Action Observation in Knee Replacement

Study Overview
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Brief Summary
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Postoperative rehabilitation is required for a successful outcome following total knee arthroplasty. Traditionally rehabilitative programs aim to increase range of motion, to strengthen quadriceps, to restore normal gait, and to recover independence in activities of daily living. In the last decade action observation treatment, in addition to conventional physiotherapy has been proposed as a treatment method in rehabilitative medicine. There is growing evidence of the applicability of action observation training in rehabilitative medicine, indeed it has been applied in the rehabilitation of stroke of Parkinson disease of cerebral palsy and of aphasia. Nevertheless those are small studies and one of them included a mixed population of hip and knee arthroplasty.

Official Title
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Self-administered Action Observation Treatment Enhance the Efficacy of Inpatient Rehabilitation After Total Knee Replacement: A Randomized Controlled Trial

Conditions
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Total Knee Replacement

Intervention / Treatment
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* Device: Experimental group
* Device: Control group
* Device: Conventional physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primary total knee replacement. Exclusion Criteria: bilateral knee replacement previous total knee replacement. pre-existing motor impairment (i.e. hemiparesis, poliomyelitis, lumbar sciatica);

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Video of the exercises and conventional physiotherapy. 45 minutes twice a day, 5 days a week for 2 weeks. | Device: Experimental group<br>* Video of the exercises<br>Device: Conventional physiotherapy<br>* Mobilization, exercises and transfer practice.<br>|
| Active Comparator: Control group<br>Video of nature scenes and conventional physiotherapy. 45 minutes twice a day, 5 days a week for 2 weeks. | Device: Control group<br>* video of nature scenes<br>Device: Conventional physiotherapy<br>* Mobilization, exercises and transfer practice.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Pain intensity | Visual Analogue Scale | Baseline and immediately post-intervention | 
| Change of Range Of Motion | Active and passive range of motion of knee | Baseline and immediately post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Barthel index | Barthel index | Baseline and immediately post-intervention | 
| Short Form-36 motor |  | Baseline and immediately post-intervention | 
| Tinetti scale |  | Baseline and immediately post-intervention | 
| Lequesne index |  | Baseline and immediately post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Total knee replacement, Action observation treatment, Rehabilitation