Using Mobilization Exercises on Total Knee Arthroplasty Rehabilitation

Study Overview
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Brief Summary
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There is no definite evidence about the most effective treatment approach in early-stage rehabilitation after total knee arthroplasty surgery. The purpose of this study is to investigate the effects of mobilization exercises applied with classical exercises on pain, joint range of motion, edema, function, quality of life and patient satisfaction in early stage rehabilitation after total knee arthroplasty surgery.

Detailed Description
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There is no definite evidence about the most effective treatment approach in early-stage rehabilitation after total knee arthroplasty surgery. The purpose of this study is to investigate the effects of mobilization exercises applied with classical exercises on pain, joint range of motion, edema, function, quality of life and patient satisfaction in early stage rehabilitation after total knee arthroplasty surgery. Patients with bicompartmental total knee arthroplasty operation due to knee osteoarthritis will randomly assign to 2 groups. Patients in group 1 will treat with mobilization exercises in addition to classical exercises performed in the early post-op period; patients in group 2 will treat only with classical exercises.

Official Title
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Effectiveness of Mobilization Exercises on Total Knee Arthroplasty Rehabilitation

Conditions
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Total Knee Arthroplasty, Total Knee Replacement

Intervention / Treatment
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* Behavioral: Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with TKA surgery due to the diagnosis of knee OA Between the ages of 50-75 years Exclusion Criteria: Revision TKA, Previous unicompartmental arthroplasty or tibial osteotomy, Hemophilia, Rheumatic diseases, Lower extremity fractures and tumors, Neurological diseases leading to muscle weakness in the lower limbs, Patients with emotional and cognitive problems

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 75 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mobilization Exercise Group<br>Mobilization exercises in addition to classical exercises performed in the early post-op period | Behavioral: Exercises<br>* mobilization exercises (Patellofemoral joint, Tibiofemoral joint, Soft tissue) and classical exercises performed in the early post-op period<br>|
| Active Comparator: Classical Exercise Group<br>only classical exercises performed in the early post-op period | Behavioral: Exercises<br>* mobilization exercises (Patellofemoral joint, Tibiofemoral joint, Soft tissue) and classical exercises performed in the early post-op period<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Range of Motion Degree at 2 weeks | Passive knee flexion range of motion | Baseline, Post-op 2 weeks, and Post-op 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Pain Degree at 2 weeks | Patient reported pain degree | Baseline, Post-op 2 weeks, and Post-op 2 months | 
| Function | Functional Performance tests | Baseline, Post-op 2 weeks, and Post-op 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mobilization, Manual Therapies, Exercise