Investigation of the Effect of Foam Rolling After Total Knee Arthroplasty on Pain, Range of Motion, Muscle Strength, Proprioception, Kinesiophobia, Gait, Balance, and Functional Level
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Change from baseline at week 14 in knee pain
研究概览
简要总结
The aim of this study is to investigate the effects of foam rolling in patients who have undergone total knee arthroplasty on pain, knee mobility, leg muscle strength, the ability to sense joint position, fear of movement, walking, balance, and the ability to perform daily activities.
A total of 26 patients, with 13 patients in each group, will be included in the study. Participants will be randomly assigned to two groups. One group will receive the routine rehabilitation program, while the other group will receive foam rolling in addition to the routine rehabilitation program.
Foam rolling and rehabilitation exercises will be taught at the Dokuz Eylül University Orthopedics and Traumatology Outpatient Clinic, and you will be asked to perform these exercises at home. The foam rolling group will perform foam rolling 6 days per week, 2 sets per day, with 3 repetitions of 60 seconds each. The control group will not perform foam rolling and will follow the routine rehabilitation program.
The standard rehabilitation program will consist of strengthening exercises in different directions for the entire leg, range-of-motion exercises, stretching exercises, and walking exercises. You will be asked to perform the exercises for 3 sets of 10 repetitions per day.
The assessments in the study will be performed at the second postoperative week (test 1), sixth postoperative week (test 2), and fourteenth postoperative week (test 3). These time points are also times when you would normally visit your doctor for routine follow-up; therefore, you will not be expected to make any additional hospital visits for the study.
The study will continue for 1 year, and each patient will be followed for 14 weeks.
Pain will be assessed using a single-question questionnaire. Walking, functional level, and leg muscle strength will be assessed using short performance tests involving sitting-to-standing and walking activities, as well as a questionnaire. Knee joint range of motion and proprioception will be assessed by measuring the angles of your knee using a ruler-like plastic device. Fear of movement will be assessed using a short questionnaire.
All assessments will take no more than 20 minutes. The results will be determined by examining whether there are differences in these measurements between the different assessment time points.
详细描述
The aim of this study is to investigate the effects of foam rolling after total knee arthroplasty on pain, range of motion, muscle strength, proprioception, kinesiophobia, gait, balance, and functional level.
All patients will receive education regarding postoperative pain management, exercises, foam rolling, and the rehabilitation program to be implemented. Both the rehabilitation exercises and foam rolling will be taught to the patients by physiotherapists in the outpatient clinic and performed by the patients at home as part of their home program. The foam rolling intervention group will perform foam rolling for 4 weeks starting from the second postoperative week, 3 days per week, 1 set per day, with 3 repetitions of 60 seconds each. The control group will not perform foam rolling and will follow the standard home exercise program.
The standard home exercise program will consist of lower-extremity range-of-motion exercises, isometric exercises, stretching exercises for the knee joint, and straight leg raise exercises in different directions. Patients will be instructed to perform these exercises for 3 sets of 10 repetitions per day. In addition, patients will be encouraged to mobilize both indoors and outdoors.
Outcome assessments will be performed at the second postoperative week (test 1), sixth postoperative week (test 2), and fourteenth postoperative week (test 3).
Demographic and clinical characteristics, including age, gender, height, body weight, and body mass index, will be recorded on the data collection form. Clinical assessments will include pain level, range of motion, muscle strength, proprioception, kinesiophobia, gait, balance, and functional level. Maximum isometric muscle strength will be assessed only at the fourteenth postoperative week (test 3).
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
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Willingness to participate in the study
- •Scheduled for primary total knee arthroplasty
- •Age 40 years or older
排除标准
- •Body mass index (BMI) > 40 kg/m²
- •History of revision surgery in the knee region
- •Any other orthopedic or neurological condition that may cause walking or functional impairment
- •Presence of heart disease or uncontrolled hypertension
- •Presence of neuromuscular or neurodegenerative disease
- •Inability to understand the study protocol instructions
研究组 & 干预措施
Foam rolling group
The foam rolling intervention group will perform foam rolling for 4 weeks starting from the second postoperative week, 3 days per week, 1 set per day, with 3 repetitions of 60 seconds each.
干预措施: Foam rolling after total knee arthroplasty (Other)
Control group
The control group will not perform foam rolling and will follow the standard home exercise program. The standard home exercise program will consist of lower-extremity range-of-motion exercises, isometric exercises, stretching exercises for the knee joint, and straight leg raise exercises in different directions. Participants will be instructed to perform the exercises for 3 sets of 10 repetitions per day.
干预措施: Standard home exercise program after total knee arthroplasty (Other)
结局指标
主要结局
Change from baseline at week 14 in knee pain
时间窗: From enrollment to the end of the 14-week period
Pain will be assessed using the 10-cm Visual Analog Scale (VAS), scored from 0 (no pain) to 10 (unbearable pain).
Change from baseline at week 14 in knee range of motion
时间窗: From enrollment to the end of the 14-week period
Knee range of motion will be measured using a 30-cm transparent plastic manual goniometer.
次要结局
- Change from baseline at week 14 in muscle strength(From enrollment to the end of the 14-week period)
- Change from baseline at week 14 in knee joint proprioception(From enrollment to the end of the 14-week period)
- Change from baseline at week 14 in kinesiophobia(From enrollment to the end of the 14-week period)
- Change from baseline at week 14 in Timed Up and Go Test performance(From enrollment to the end of the 14-week period)
- Change from baseline at week 14 in Five Times Sit-to-Stand Test performance(From enrollment to the end of the 14-week period)
- Change from baseline at week 14 in Hospital for Special Surgery Knee Score(From enrollment to the end of the 14-week period)
研究者
Öykü Bulduk
Physiotherapist
Dokuz Eylul University