Community Based Rehabilitation Model After Total Knee Replacement

NCT06270446 | Completed

• 1 other identifier: DSRB 2019/01135
• Study Type: interventional
• Target: 59
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic

Conditions

Knee Osteoarthritis

Outcome Measures

Primary Outcomes (2)

• 30 sec chair stand test

  30 sec chair stand test score

  0, 12 weeks

• Passive knee flexion range

  Passive knee flexion range

  0, 4, 12 weeks

Secondary Outcomes (5)

• Pain intensity

  0,12 weeks

• Oxford knee score

  0,12 weeks

• Quadriceps muscle strength

  0,4,12 weeks

• EQ5D score

  0,12 weeks

• Knee Society Score

  0,12 weeks

Other Outcomes (1)

• Time up and Go

  3 months

Study Arms (2)

Outpatient

OTHER

Usual care, outpatient physiotherapy

Other: Outpatient physiotherapy

CRC

ACTIVE COMPARATOR

Community based physiotherapy

Other: Community based physiotherapy

Interventions

Community based physiotherapy OTHER

Physiotherapy at community rehabilitation center

CRC

Outpatient physiotherapy OTHER

Physiotherapy at hospital

Outpatient

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• i) unilateral TKA; ii) age 55 years old and above; iii) able to engage in outpatient physiotherapy; iii) postoperative knee flexion ≥75° and knee extension ≤5°; iv) able to ambulate independently preoperatively.

You may not qualify if:

• i) had revision TKA or fully constrained knee arthroplasty; ii) had knee replacement for indications other than osteoarthritis; iii) had post-operative complications during hospital stay; iv) were unable to participate due to cognitive impairment or language barriers; v) had acute spinal diseases or joint, muscle or systemic diseases affecting gait; iv) had comorbid health conditions that would prevent active participation (e.g. prior hemiplegic stroke, severe cardiorespiratory illnesses.

Sponsors & Collaborators

• Tan Tock Seng Hospital: lead

Study Sites (1)

Tan Tock Seng Hospital

Singapore, Singapore, Singapore

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Eng Chuan Neoh

  Tan Tock Seng Hospital

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: February 14, 2024
• First Posted: February 21, 2024
• Study Start: January 1, 2021
• Primary Completion: July 1, 2022
• Study Completion: July 1, 2022
• Last Updated: September 24, 2026

Record last verified: 2024-02

Locations

SG (1)