Return to Physical Activities and Aerobic Fitness After Total Knee Arthroplasty in Younger Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 51
- 试验地点
- 1
- 主要终点
- Knee Injury and Osteoarthritis Outcome Joint Replacement Survey (KOOS) Jr 7-item score
研究概览
简要总结
The ability to resume physical activities, aerobic fitness and a healthy lifestyle without symptoms after total knee arthroplasty (TKA) remains unclear because studies show high rates of patient dissatisfaction. The aim of this study was to evaluate whether an individualized goal-centered rehabilitation protocol leads to high patient-reported physical activities and satisfaction after TKA.
详细描述
A prospective study was conducted in patients who underwent primary TKA (Journey II, Smith & Nephew) from the same surgeon from July 1, 2013 to December 31, 2015. Patients completed patient-reported outcome measures (PROMs) before the operation and then at 1, 2, and 4 years postoperatively.These included the Knee Injury and Osteoarthritis Outcome Joint Replacement Survey (KOOS JR) 7-item score; questions from the Cincinnati Knee Rating System related to the overall knee condition, pain, and swelling; selected questions from the Veterans RAND 12-Item Health Survey; questions about general fitness level; and questions regarding patient expectations before and after surgery. Patients were asked to list all physical, recreational, and work activities they participated in after surgery. An experienced research associate interviewed the patients postoperatively, with data reduction and patient ratings blinded to the treating surgeon and therapist.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- — 至 69 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age < 70 years
- •Patient goals to return to recreational and occupational activities
- •Agree to participate in a postoperative rehabilitation and home exercise program
排除标准
- •Osteoarthritis in other joints
- •Co-morbidities limiting physical activity
- •Presence of a connective tissue disease
- •Autoimmune disease or immune deficiency
- •Age 70 years or more
- •no desire to return to recreational and work activities
- •Refusal to participate in rehabilitation program
结局指标
主要结局
Knee Injury and Osteoarthritis Outcome Joint Replacement Survey (KOOS) Jr 7-item score
时间窗: 4 years postoperative
Scored on a scale of 0-100 points, where 0 = total disability and 100 = perfect knee health.
Documentation of sports and recreational activities
时间窗: 4 years postoperative
Patients provide a list of all sports and recreational activities they participated in after surgery. This is an open-ended question "What sports or recreational activities do you participate in on a regular basis?"
次要结局
- Cincinnati Knee Rating Pain Score(4 years postoperative)
- Cincinnati Knee Rating Patient Perception of the Overall Knee Condition Score(4 years postoperative)
- Cincinnati Knee Rating Swelling Score(4 years postoperative)
- Aerobic fitness levels(4 years postoperative)
- Work Status(4 years postoperative)
- Patient Expectations After Surgery(4 years postoperative)
- Patient Expectations Before Surgery(Preoperative)