Telerehabilitation After Total Knee Arthroplasty

Study Overview
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Brief Summary
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The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

Detailed Description
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The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.

Official Title
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Early Function Recovery in Geriatric Patients With Total Knee Arthroplasty by Telerehabilitation

Conditions
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Telerehabilitation, Total Knee Arthoplasty, Physiotherapy

Intervention / Treatment
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* Other: telerehabilitation
* Procedure: standard physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized), informed consent to participate in the study, full medical record, patients' regular control visits, knee degenerative disorder stage II and III according to Altman classification, ability to understand and independently perform the complete physiotherapeutic programme Exclusion Criteria: partial arthroplasty, deformation aetiology other knee degenerative disorder, cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints, poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme, intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme, lack of informed consent to participate in the study.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 80 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
Interventional Model Description: The patients (n=105) were randomly divided into two groups: telerehabilitation group (n=54) - 42 women and 12 men and control group (n=51) 40 women and 11 men - direct physiotherapist supervised group.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: telerehabilitation<br>physiotherapeutic programme brochure exercises 7/week controlled by phone every week (5x in total) | Other: telerehabilitation<br>* Procedure for both groups: I pre surgery evaluation initial training in hospital physiotherapeutic programme telerehabilitation versus standard 7 times a week Therapy duration: 6 weeks post-surgery II 6weeks post-surgery evaluation<br>|
| Active Comparator: standard physiotherapy<br>Supervised physical therapy 3/ week, + physiotherapeutic programme brochure 4/week | Procedure: standard physiotherapy<br>* standard physiotherapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in 6 - Minute Walk Test | Change in walking distance in 6 minutes ( in meters) | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | 
| Change in Knee Society Score | Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome. | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | 
| Change in range of knee motion [degrees] | Change in knee flexion | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | 
| Change of knee pain intensity in Visual Analogue Scale | Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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disability, geriatric