Comparison of the Effectiveness of Telerehabilitation in Individuals With Total Knee Arthroplasty
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Knee Osteoarthritis
- Sponsor
- Hacettepe University
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Flexion Range of Motion of the Knee
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
In patients who have had joint replacement surgery, there is a shortage of concrete evidence regarding the effectiveness of telerehabilitation. The aim of this study is to compare telerehabilitation with home based exercise program and standard home exercise program in total knee arthroplasty.
Detailed Description
The primary aim of our study is to assess the effectiveness of telerehabilitation in comparison to the conventional approach, specifically focusing on particular parameters, in the context of post-total knee arthroplasty surgery. This investigation will entail a comparative analysis between a home exercise program prescription supplemented with visual and video resources using telerehabilitation and the conventional home exercise program prescription. The aim of our study is comparison between two exercise prescription modalities : a standard home exercise program and an internet-based program utilizing the Rehab My Patient software with visual and video support, in addition to telerehabilitation program, which involves exercise prescription oversight via video consultations. This comparison will include the following parameters : range of motion, proprioception , function, kinesiophobia, pain , patient adherence, patient satisfaction and Quadriceps muscle strength.
Investigators
Sema Nur Aslan
Physiotherapist
Hacettepe University
Eligibility Criteria
Inclusion Criteria
- •Participants aged 50 and over
- •Having a primary total knee arthroplasty surgery
- •To possess a device, such as a smartphone or tablet, that enables access to mobile applications.
- •To have the capability to use the internet and to have internet access.
- •Proficiency in reading and writing in the Turkish language
- •Having a Mini-Mental State Examination(MMSE) score of 24 or higher
- •To be willing to participate in the study
Exclusion Criteria
- •Having cognitive problem
- •Having a secondary total knee arthroplasty surgery
- •Havig a revision surgery
- •Having a history of cerebrovascular and/or cardiovascular events in the last 3 months
- •Having uncontrolled diabetes and/or hypertension
- •Having a arthrogenic muscle inhibition
Outcomes
Primary Outcomes
Flexion Range of Motion of the Knee
Time Frame: Postoperatively first day, fourth week and eight week
Assessment of active and passive flexion range of motion of both knee with digital goniometer
Secondary Outcomes
- Mental State(Postoperatively first day)
- Range of Motion(Postoperatively first day, fourth week and eight week)
- Assessment of Pain(Postoperatively first day, fourth week and eight week)
- Assessment of Artificial Joint Awareness(Postoperatively fourth week and eight week)
- Assessment of Pain, Stiffness and Physical Function(Postoperatively first day, fourth week and eight week)
- Assessment of Patient Adherence(Postoperatively fourth week and eight week)
- Assessment of Telemedicine Satisfaction and Usefulness(Postoperatively fourth week and eight week)
- Demographic Data(Postoperatively first day)
- Assessment of Kinesiophobia(Postoperatively first day, fourth week and eight week)
- Assessment of Function(Postoperatively first day, fourth week and eight week)
- Assessment of Quadriceps Muscle Strength(Postoperatively fourth week and eight week)