Telerehabilitation After Total Knee Arthroplasty

Not Applicable

Completed

• Conditions: Total Knee Arthoplasty; Telerehabilitation; Physiotherapy
• Interventions: Other: telerehabilitation; Procedure: standard physiotherapy

• Registration Number: NCT04923373
• Lead Sponsor: University of Rzeszow

Brief Summary

The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

Detailed Description

The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.

Study Timeline

• Study Start: 2010-03-01
• Primary Completion: 2011-12-15
• Study Completion: 2011-12-15
• Study First Submitted: 2021-05-25
• Status Verified: 2021-06
• Study First Submitted QC: 2021-06-08
• Last Update Submitted: 2021-06-08
• Study First Posted: 2021-06-11
• Last Update Posted: 2021-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 105

Inclusion Criteria

• total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized),
• informed consent to participate in the study,
• full medical record,
• patients' regular control visits,
• knee degenerative disorder stage II and III according to Altman classification,
• ability to understand and independently perform the complete physiotherapeutic programme

Exclusion Criteria

• partial arthroplasty,
• deformation aetiology other knee degenerative disorder,
• cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints,
• poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme,
• intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme,
• lack of informed consent to participate in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
telerehabilitation	telerehabilitation	physiotherapeutic programme brochure exercises 7/week controlled by phone every week (5x in total)
standard physiotherapy	standard physiotherapy	Supervised physical therapy 3/ week, + physiotherapeutic programme brochure 4/week

Primary Outcome Measures

Name	Time	Method
Change in Knee Society Score	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy	Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome.
Change of knee pain intensity in Visual Analogue Scale	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy	Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain
Change in 6 - Minute Walk Test	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy	Change in walking distance in 6 minutes ( in meters)
Change in range of knee motion [degrees]	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy	Change in knee flexion

Trial Locations

Locations (1)

Szpital Specjalistyczny im. Świętej Rodziny; 🇵🇱 Rudna Mała, Podkarpackie, Poland