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The Effect of Whole-Body Vibration Treatment Before Total Knee Arthroplasty

Not Applicable
Recruiting
Conditions
Swelling/ Edema
Arthropathy of Knee
Whole-body Vibration
Interventions
Other: Sham-Whole body vibration
Other: Whole body vibration
Registration Number
NCT05967637
Lead Sponsor
Gazi University
Brief Summary

The study's objective is to investigate the effects of whole-body vibration therapy administered before surgery on various factors related to patients who undergo total knee arthroplasty. These factors include pain, swelling, skin temperature, normal joint movement, knee joint position sense, knee extensor muscle strength, functional status, and patient satisfaction.

Detailed Description

The study will include participants aged 50-80 who are planning to undergo total knee arthroplasty. According to the sample size analysis, a total of 40 people will be included in this study. The enrolled participants will be randomly assigned to one of two parallel groups: the whole-body vibration group or the sham whole-body vibration group. Both groups will receive standard patient education and exercise training.The experimental group will receive whole-body vibration along with exercise on the whole-body vibration device, while the control group (sham group) will receive sham vibration on the same device. All participants will receive treatment for a total of 5 days, one session per day.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
24
Inclusion Criteria
  • Patients with advanced idiopathic knee OA and scheduled for unilateral total knee arthroplasty will be considered candidates for the present study and will be asked to participate
Exclusion Criteria
  • if they had undergone another hip or knee joint replacement in the previous year
  • if they had any medical condition in which exercise was contraindicated
  • if they had any disease that affected functional performance

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sham-whole-body vibrationSham-Whole body vibrationStandard patient education and exercise training + sham whole body vibration
Whole-body vibrationWhole body vibrationStandard patient education and exercise training + whole body vibration
Primary Outcome Measures
NameTimeMethod
Baseline leg circumferencebaseline

Knee swelling will be assessed by measuring the circumference of the mid-patella, thigh, and calf with the knee in full extension.

Change in pain severity from day 7 to day 14 post-surgeryup to 14 days after surgery

The pain severity will be evaluated using an NRS rating from 0 to 10, with 0 representing no pain and 10 representing maximal pain.

Change in skin temperature from baseline to day 5 after interventionsup to 5 days after baseline

A portable infrared thermometer will be used to measure knee skin temperature.

Change in pain severity from day 14 to day 21 post-surgeryup to 21 days after surgery

The pain severity will be evaluated using an NRS rating from 0 to 10, with 0 representing no pain and 10 representing maximal pain.

Change in leg circumference from baseline to day 5 after interventionsup to 5 days after baseline

Knee swelling will be assessed by measuring the circumference of the mid-patella, thigh, and calf with the knee in full extension.

Change in the preoperative leg circumference on the 7th day of surgeryup to 7 days after surgery

Knee swelling will be assessed by measuring the circumference of the mid-patella, thigh, and calf with the knee in full extension.

Change in leg circumference from day 7 to day 14 post-surgeryup to 14 days after surgery

Knee swelling will be assessed by measuring the circumference of the mid-patella, thigh, and calf with the knee in full extension.

Baseline range of motionbaseline

The knee flexion and extension ranges of motion will be measured using a goniometer in the supine position.

Change in range of motion from day 14 to day 21 post-surgeryup to 21 days after surgery

The knee flexion and extension ranges of motion will be measured using a goniometer in the supine position.

Baseline pain severitybaseline

The pain severity will be evaluated using an NRS rating from 0 to 10, with 0 representing no pain and 10 representing maximal pain.

Change in the preoperative pain severity on the 7th day of surgeryup to 7 days after surgery

The pain severity will be evaluated using an NRS rating from 0 to 10, with 0 representing no pain and 10 representing maximal pain.

Change in leg circumference from day 14 to day 21 post-surgeryup to 21 days after surgery

Knee swelling will be assessed by measuring the circumference of the mid-patella, thigh, and calf with the knee in full extension.

Change in pain severity from baseline to day 5 after interventionsup to 5 days after baseline

The pain severity will be evaluated using an NRS rating from 0 to 10, with 0 representing no pain and 10 representing maximal pain.pain and 10 representing maximal pain.

Change in the preoperative range of motion on the 7th day of surgeryup to 7 days after surgery

The knee flexion and extension ranges of motion will be measured using a goniometer in the supine position.

Change in range of motion from day 7 to day 14 post-surgeryup to 14 days after surgery

The knee flexion and extension ranges of motion will be measured using a goniometer in the supine position.

Change in the preoperative muscle strength on the 7th day of surgeryup to 7 days after surgery

Knee extensor muscle strength will be assessed using a hand-held dynamometer in the sitting position.

Change in the preoperative skin temperature on the 7th day of surgeryup to 7 days after surgery

A portable infrared thermometer will be used to measure knee skin temperature.

Change in skin temperature from day 14 to day 21 post-surgeryup to 21 days after surgery

A portable infrared thermometer will be used to measure knee skin temperature.

Baseline knee proprioceptionbaseline

Active reposition test will be measured using a digital inclinometer device.

Change in range of motion from baseline to day 5 after interventionsup to 5 days after baseline

The knee flexion and extension ranges of motion will be measured using a goniometer in the supine position.

Baseline muscle strengthbaseline

Knee extensor muscle strength will be assessed using a hand-held dynamometer in the sitting position.

Change in knee proprioception from day 14 to day 21 post-surgeryup to 21 days after surgery

Active reposition test will be measured using a digital inclinometer device.

Change in muscle strength from baseline to day 5 after interventionsup to 5 days after baseline

Knee extensor muscle strength will be assessed using a hand-held dynamometer in the sitting position.

Change in muscle strength from day 7 to day 14 post-surgeryup to 14 days after surgery

Knee extensor muscle strength will be assessed using a hand-held dynamometer in the sitting position.

Change in skin temperature from day 7 to day 14 post-surgeryup to 14 days after surgery

A portable infrared thermometer will be used to measure knee skin temperature.

Change in knee proprioception from baseline to day 5 after interventionsup to 5 days after baseline

Active reposition test will be measured using a digital inclinometer device.

Change in the preoperative knee proprioception on the 7th day of surgeryup to 7 days after surgery

Active reposition test will be measured using a digital inclinometer device.

Change in knee proprioception from day 7 to day 14 post-surgeryup to 14 days after surgery

Active reposition test will be measured using a digital inclinometer device.

Change in the preoperative Time Up and Go on the 7th day of surgeryup to 7 days after surgery

functional performance test

Change in Time Up and Go from day 7 to day 14 post-surgeryup to 14 days after surgery

functional performance test

Change in Time Up and Go from day 14 to day 21 post-surgeryup to 21 days after surgery

functional performance test

Change in muscle strength from day 14 to day 21 post-surgeryup to 21 days after surgery

Knee extensor muscle strength will be assessed using a hand-held dynamometer in the sitting position.

Baseline skin temperaturebaseline

A portable infrared thermometer will be used to measure knee skin temperature.

Baseline Time Up and Gobaseline

functional performance test

Change in Time Up and Go from baseline to day 5 after interventionsup to 5 days after baseline

functional performance test

Secondary Outcome Measures
NameTimeMethod
Change in the preoperative WOMAC on the 21st day of surgeryup to 21 days after surgery

The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is a disease-specific self-report multidimensional questionnaire that assesses pain, stiffness, and physical functional disability. A higher score means a better result.

SF-36baseline

The 36-Item Short-Form Health Survey (SF-36) is a general scoring instrument used to provide a health profile comprised of eight scaled scores. Each scale is instantly turned into a 0-100 scale, allowing identification of the patient's physical and mental status. A higher score means a better result.

Global Rating of Change Scales (GROC)up to 21st day after surgery

The GROC score, which has seven response options ranging from 'much worse' (a score of 0) to 'much better' (a score of six), will be used to determine the subject's perception of overall improvement.

WOMACbefore interventions, 21st day after surgery

The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is a disease-specific self-report multidimensional questionnaire that assesses pain, stiffness, and physical functional disability. A higher score means a better result.

Change in the preoperative SF-36 on the 21st day of surgeryup to 21 days after surgery

The 36-Item Short-Form Health Survey (SF-36) is a general scoring instrument used to provide a health profile comprised of eight scaled scores. Each scale is instantly turned into a 0-100 scale, allowing identification of the patient's physical and mental status. A higher score means a better result.

Trial Locations

Locations (1)

Gazi University

🇹🇷

Ankara, Turkey

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