Effects of Motor Imagery Intervention on Functional Recovery Following Total Knee Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Change in maximal voluntary isometric contraction of quadriceps muscle following a total knee arthroplasty
研究概览
简要总结
The knee osteoarthritis becoming a leading cause of disability among older adults' population. When conventional treatments fail, a total knee arthroplasty (TKA) is suggested. Although TKA treatment significantly reduces pain and improve mobility of patients, there is still high prevalence of patients whose neuromuscular function is impaired up to three years following TKA, which can be directly prescribed to poor or/and inadequate rehabilitation practice. Thus, motor imagery (MI) is proposed as additional rehabilitation tool to convention physical therapy to reduce decline of neuromuscular function in early days post-surgery. Recent studies showed that MI could facilitate learning and acquisition of motor skills, as well as maintain and retain previously acquired motor skills, which may be beneficial for those who undergo TKA. It represents an incentive in the process of motor learning and the transfer of the mental scheme of the motion pattern into the process of movement execution. Measuring neuromuscular function pre- and post-TKA could be unique opportunity to provide empirical evidence about its additional therapeutic effects. Outcomes of proposed research project could serve to improve existing intervention programs applied in rehabilitation protocols following TKA surgery as well as other orthopedic interventions. This would also contribute to the successful return of individuals after an injury to their everyday working routine. We hypothesized that MI practice group will experience better both subjective and objective measures of functional performance compared to control group that will be subjected to routine physical therapy only.
详细描述
TKA is widely considered to have a successful outcomes, comparing pre and postoperative scores on pain and both subjective and objective functional measures. Nevertheless, a significant proportion of patients report continuing pain, functional limitations, and dissatisfaction up to three years after the surgery. Thus we planed to conduct intervention study.
OBJECTIVES:
• Primary goal of the research is to determine how the MI practice intervention will influences on the recovery of neuromuscular and locomotor function following TKA.
Specific goals of the research are as follows:
- To examine effects of MI practice intervention to other measured parameters as follows:
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
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients scheduled for unilateral TKA secondary to osteoarthritis;
- •age from 50 to 80 years old;
- •participants were not engaged in preoperative treatments
排除标准
- •participants who were undergoing a revision TKA;
- •body mass index (BMI) greater than 40 kg/m2;
- •participants who were receiving a bilateral TKA's;
- •uncontrolled hypertension;
- •diabetes mellitus;
- •a history of any neurological disorder;
- •multiple sclerosis;
- •Parkinson's disease;
- •patients with rheumatoid arthritis or active cancer;
- •previous history of deep vein thrombosis;
- •contralateral knee OA (as defined by pain greater than 4/10 with activity)
研究组 & 干预措施
Motor imagery practice
In addition to routine physical therapy patients that will be included in the motor imagery practice (MIp) group will receive an additional intervention based on motor imagery beginning immediately after the TKA procedure.
干预措施: Motor imagery practice (Other)
Control group
Patients from the control group will underwent the same post-surgery rehabilitation program, but will not be engaged in MI practice.
结局指标
主要结局
Change in maximal voluntary isometric contraction of quadriceps muscle following a total knee arthroplasty
时间窗: At baseline (1 day before surgery) and one month postoperatively
Maximal strength assessed by isometric dynamometer
次要结局
- Change in electromechanical efficiency index following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively)
- Change in repetitive strength of knee extensor muscles following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively and one year postoperatively)
- Change in agility following a total knee arthroplasty(At baseline (1 day before surgery) and one month and one year postoperatively)
- Change in hand grip strength following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively and one year postoperatively)
- Change in functional assessment scale measured by Oxford Knee Score following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively and one year postoperatively)
- Change in self perceived pain level following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively and one year postoperatively)
- Change in quadriceps muscle voluntary activation following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively)
- Change in range of motion of knee joint following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively)
- Change in spatio temporal gait parameters following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively)
- Change in functional assessment scale measured by Lower Extremity Functional Scale following a total knee arthroplasty(At baseline (1 day before surgery) and one month postoperatively and one year postoperatively)
- Change in contractile muscle parameters following a total knee arthroplasty(Participants will be assessed 1 day before surgery and one month postoperatively)