A Quantitative Assessment of Early Mobility in Total Knee Replacement Patients Using Smart Activity Tracker
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Oxford Knee
研究概览
简要总结
This study aims to evaluate the patients' mobility and quality of life prior to their total knee replacement surgery and their progress pre-operatively and 6 months post-operatively using the smart activity tracker. We hypothesize that mobility limitation presents a strong correlation with reduced quality of life.
详细描述
The present study is to determine the effect of TKA based on their mobility and QOL pre and post surgery. The GPS and accelerometry-based tracker will be able to provide quantitative-based outcomes to indicate the physical activity of patients after TKR remains at or above pre-surgical levels.
A total of 50 participants are to be enrolled in this cross-sectional study. Patients who will be required to undergo unilateral total knee replacement will be recruited when fulfilling the respective inclusion and exclusion criteria. The patients will undergo the standard consultations and rehabilitation pre - and post operative care, no changes to the treatment itself will be made. After recruitment and counseling by the surgeon for TKR, the patients will have pre-operative baseline clinical scores taken prior to surgery. They will subsequently have their TKR surgery. Post-operatively, they will be followed up prospectively at the clinics as well as Orthopaedics Diagnostic Centre. Their outcome will be evaluated using validated scoring system, Oxford Knee Score, SF-36, Knee Society Clinical Rating System, satisfaction questionnaire, as well as be provided with a GPS-activity tracker.
50 patients will be issued a Garmin GPS-activity tracker where they will be required to wear for 24 hours for 1 week, prior to each timepoint (pre-operatively and 6 months post surgery). The de-identified raw data gathered from the Garmin tracker will be collected by Curtin University for their analysis.
The patients will undergo the standard consultations and rehabilitation pre - and postoperative care, no changes to the treatment itself will be made.
Standard consultations/review by orthopaedic specialist
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
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 who are referred by the Orthopaedic surgeon and are diagnosed with Knee Osteoarthritis, and consented to unilateral total knee replacement.
- •Able to ambulate with or without walking aid.
- •Ability to provide informed consent.
排除标准
- •Patients who have severe bilateral Knee Osteoarthritis, affecting their ability to walk and only one will be operated on.
- •Patients with pre-existing cognitive issues, such as dementia.
- •Patients planning for another surgery within 6 months after their TKR.
- •Patients with existing co-morbidities that limit their walking ability, such as severe respiratory distress syndromes.
结局指标
主要结局
Oxford Knee
时间窗: 6 months post surgery
Using the Oxford Knee questionnaire to get the oxford knee score
Discharge Destination
时间窗: up to 6 months post surgery
Where the patient will be going to after discharge from SGH
SF 36 Health survey
时间窗: 6 months post surgery
SF36 questionnaires to get SF-36 scores
Type of walking aids used
时间窗: up to 6 months post surgery
The type of walking aids required, namely, walking frame, broad- and narrow-based quadstick, or walking stick (in descending order of base of support provided)
Data Collected from Garmin GPS-activity tracker
时间窗: 6 months post surgery for 1 week
1. Latitude and longitudinal location coordinates to determine an individual's activity space 2. Distance travelled 3. Walking speed 4. Heart rate 5. Calories burned 6. Energy expenditure 7. Steps count 8. Physical activity
Knee Society Clinical Rating system
时间窗: 6 months post surgery
Measuring knee range of motion, knee extension lag, knee alignment in standing using the knee society clinical rating system (KSS Scores)
Length of stay
时间窗: up to 6 months post surgery
the number of nights spend in the hospital from the day of surgery
Knee range-of-motion
时间窗: up to 6 months post surgery
measure knee ROM
Ability to perform a straight leg raise
时间窗: up to 6 months post surgery
If patient is able to lift their leg independently. Lag is measured by a goniometer measured by a goniometer
Expectation met for surgery
时间窗: 6 months post surgery
Patient satisfaction form
Overall result of surgery
时间窗: 6 months post surgery
Subject's summary and outcomes form; data collected from Orthopaedic diagnostis center (ODC)
Premorbid history
时间窗: up to 6 months post surgery
Patients reported ambulation status before surgery, including the use of walking aids and assistance level required
Early ambulation rate
时间窗: up to 6 months post surgery
Percentage of patients who start walking postoperative day (POD) 1
次要结局
未报告次要终点