Heat Application to Quadriceps Effect on Pain After a Total Knee Arthroplasty
- Conditions
- Arthritis Knee
- Interventions
- Other: Rice Sock and Instructions to heat the quadriceps.
- Registration Number
- NCT05462483
- Lead Sponsor
- The Idaho Clinic
- Brief Summary
The goal of this study is to explore an under-researched aspect of recovery. Typically, post-operative care after a knee arthroplasty consists of compression (stockings), medications, rest, ice, elevation, physical therapy, and wound care. All of these treatments perform their role well, however, medications such opiates run the risk of addiction. An additional method of pain management such as heat application to the surrounding musculature warrants exploration.
The goal of this study is to reduce the amount of pain, and improve the quality of life in post-operative patients. Pain, stiffness, symptoms, quality of life and function of the knee will be evaluated utilizing patient-reported measures and range of motion. Patients will be assessed using the Knee Injury and Osteoarthritis Outcome survey (KOOS Jr), Visual Analogue Scale (VAS) and PROMIS. Patients will be given these surveys during their two and six week check-in with the surgeon. In addition to these patient-reported measures, the investigators will also be tracking range of motion (ROM) and opioid usage. The data will then be collected via the patient's electronic health record, or by the researcher directly. The treatment group will be given a written order to apply heat to the quadriceps at least three times per day for 10-15 minutes each. This can be done in four hour increments or when patients symptoms begin to worsen. The patient will receive a rice sock for heat application. The control group will not be withheld from heat application, but will not be instructed to do so. The control group will instead follow the current standard of care as advised by the physician.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 117
- Patients undergoing a total knee arthroplasty ages 18 and older at Saint Alphonsus Hospital and at The Idaho Clinic between the months of June-February, or until the estimated sample size (150) is reached. Must be able to withstand heat to thigh. Must consent to research.
- Anyone unable to give informed consent, pregnant individuals, children, or anyone whom the intervention may be harmful to.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Rice sock and instructions to heat quadriceps Rice Sock and Instructions to heat the quadriceps. Receives heating device and instructions to heat the quadriceps musculature.
- Primary Outcome Measures
Name Time Method Change in Physical Health Baseline, 2 and 6 weeks Measured via PROMIS survey
Change of Pain experienced at 2 and 6 week check-ins Baseline, 2, and 6 week evaluations Measured via PROMIS survey
Change in stiffness experienced at 2 and 6 week check-ins Baseline, 2 and 6 week evaluations Measured via KOOS Jr survey
Change in quality of life at 2 and 6 week check-ins Baseline, 2 and 6 weeks Measured via PROMIS survey
Change in knee function at 2 and 6 week check-ins Baseline, 2 and 6 weeks Measured via KOOS Jr
Change in Mental Health Baseline, 2 and 6 weeks Measured via PROMIS survey
- Secondary Outcome Measures
Name Time Method Change in Range of Motion at 2 and 6 week check-ins Baseline, 2 and 6 week check-ins ROM will be evaluated
Opiate Refills Up to 6 weeks post-operation Opiate usage/refills will be evaluated
Trial Locations
- Locations (1)
The Idaho Clinic
🇺🇸Boise, Idaho, United States