Clinical trial NCT06101355: Effectiveness of Telerehabilitation in Total Knee Arthroplasty
Official title: Comparison of the Effectiveness of Telerehabilitation in Individuals With Total Knee Arthroplasty
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Osteoarthritis
Total Knee Arthroplasty
Keywords: Total Knee Arthroplasty
Telerehabilitation
Home Exercise
Osteoarthritis
Orthopaedic Rehabilitation
Lead sponsor: Hacettepe University
Sponsor class: OTHER
Collaborators: name: Ankara Medipol University
First posted: 2023-10-26
Enrollment: 48
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: In patients who have had joint replacement surgery, there is a shortage of concrete evidence regarding the effectiveness of telerehabilitation. The aim of this study is to compare telerehabilitation with home based exercise program and standard home exercise program in total knee arthroplasty.

Detailed description: The primary aim of our study is to assess the effectiveness of telerehabilitation in comparison to the conventional approach, specifically focusing on particular parameters, in the context of post-total knee arthroplasty surgery. This investigation will entail a comparative analysis between a home exercise program prescription supplemented with visual and video resources using telerehabilitation and the conventional home exercise program prescription.

The aim of our study is comparison between two exercise prescription modalities : a standard home exercise program and an internet-based program utilizing the Rehab My Patient software with visual and video support, in addition to telerehabilitation program, which involves exercise prescription oversight via video consultations. This comparison will include the following parameters : range of motion, proprioception , function, kinesiophobia, pain , patient adherence, patient satisfaction and Quadriceps muscle strength.

Eligibility criteria: Inclusion Criteria:

* Participants aged 50 and over
* Having a primary total knee arthroplasty surgery
* To possess a device, such as a smartphone or tablet, that enables access to mobile applications.
* To have the capability to use the internet and to have internet access.
* Proficiency in reading and writing in the Turkish language
* Having a Mini-Mental State Examination(MMSE) score of 24 or higher
* To be willing to participate in the study

Exclusion Criteria:

* Having cognitive problem
* Having a secondary total knee arthroplasty surgery
* Havig a revision surgery
* Having a history of cerebrovascular and/or cardiovascular events in the last 3 months
* Having uncontrolled diabetes and/or hypertension
* Having a arthrogenic muscle inhibition

Primary outcomes:
measure: Flexion Range of Motion of the Knee
timeFrame: Postoperatively first day, fourth week and eight week
Secondary outcomes:
measure: Demographic Data
timeFrame: Postoperatively first day
measure: Mental State
timeFrame: Postoperatively first day
measure: Range of Motion
timeFrame: Postoperatively first day, fourth week and eight week
measure: Assessment of Pain
timeFrame: Postoperatively first day, fourth week and eight week
measure: Assessment of Kinesiophobia
timeFrame: Postoperatively first day, fourth week and eight week
measure: Assessment of Artificial Joint Awareness
timeFrame: Postoperatively fourth week and eight week
measure: Assessment of Pain, Stiffness and Physical Function
timeFrame: Postoperatively first day, fourth week and eight week
measure: Assessment of Patient Adherence
timeFrame: Postoperatively fourth week and eight week
measure: Assessment of Function
timeFrame: Postoperatively first day, fourth week and eight week
measure: Assessment of Telemedicine Satisfaction and Usefulness
timeFrame: Postoperatively fourth week and eight week
measure: Assessment of Quadriceps Muscle Strength
timeFrame: Postoperatively fourth week and eight week
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University
Study officials:
affiliation: Hacettepe University
name: Sema Nur Aslan
role: PRINCIPAL_INVESTIGATOR
References: