Community Based Rehabilitation Model After Total Knee Replacement

Not Applicable

Completed

• Conditions: Knee Osteoarthritis
• Interventions: Other: Outpatient physiotherapy; Other: Community based physiotherapy

• Registration Number: NCT06270446
• Lead Sponsor: Tan Tock Seng Hospital

Brief Summary

To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic

Detailed Description

To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic

Study Timeline

• Study Start: 2021-01-01
• Primary Completion: 2022-07-01
• Study Completion: 2022-07-01
• Status Verified: 2024-02
• Study First Submitted: 2024-02-14
• Study First Submitted QC: 2024-02-14
• Last Update Submitted: 2024-02-14
• Study First Posted: 2024-02-21
• Last Update Posted: 2024-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 59

Inclusion Criteria

i) unilateral TKA; ii) age 55 years old and above; iii) able to engage in outpatient physiotherapy; iii) postoperative knee flexion ≥75° and knee extension ≤5°; iv) able to ambulate independently preoperatively.

Exclusion Criteria

i) had revision TKA or fully constrained knee arthroplasty; ii) had knee replacement for indications other than osteoarthritis; iii) had post-operative complications during hospital stay; iv) were unable to participate due to cognitive impairment or language barriers; v) had acute spinal diseases or joint, muscle or systemic diseases affecting gait; iv) had comorbid health conditions that would prevent active participation (e.g. prior hemiplegic stroke, severe cardiorespiratory illnesses.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Outpatient	Outpatient physiotherapy	Usual care, outpatient physiotherapy
CRC	Community based physiotherapy	Community based physiotherapy

Primary Outcome Measures

Name	Time	Method
Pain intensity	3 months	Pain intensity score
TUG	3 months	TUG score
30 sec chair stand test	3 months	30 sec chair stand test score

Secondary Outcome Measures

Name	Time	Method
Presence of lag	3 months	Presence of knee extensor lag
Knee flexion and extension	3 months	Knee flexion and extension ROM
Passive range of motion	3 months	Passive range of motion ROM

Trial Locations

Locations (1)

Tan Tock Seng Hospital; 🇸🇬 Singapore, Singapore