Ambulation Versus Standing on Postoperative Day 0: A Randomized, Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 394
- Locations
- 2
- Primary Endpoint
- Length of Hospitalization Stay
Study Overview
Brief Summary
The purpose of this study is to determine the impact of the timing of physical therapy (PT) initiation on postoperative length of stay and the time to physical therapy clearance following total knee replacement.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •18 years of age or older
- •scheduled for primary TKA (Total Knee Arthroplasty) for any degenerative condition
- •Anesthesia for TKA is Spinal + Regional block (Adductor Canal Block)
Exclusion Criteria
- •require assistive devices (walker, wheelchair) for ambulation preoperatively
- •planning to go to a subacute nursing facility or acute rehab facility following surgery
- •< 18 yrs of age
- •not willing to participate or unable to consent
Arms & Interventions
Ambulation
Patients will initiate inpatient physical therapy on the day of their surgery including attempted ambulation with an assistive device that is supervised by a physical therapist.
Intervention: Physical Therapy (Other)
Standing
Patients will initiate inpatient physical therapy on postoperative day 1. On the day of their surgery they will dangle their feet over the edge of the bed with supervision of nursing.
Intervention: Standing (Other)
Outcomes
Primary Outcomes
Length of Hospitalization Stay
Time Frame: 5 days
The length of time patients stay in the hospital will be recorded and compared between groups.
Secondary Outcomes
- Patient Satisfaction(1 week)
Investigators
Craig J Della Valle, MD
Professor of Orthopaedic Surgery; Chief, Division of Adult Reconstructive Surgery
Rush University Medical Center