Effect of Fast Inpatient Rehabilitation After Total Knee Arthroplasty
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Total Knee Arthroplasty
- Sponsor
- Peking University Third Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- bilateral knee Rang Of Motion (ROM)
- Last Updated
- 5 years ago
Overview
Brief Summary
Rehabilitation is an important part of the post-operative treatment after TKA by consensus. This study intends to analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Detailed Description
Rehabilitation, which is an important part of the post-operative treatment after TKA, could effectively alleviate symptoms of pain and swell, as well as improve knee joint and general function. It has reached a consensus that post-TKA rehabilitation should contain muscle strengthening, ROM, proprioceptive, balance training and physical factor therapy, etc. This study intends to use observational cohort study methods with exposure factor of fast inpatient rehabilitation after TKA, establish a TKA exposure group and a control group of TKA without inpatient rehabilitation, analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Initial unilateral TKA patients due to osteoarthritis, rheumatoid arthritis, etc.
- •Satisfactory operative knee joint ROM: knee flexion ≥120° and extension ≥ 0°.
- •Prior informed consent by patients.
Exclusion Criteria
- •Complication of other medical conditions and disability to cooperate with rehabilitation.
- •Complication of other conditions affecting bilateral lower limbs such as fracture, tumor, neurologic disorder, etc.
- •Deep venous thrombosis of lower limbs with exception of inter-muscular venous thrombosis.
Outcomes
Primary Outcomes
bilateral knee Rang Of Motion (ROM)
Time Frame: 1 day after TKA
bilateral knee flexion and extension ROM are measured by articular protractor
Numerical Rating Scale (NRS) for pain
Time Frame: 1 day after TKA
the minimum is 0 and maximum 10, higher score means a worse outcome
NRS for pain
Time Frame: 6 months after TKA
bilateral quadriceps femurs
Time Frame: 1 day after TKA
measured by manual muscle test (MMT)
hamstrings muscle strength
Time Frame: 1 day after TKA
measured by manual muscle test (MMT)
Hospital for Special Surgery-Knee Rating scale (HSSKR)
Time Frame: 1 day after TKA
to measure knee function, with the minimum 0 and maximum 100, higher score means a better outcome
modified Barthel Index (mBI)
Time Frame: 1 day after TKA
to measure ADL, with the minimum 0 and maximum 100, higher score means a better outcome
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: 1 day after TKA
to measure knee function and global function, with the minimum 0 and maximum 100, higher score means a better outcome
KOOS
Time Frame: 6 months after TKA