Comparison of Traditional Physical Therapy to Internet-Based Physical Therapy After Knee Arthroscopy: A Prospective Randomized Controlled Trial Comparing Patient Outcomes and Satisfaction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Physical Therapy
- Sponsor
- Rothman Institute Orthopaedics
- Enrollment
- 167
- Locations
- 1
- Primary Endpoint
- Postoperative Knee Function
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Knee arthroscopy results in significant improvements in functional outcomes, pain relief and quality of life for patients suffering from mechanical symptoms associated with meniscal tears. Patients are able to return to their activities of daily living, occupation, or sport without significant limitations. Traditionally, patients have undergone formal physical therapy (PT) after knee arthroscopy to regain function. There is a significant cost and time commitment associated with traditional outpatient physical therapy. An internet based therapy program allows patients to perform therapy at home on their own time schedule. A recent study demonstrated that patients who undergo internet based PT after total knee arthroplasty performed as well patients receiving traditional physical therapy. These findings have not been studied in the knee arthroscopy patient population. The goal of this study is to compare traditional outpatient physical therapy rehabilitation to Internet-based rehabilitation in patients undergoing knee arthroscopy for partial meniscectomy.
The purpose of this study is to compare functional outcome, and patient satisfaction, internet-based rehabilitation program vs. standard outpatient physical therapy after unilateral knee arthroscopy for meniscal tear.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Any patient undergoing unilateral primary knee arthroscopy for meniscal tear
- •Any patient 18 years or older
Exclusion Criteria
- •Patients without access to the Internet
- •Post-traumatic osteoarthritis
- •Patients with ligamentous injury
- •Patients with full thickness cartilage defects
- •Patients with osteoarthritis or inflammatory arthritis
- •Revision or conversion knee arthroscopy
- •Patients receiving workers compensations
- •Patients discharged to a rehabilitation unit or other form of respite care such as a skilled nursing facility, acute rehabilitation center, convalescent home, long-term care facility or nursing home.
Outcomes
Primary Outcomes
Postoperative Knee Function
Time Frame: 4 months
Investigators will be measuring whether there is an increase in participants function as assessed by the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation. This will be measured on a scale of 0-100 with 0 being the lowest level of function and 100 being the highest level of function
Cost analysis
Time Frame: 4 months
cost analysis survey will be completed by participants to determine if there is a difference in outpatient physical therapy versus internet based physical therapy
Postoperative Physical therapy Patient Satisfaction
Time Frame: 4 months
Participant satisfaction with physical therapy will be assessed using the physical therapy satisfaction evaluation. This consist of a single question asking the participant how satisfied they are with their surgery on a scale of 0-10. 0 being not satisfied at all and 10 being extremely satisfied.