One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After TJA
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 126
- 主要终点
- Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT
研究概览
简要总结
The purpose of this study was to evaluate the efficacy of a one-time, preoperative physical therapy protocol on postoperative (1) discharge disposition, (2) pain, function and stiffness and (3) patient satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 90 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects will be required to meet the following inclusion criteria in order to participate:
- •Unilateral Primary Knee OA or Hip OA
- •Patients at least 18 years old up to
- •Undergoing surgery with one of the following study surgeons
- •Able to independently ambulate ≥ half a block with or without assistive device
- •Able to independently perform non-reciprocal stairs with or without assistive device/rails
- •Patients that plan to D/C home post TKA / THA
- •Patients that speak English only.
排除标准
- •Rheumatoid arthritis
- •Psoriatic arthritis
- •Juvenile rheumatoid arthritis
- •Knee or Hip revisions
- •Patients under 18 years of age
- •Patients unwilling or unable to complete PRO instrument or study questionnaires at the specified study time points pre-operatively or post-operatively
- •Bilateral TKA and THA
- •Uni-condylar knee arthroplasty or Hip resurfacing
- •Patellar reconstruction
- •Patient on disability, workman's compensation
- •Patients unwilling to participate in PEdPTWP and/or Patient education class and booklet.
- •Patients that plan to D/C to rehabilitation center post TKA and THA
- •Patients that do not speak English
- •Patients that do not have access to computer
结局指标
主要结局
Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT
时间窗: Through Study Completion, an average of 3 days
This included a review of the hospital database for hospital discharge time. At this institution PT discharge is defined as the ability to (1) independently transfer, (2) independently ambulate approximately 150 feet and (3) independently negotiate stairs (4) independent with home exercise program and activities of daily living. All of this data was recorded from hospital records
次要结局
- Hospital Length of Stay(Time from Surgery until Hospital Discharge, an average of 2-3 days)
- Time to meet Physical Therapy discharge criteria(Time from Surgery to meeting PT discharge criteria, an average of 3 days)
- Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)(This standard patient reported outcome was filled out preoperatively or at six weeks postoperatively)
- Patient Satisfaction Scores(from two weeks prior to surgery until 6 weeks after surgery)
