Telerehabilitation for patients with total knee replacement.

Phase 1

Completed

• Conditions: Total knee arthroplasty; Musculoskeletal -; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12606000346572
• Lead Sponsor: niversity of Queensland

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2006-08-14
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 65

Inclusion Criteria

1. Healthy subjects with no concomitant medical conditions that would prevent them from participating in a physical rehabilitation program (e.g. severe chronic obstructive pulmonary disease)2. Adult subjects who could provide informed consent. 3. Normal mentation with the ability to accurately follow commands4. Uni-compartmental, unilateral or bilateral total knee replacement. May have a fully constrained, semi-constrained or unconstrained prosthesis 5. Common surgical approach for total knee replacement including: medial parapatellar arthrotomy technique, subvastus arthrotomy technique or trivector-retaining arthrotomy technique6. The ability to attend physiotherapy rehabilitation for a minimum period of six weeks post operatively7. Ability to at least partially weight-bear.8. Ability to participate voluntarily and provide signed informed consent.

Exclusion Criteria

1. Concomitant medical conditions such as malignancy, which may interfere with the normal rehabilitation process2. Medical conditions that may interfere with balance, such as Parkinson’s disease, or conditions in which the performance of an open kinetic chain, inner-range quadriceps contraction against resistance is contraindicated, such as anterior cruciate ligament surgery3. Inability to walk with or without a walking aid4. Inability to speak and write in English 5. Inability to refrain from receiving any additional therapy for their knee during the six-week intervention period apart from prescribed medication therapy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Measured at the beginning and the end of the study period];2. The Patient Specific Functional Scale [Measured at the beginning and the end of the study period];3. The Spitzer Quality of Life Uniscale [Measured at the beginning and the end of the study period];4. The timed up-and-go test[Measured at the beginning and the end of the study period];5. Pain intensity, using a visual-analogue scale [Measured at the beginning and the end of the study period]

Secondary Outcome Measures

Name	Time	Method
1. Active and passive knee flexion angle and knee extension angle.[Measured at the beginning of each treatment session.];2. Quadriceps muscle strength. [Measured at the beginning of each treatment session.];3. Limb girth measurements to assess swelling in the knee. [Measured at the beginning of each treatment session. ];4. Assessment of gait (Gait Assessment Rating Scale). [Measured at the beginning and the end of the study period.]