    Assessment of active and passive flexion range of motion of both knee with digital goniometer

    Postoperatively first day, fourth week and eight week

Secondary Outcomes (11)

  • Demographic Data

    Postoperatively first day

  • Mental State

    Postoperatively first day

  • Range of Motion

    Postoperatively first day, fourth week and eight week

  • Assessment of Pain

    Postoperatively first day, fourth week and eight week

  • Assessment of Kinesiophobia

    Postoperatively first day, fourth week and eight week

  • +6 more secondary outcomes

Study Arms (2)

Telerehabilitation Group Based on Home Exercises

EXPERIMENTAL

Intervention group is home exercise program supplemented with visual and video resources using telerehabilitation.

Other: Telerehabilitation

Standard Home Exercise Group

ACTIVE COMPARATOR

Standard home based exercise group

Other: Standard Home Based Exercise Group

Interventions

TelerehabilitationOTHER

Intervention group is home exercise program supplemented with visual and video resources using telerehabilitation. With the exercises, there will be video links, exercise visuals, and written explanations. Videos and visuals of the exercises recorded by the physiotherapist and uploaded to the Rehab My Patient application. Digital exercise forms will be prepared through the Rehab My Patient application. The intervention group will receive exercises, which prepared from the Rehab My Patient application ,digitally through WhatsApp. In this group, exercise sessions will be conducted with the physiotherapist once a week through video calls. Additionally, there will be one instance of messaging and one phone call for follow-up. Video calls and messaging will be conducted through WhatsApp.

Telerehabilitation Group Based on Home Exercises
Standard Home Based Exercise GroupOTHER

Control group, standard home exercise program group , will receive the program as brochures. Although there will be no video supplement, the brochure will include visuals of the exercises. The control group will be monitored through three weekly voice calls.

Standard Home Exercise Group

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants aged 50 and over
  • Having a primary total knee arthroplasty surgery
  • To possess a device, such as a smartphone or tablet, that enables access to mobile applications.
  • To have the capability to use the internet and to have internet access.
  • Proficiency in reading and writing in the Turkish language
  • Having a Mini-Mental State Examination(MMSE) score of 24 or higher
  • To be willing to participate in the study

You may not qualify if:

  • Having cognitive problem
  • Having a secondary total knee arthroplasty surgery
  • Havig a revision surgery
  • Having a history of cerebrovascular and/or cardiovascular events in the last 3 months
  • Having uncontrolled diabetes and/or hypertension
  • Having a arthrogenic muscle inhibition

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hacettepe University

Ankara, 06000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Osteoarthritis, KneeOsteoarthritis

Interventions

Telerehabilitation

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Intervention Hierarchy (Ancestors)

RehabilitationAftercareContinuity of Patient CarePatient CareTherapeuticsHealth ServicesHealth Care Facilities Workforce and ServicesTelemedicineDelivery of Health CarePatient Care ManagementHealth Services Administration

Study Officials

  • Sema Nur Aslan

    Hacettepe University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physiotherapist

Study Record Dates

First Submitted

October 20, 2023

First Posted

October 26, 2023

Study Start

August 1, 2023

Primary Completion

September 30, 2024

Study Completion

September 30, 2024

Last Updated

May 2, 2025

Record last verified: 2025-04

Locations

TU(1)