Optimizing patient selection for physiotherapy pathways after knee joint replacement: a randomised controlled trial.

Not Applicable

Recruiting

• Conditions: Patients undergoing total knee arthroplasty for a primary diagnosis of Osteoarthritis; Musculoskeletal - Osteoarthritis

• Registration Number: ACTRN12624000518561
• Lead Sponsor: Gold Coast Hospital and Health Service

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-04-26
• Last Update Posted: 2 September 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

Patients scheduled for primary unilateral TKA for a primary diagnosis of osteoarthritis at Robina Hospital.

Within the Stratified Physiotherapy Intervention group, those participants who meet the KAPPA criteria (below) will be advised to continue with a self-directed rehabilitation pathway and will not receive Supervised Physiotherapy (usual care):

• Knee flexion range of motion equal to or greater than 90 degrees.
• Knee extension range of motion not lacking in equal to or less than 10 degrees.
• Satisfied with the progress of their rehabilitation.

Exclusion Criteria

Patients will be excluded if they:
oDecline or unable to provide informed consent.
oAre scheduled for contralateral TKA in <3 months.
oAre unable or unwilling to travel to physiotherapy appointments.
oDischarge to an inpatient rehabilitation facility
oExperience a peri-operative or post-operative complication or hospital readmission.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient-reported function[ Oxford Knee Score (Questionnaire) Baseline and 2-, 6- (primary timepoint), and 12-weeks post-surgery]

Secondary Outcome Measures

Name	Time	Method
Patient-reported function and quality of life[EQ5D-5L Questionnaire Baseline and 2-, 6-, and 12-weeks post-surgery];Self-reported satisfaction with rehabilitation [Likert scale, 1 - 5, from 1 (very dissatisfied to 5 very satisfied) 2-, 6-, and 12-weeks post-surgery];Self-reported resilience [Brief Resilience Scale (BRS) Baseline];Self-reported thoughts and feelings about pain [Pain Catastrophising Scale Baseline];Knee range of motion (flexion and extension)[Long-arm hand-held goniometer (degrees) Baseline and 2-, 6-, and 12-weeks post-surgery];Walking distance[2-minute walk test, (distance walked in 2 minutes - trundle wheel) Baseline and 2-, 6-, and 12-weeks post-surgery];Participant's self-rated health [EQ5D-5L - Visual Analogue Scale Baseline and 2-, 6-, and 12-weeks post-surgery]