Comparison of Telerehabilitation vs Clinical Setup Rehabilitation in TKR Patients

NCT06457620 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall22/725
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study examines the feasibility, attainability, and patient satisfaction of telerehabilitation and clinical consultation rehabilitation.

Conditions

Knee Injuries

Outcome Measures

Primary Outcomes (2)

• Western Ontario and McMaster Universities Osteoarthritis (WoMAC)

  The WOMAC consists of three subscales: pain (five questions), stiffness (two questions), and physical function (17 questions). The subscale scores can vary, with pain ranging from 0 to 20 points; stiffness, 0 to 8 points; and physical function, 0 to 68 points. ,

  12 Months

• Knee Outcome Survey-Activities of Daily Living (KOS-ADLS)

  The Knee Outcome Survey (KOS) is a patient-completed questionnaire that provides a percentage of disability during every day activities (activities of daily living subscale) or sports (sports activity subscale). The lower the percentage, the higher the disability.

  12 months

Study Arms (2)

conventional physiotherapy

EXPERIMENTAL

Behavioral: Conventional Physiotherapy

traditional physical treatment

OTHER

Other: Traditional Physical Preatment

Interventions

Conventional Physiotherapy BEHAVIORAL

Each participant received conventional physiotherapy at the clinic as a part of their management plan. Group A exercise was five times a week for thirty minutes, beginning on the third day after total knee arthroplasty (TKA). The program aimed to improve leg strength, core stability, balance, and overall performance through exercise instructions. The baseline evaluation was completed one day before the TKA, and the posttest was completed four weeks after the TKA.

conventional physiotherapy

Traditional Physical Preatment OTHER

Each participant got traditional physical treatment during a video conference as part of telerehabilitation. The physiotherapy assistant contacted Group B to arrange a virtual follow-up clinic appointment via Zoom or WhatsApp, along with a 4-week program. We inquired about the patient's level of satisfaction with their TKR procedure. The patient was informed that clinical photos were taken, and the video call was to be recorded. Before the virtual clinic, each patient's verbal agreement was acquired. With workout instructions, the program pursued to enhance leg strength, core stability, balance, and overall performance. The posttest was conducted four weeks after the TKA, and the baseline assessment was finished one day before the procedure.

traditional physical treatment

Eligibility Criteria

• Age: 65 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Male and female patients diagnosed with TKR
• Older Age above 65
• Patient communicates with medical staff
• Patient with cemented TKA
• Patients who underwent TKA owing to degenerative arthritis

You may not qualify if:

• Older patients aged \>75 years
• Patient with a history of knee joint surgery before TKA
• Patient who possibly had a systematic inflammatory disease such as rheumatoid arthritis.
• Patients with difficulty in seeing, hearing, and walking independently
• Patients having a history of mental illnesses (Stroke, Multiple sclerosis, Parkinsonism, Alzheimer's Disease)
• Patient history of severe mobility disorder
• Systemic illness (Liver Failure, Active cancer, Cardiopulmonary distress)

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Acti Life Physiotherapy and Rehabilitation Center Horizon Hospital

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Knee Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 10, 2024
• First Posted: June 13, 2024
• Study Start: November 1, 2023
• Primary Completion: May 1, 2024
• Study Completion: October 30, 2024
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)