One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After TJA

Hospital for Special Surgery, New York0 sites126 target enrollmentFebruary 2015

ConditionsArthroplasty

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Arthroplasty
Sponsor: Hospital for Special Surgery, New York
Enrollment: 126
Primary Endpoint: Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT
Status: Completed
Last Updated: 2 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

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.

Registry

clinicaltrials.gov

Start Date

February 2015

End Date

November 2015

Last Updated

2 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Hospital for Special Surgery, New York

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•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.

Exclusion Criteria

•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

Outcomes

Primary Outcomes

Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT

Time Frame: 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

Secondary Outcomes

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)