Effect of Physiotherapy After Total Knee Replacement

Study Overview
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Brief Summary
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Physiotherapy plays an important part in rehabilitation after total knee arthroplasty. Even if this is a common practice, few studies have been performed on this issue. The prime aim of this study is to examine the effects of an ambulatory individualized task-oriented exercise program compared with current ambulatory physiotherapy(usual care)on activity performance and self efficacy beliefs in the time span 6 weeks to 3 months after total knee arthroplasty with a follow-up at twelve months. HO:Task oriented physiotherapy has better effect than usual care on activity performance and self-efficacy beliefs in the time span 6 weeks to 3 months after total knee replacement.

Detailed Description
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A randomized controlled trial was performed with an experiment group having task oriented exercises in only weight-bearing 12 times from 6 weeks to 12 weeks after the operation, while the control group had usual physiotherapy care during the same time span. The primary outcome was walking measured by the six minutes walk test. Other performed and self reported measures of physical functioning were performed, at baseline, six weeks after the operation, immediately after the intervention at 12-14 weeks and with a follow-up nine months after the intervention.

Official Title
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The Immediate and Long Term Effects of a Walking-skill Program Compared to Usual Physiotherapy Care in Patients Who Have Undergone Total Knee Arthroplasty (TKA): A Randomized Controlled Trial

Conditions
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Knee Osteoarthritis

Intervention / Treatment
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* Other: walking skill group
* Other: usual physiotherapy care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primary gonarthrosis Good written and oral understanding of Norwegian Good cognitive function Exclusion Criteria: Severe gonarthrosis in the other knee or coxarthrosis Neurological disorders or rheumatoid arthritis

Ages Eligible for Study
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Minimum Age: 55 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: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: walking skill group<br>weight-bearing 12 times, 70 minutes | Other: walking skill group<br>* 12 Individualized group training sessions with focus on functional exercises like walking and stair climbing including balance training under physiotherapy guidance, 12 times 70 minutes.<br>|
| Active Comparator: usual physiotherapy care<br>partial weight-bearing, 12 times, 40 minutes | Other: usual physiotherapy care<br>* physiotherapy, mostly in non-weight bearing, 12 times 40 minutes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 6 minutes walk test |  | preoperatively, baseline at 6 weeks, after the intervention at 3 months, 12onths | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self reported pain and activity level(KOOS) |  | preoperatively, 6 weeks, 3 months and 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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physiotherapy, functional outcome, activity level, self efficacy, task oriented exercises