Clinical trial NCT04923373: Telerehabilitation After Total Knee Arthroplasty
Official title: Early Function Recovery in Geriatric Patients With Total Knee Arthroplasty by Telerehabilitation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Telerehabilitation
Total Knee Arthoplasty
Physiotherapy
Keywords: disability
geriatric
Lead sponsor: University of Rzeszow
Sponsor class: OTHER
First posted: 2021-06-11
Enrollment: 105
Sex: ALL
Minimum age (years): 50
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The patients (n=105) were randomly divided into two groups: telerehabilitation group (n=54) - 42 women and 12 men and control group (n=51) 40 women and 11 men - direct physiotherapist supervised group.
Primary purpose: TREATMENT

Brief summary: The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

Detailed description: The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.

Eligibility criteria: Inclusion Criteria:

* total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized),
* informed consent to participate in the study,
* full medical record,
* patients' regular control visits,
* knee degenerative disorder stage II and III according to Altman classification,
* ability to understand and independently perform the complete physiotherapeutic programme

Exclusion Criteria:

* partial arthroplasty,
* deformation aetiology other knee degenerative disorder,
* cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints,
* poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme,
* intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme,
* lack of informed consent to participate in the study.

Primary outcomes:
measure: Change in 6 - Minute Walk Test
timeFrame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
measure: Change in Knee Society Score
timeFrame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
measure: Change in range of knee motion [degrees]
timeFrame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
measure: Change of knee pain intensity in Visual Analogue Scale
timeFrame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Secondary outcomes:
Other outcomes:
Locations:
city: Rudna Mała
country: Poland
facility: Szpital Specjalistyczny im. Świętej Rodziny
state: Podkarpackie
Study officials:
References:
citation: Truszczynska-Baszak A, Dadura E, Drzal-Grabiec J, Tarnowski A. Static balance assessment in patients with severe osteoarthritis of the knee. Knee. 2020 Oct;27(5):1349-1356. doi: 10.1016/j.knee.2020.06.014. Epub 2020 Jul 27.
citation: Benz T, Angst F, Oesch P, Hilfiker R, Lehmann S, Mueller Mebes C, Kramer E, Verra ML. Comparison of patients in three different rehabilitation settings after knee or hip arthroplasty: a natural observational, prospective study. BMC Musculoskelet Disord. 2015 Oct 24;16:317. doi: 10.1186/s12891-015-0780-2.
citation: Russell TG, Buttrum P, Wootton R, Jull GA. Rehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience. J Telemed Telecare. 2004;10 Suppl 1:85-7. doi: 10.1258/1357633042614384.
citation: Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, Belmonte R, Muniesa JM. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. J Rehabil Med. 2013 Apr;45(4):392-6. doi: 10.2340/16501977-1119.
citation: Moffet H, Tousignant M, Nadeau S, Merette C, Boissy P, Corriveau H, Marquis F, Cabana F, Ranger P, Belzile EL, Dimentberg R. In-Home Telerehabilitation Compared with Face-to-Face Rehabilitation After Total Knee Arthroplasty: A Noninferiority Randomized Controlled Trial. J Bone Joint Surg Am. 2015 Jul 15;97(14):1129-41. doi: 10.2106/JBJS.N.01066.