Does the addition of inpatient aquatic physiotherapy hasten recovery after total joint replacement surgery?

Phase 2

Completed

• Conditions: hip and knee arthroplasty; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12608000354381
• Lead Sponsor: Ann Rahmann

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2008-07-24
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

all people from one orthopaedic surgery practice undergoing primary knee or hip replacement surgery for osteoarthritis in The Wesley Hospital who were able to be assessed at home before admission and lived within the Brisbane metropolitan area for follow-up after surgery

Exclusion Criteria

medically unwell day 4 post-operatively
any diagnosed neurological disorder,
had another major musculoskeletal problem that altered mobility other than the specified joint (eg low back pain, severe osteoarthritis (OA) in another lower limb joint),
cognitive dysfunction
were undergoing revision joint surgery or bilateral knee replacements.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hip abductor strength of operated limb, measured by hand-held dynamometer[pre-operatively, and then Day 14, Day 90 and Day 180 after surgery.];Functional recovery measured by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) LK 3.1 (V3 Australia)[pre-operatively, and than Day 14, Day 90 and Day 180 post-operatively];Improvement in walking speed measured by the 10m walk test, timed with a stopwatch from a standing start[pre-operatively, and then Day 14, Day 90 and Day 180 post-operatively]

Secondary Outcome Measures

Name	Time	Method
Recovery of quadriceps and hamstrings strength of operated limb, measured with hand-held dynamometer[pre-operatively, and then Day 14, Day 90 and Day 180 post-operatively];resolution of post-operative swelling measured with a tape measure at mid-patella level and recovery of active range of motion measured using a goniometer[pre-operatively, and then Day 14, Day 90 and Day 180 post-operatively];recovery of functional mobility by using the time taken to complete the timed Up and Go test, timed with a stopwatch[pre-operatively, and then Day 14, Day 90 and Day 180 post-operatively];Return to participation in usual activities measured using the Patient-Specific Functional Measure[pre-operatively, and then Day 14, Day 90 and Day 180 post-operatively];Self-efficacy measured using two sub-scales of the Arthritis Self Efficacy Scale: self-efficacy to achieve outcomes and self-efficacy to manage symptoms[pre-operatively, and then Day 14, Day 90 and Day 180 post-operatively]