Mirror Therapy as an Adjunct to Rehabilitation Following Total Knee Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 30
- 主要终点
- Pain NRS (Pain Numerical Rating Scale)
研究概览
简要总结
The investigators are looking to see if using a mirror during knee exercises after a knee replacement helps participants with less pain and/or better knee range of motion.
详细描述
Purpose: To examine the effectiveness of mirror therapy combined with standard care physical therapy on knee range of motion (ROM), pain levels, and physical function in individuals following a total knee arthroplasty (TKA).
Background: Following a TKA, patients often present with numerous impairments including joint stiffness, pain, decreased strength, and impaired mobility. These limitations can inhibit functional progress during rehabilitation and recovery. Mirror therapy is a potential treatment option that may assist in reducing these impairments and improving recovery following TKA.
Study Activities: Active and sham group activities will add-on to the physical therapy session and are considered part of standard care, with no change to the current billing process. Both groups will participate in ROM activities, consistent with standard PT care, as part of a billable treatment. The active group with do standard practice ROM activities while looking at a mirror and the sham group will perform ROM activities without a mirror.
Interventions:
- Treatment will start within 2 weeks (14 days) of the total knee replacement.
- There will be 8 sessions within a 4-week time frame.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
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
- •Candidates that have been screened and deemed eligible for a TKA and received a TKA 14 days or less post operation.
- •English speaking
- •Able to understand and follow instructions
- •Has at least 5 degrees of knee extension to 100 degrees of knee flexion AROM on the contralateral knee
- •Able to perform unilateral stance on contralateral side for at least 5 seconds (balance assistance allowed)
- •Able to perform exercises
排除标准
- •Post-surgical complications (DVT, infection, nerve injury, vascular injury)
- •Pain rating on NPRS no more than a 4/10 on the contralateral LE
- •Significant scar or deformity of the contralateral LE
- •Visual impairments causing an inability to see the reflection in a mirror
研究组 & 干预措施
Sham, no mirror provided
Subjects will participate in ROM activities, consistent with standard PT care, without a mirror
干预措施: Sham Intervention (Other)
Active mirror
Subjects will participate in ROM activities, consistent with standard PT care, with a mirror
干预措施: Mirror Therapy (Other)
结局指标
主要结局
Pain NRS (Pain Numerical Rating Scale)
时间窗: Every visit, visits 1, 2, 3, 4, 5, 6, 7 & 8. Visits start within 14 days of the TKA and occur a total of 8 times within a 4 weeks time frame.
Subject rates pain from 0-10 with 0 being no pain and 10 being the worst pain
Knee Flexion and Extension Goniometry
时间窗: Every visit, visits 1, 2, 3, 4, 5, 6, 7 & 8. Visits start within 14 days of the TKA and occur a total of 8 times within a 4 weeks time frame.
A measurement of knee flexion and knee extension, using a goniometer, will be completed.
次要结局
- Gait Speed(Visit 1 and visit 8. Visits start within 14 days of the TKA and occur a total of 8 times within a 4 weeks time frame.)
- Knee Injury and Osteoarthritis Outcome Score, Junior (KOOS Jr)(Visit 1 and visit 8. Visits start within 14 days of the TKA and occur a total of 8 times within a 4 weeks time frame.)
研究者
Marissa Hanlon
Assistant Professor, Department of Physical Therapy Education
State University of New York - Upstate Medical University