Effect of Physical Therapy on Grade 3 or 4 Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 入组人数
- 148
- 主要终点
- Range of Motion following Total Knee Replacement
研究概览
简要总结
In this study, the investigators are investigating the effects of physical therapy (PT) for treating high grade knee osteoarthritis (OA) in patients that are candidates for total knee replacement. Through the examination of patient outcomes, such as pain, stiffness, and physical function, the investigators will determine if PT prior to total knee replacement is an effective treatment in a patient with high grade OA.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Knee osteoarthritis (Kellgren-Lawrence grade 3 or 4) confirmed via standing AP radiograph
- •Surgical candidate for TKA, having had a least a 3 months of pain affecting ADL's unresponsive to conservative treatment consisting of AT LEAST one non-narcotic medication AND one injection (corticosteroid or series of viscosupplementation). Injection must not have been administered within 6 weeks of start of PT trial
- •Prior knee surgery from arthroscopies, meniscal surgery and ligament reconstruction
排除标准
- •Anyone who received physical therapy in the last 6 months
- •Inability to walk unaided for >1 block
- •Currently engaged in regular PT or a regular home exercise program
- •Prior knee arthroplasty
- •Prior knee surgery for trauma, tumor and osteotomy
- •Injection given within 6 weeks of starting therapy
- •Patients using daily narcotic medications within prior 6 weeks
研究组 & 干预措施
No physical therapy
No prescribed, supervised physical therapy prior to total knee replacement
Physical Therapy
Prescribed, supervised physical therapy prior to total knee replacement
干预措施: Supervised physical therapy program prior to total knee replacement surgery (Behavioral)
结局指标
主要结局
Range of Motion following Total Knee Replacement
时间窗: 6 weeks
次要结局
- Patient reported perception of pain following total knee replacement(6 weeks)
- Return to functional activities following total knee replacement(6 weeks)
