Ambulation Versus Standing on Postoperative Day 0

Study Overview
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Brief Summary
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The purpose of this study is to determine the impact of the timing of physical therapy (PT) initiation on postoperative length of stay and the time to physical therapy clearance following total knee replacement.

Official Title
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Ambulation Versus Standing on Postoperative Day 0: A Randomized, Controlled Trial

Conditions
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Osteoarthritis

Intervention / Treatment
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* Other: Physical Therapy
* Other: Standing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older scheduled for primary TKA (Total Knee Arthroplasty) for any degenerative condition Anesthesia for TKA is Spinal + Regional block (Adductor Canal Block) Exclusion Criteria: require assistive devices (walker, wheelchair) for ambulation preoperatively planning to go to a subacute nursing facility or acute rehab facility following surgery < 18 yrs of age not willing to participate or unable to consent

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Ambulation<br>Patients will initiate inpatient physical therapy on the day of their surgery including attempted ambulation with an assistive device that is supervised by a physical therapist. | Other: Physical Therapy<br>* Patients will initiate inpatient physical therapy on the day of their surgery including attempted ambulation with an assistive device that is supervised by a physical therapist.<br>|
| Active Comparator: Standing<br>Patients will initiate inpatient physical therapy on postoperative day 1. On the day of their surgery they will dangle their feet over the edge of the bed with supervision of nursing. | Other: Standing<br>* Patients will initiate inpatient physical therapy on postoperative day 1. On the day of their surgery they will dangle their feet over the edge of the bed with supervision of nursing.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of Hospitalization Stay | The length of time patients stay in the hospital will be recorded and compared between groups. | 5 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction | Patients will be prospectively surveyed at discharge and asked questions about their satisfaction with their care during their hospitalization. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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degenerative joint disease, total knee arthroplasty, physical therapy, arthroplasty, replacement, knee