Walking Stick Exercise in Patients Underwent Total Knee Arthroplasty

Study Overview
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Brief Summary
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The purpose of this study is to examine whether the effect of hiking poles exercise on lower extremity muscular strength, knee range of motion, and quality of life in elderly patients underwent total knee arthroplasty

Detailed Description
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This is a longitudinal-experimental study. The data collection and analysis are in a single-blind manner. The study will be undertaken in the Department Orthopaedics of En Chu Kong hospital (approximate 500-bed regional teaching hospital). All patients who meet the inclusion criteria are admitted for primary total knee arthroplasty and assigned to control group or intervention group randomly. The 44 patients in the control group received routine guidance of  Rehabilitation and precautions for artificial knee replacement . In addition to the routine guidance, the 44 patients in the intervention group received educations of  hiking poles exercise  on the day before surgery and before discharge, as well as a follow-up call at least once a week after discharge.

Official Title
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National Taipei University of Nursing and Health Sciences

Conditions
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Arthroplasty, Replacement, Knee Osteoarthritis

Intervention / Treatment
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* Other: Walking stick exercise


Participation Criteria
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Eligibility Criteria
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Minimum Age: 60 years Maximum Age: 85years Gender-Based: All Accepts Healthy Volunteers:No Criteria: Inclusion Criteria: Age between 60 and 85 years Informed consent Receipt of elective unilateral primary knee arthroplasty surgery. Exclusion Criteria: Non-degenerative arthritis, including rheumatoid arthritis, or traumatic arthritis Patients receiving rehabilitation simultaneously Patients with other musculoskeletal or neurological problems, including fractures, Parkinsonism, cerebrovascular events, or patients with multiple comorbidities Cancer patients receive chemotherapy Patients with the peri-operative complication that has an adverse effect on outcomes,for example: intra-operative fractures, thromboembolism, peri-operative infections, or phlebitis

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental:Walking stick exercise<br>The experimental:Walking stick exercise Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge) The video clip of walking stick exercise is available to the patients. The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge. | Other: Walking stick exercise<br>* Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge) The video clip of walking stick exercise is available to the patients. The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge.<br>|
| No Intervention: Control group: conventional physical therapy.<br>Perform bed mobility and transfers with the least amount of assistance while maintaining appropriate weight bearing (WB) precautions. Ambulate with an assistive device for 25-100 feet and ascend/descend stairs to allow for independence with household activities while maintaining appropriate WB. Verbalize understanding of post-operative activity recommendations/precautions including use of proper positioning of the lower extremity, range of motion and strengthening exercises. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total knee arthroplasty of Quality of life | I hope the Walking stick exercise can to improving the total knee arthroplasty quality of life of patients. I use Knee injury and Osteoarthritis Outcome Score (KOOS). There are 5 territories analyzed in the knee injury and osteoarthritis outcome score (KOOS) calculator and a knee-related QOL, Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopedic scales and generic measures. Scores between 0 and 100 represent the percentage of the total possible score achieved. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery. | for three months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lower limb muscle power | I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery. | for three months | 
| knee range of motion | I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery. | for three months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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total knee arthroplasty, Walking stick exercise