The Immediate and Long Term Effects of a Walking-skill Program Compared to Usual Physiotherapy Care in Patients Who Have Undergone Total Knee Arthroplasty (TKA): A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Oslo
- Enrollment
- 57
- Locations
- 1
- Primary Endpoint
- 6 minutes walk test
Study Overview
Brief Summary
Physiotherapy plays an important part in rehabilitation after total knee arthroplasty. Even if this is a common practice, few studies have been performed on this issue.
The prime aim of this study is to examine the effects of an ambulatory individualized task-oriented exercise program compared with current ambulatory physiotherapy(usual care)on activity performance and self efficacy beliefs in the time span 6 weeks to 3 months after total knee arthroplasty with a follow-up at twelve months.
HO:Task oriented physiotherapy has better effect than usual care on activity performance and self-efficacy beliefs in the time span 6 weeks to 3 months after total knee replacement.
Detailed Description
A randomized controlled trial was performed with an experiment group having task oriented exercises in only weight-bearing 12 times from 6 weeks to 12 weeks after the operation, while the control group had usual physiotherapy care during the same time span. The primary outcome was walking measured by the six minutes walk test. Other performed and self reported measures of physical functioning were performed, at baseline, six weeks after the operation, immediately after the intervention at 12-14 weeks and with a follow-up nine months after the intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 55 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Primary gonarthrosis
- •Good written and oral understanding of Norwegian
- •Good cognitive function
Exclusion Criteria
- •Severe gonarthrosis in the other knee or coxarthrosis
- •Neurological disorders or rheumatoid arthritis
Arms & Interventions
walking skill group
weight-bearing 12 times, 70 minutes
Intervention: walking skill group (Other)
usual physiotherapy care
partial weight-bearing, 12 times, 40 minutes
Intervention: usual physiotherapy care (Other)
Outcomes
Primary Outcomes
6 minutes walk test
Time Frame: preoperatively, baseline at 6 weeks, after the intervention at 3 months, 12onths
Secondary Outcomes
- Self reported pain and activity level(KOOS)(preoperatively, 6 weeks, 3 months and 12 months)
Investigators
Vigdis Bruun-Olsen
PHD student
University of Oslo