Clinical trial NCT05138406: Graded Motor Imagery and Total Knee Arthroplasty
Official title: The Effect of Graded Motor Imagery Training on Pain, Functional Performance, Motor Imagery Skill, and Kinesiophobia After Total Knee Arthroplasty.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Total Knee Arthroplasty
Keywords: Graded Motor Imagery
Pain
Rehabilitation
Total knee arthroplasty
Lead sponsor: Inonu University
Sponsor class: OTHER
First posted: 2021-12-01
Enrollment: 18
Sex: ALL
Minimum age (years): 45
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study was planned to investigate the long-term effectiveness of the early application of graded motor imagery therapy on pain parameters, functional performance, motor imagery skill, and kinesiophobia in individuals who underwent total knee arthroplasty surgery after knee osteoarthritis.

Detailed description: Participants aged 45-80 who are scheduled for total knee arthroplasty surgery after knee osteoarthritis will be included. Participants will be selected from the relevant population using a nonprobability random sampling method. Participants who agree to participate in the study and meet the inclusion criteria will be assigned to one of the groups (conventional rehabilitation-only or conventional rehabilitation with graded motor imagery) using the closed envelope method. Evaluations will be made one day before surgery, 6 weeks and 6 months after surgery for each group. Pain Visual Analog Scale; pressure pain threshold algometer; central sensitization Central Sensitization Inventory; the joint range of motion goniometer; muscle strength handheld dynamometer; kinesiophobia Tampa Kinesiophobia Scale; functional mobility and mental stopwatch Timed get up and go test; choice task Recognise™ application; motor imagery skill Movement Imagery Questionnaire-3; functional assessment Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); The catastrophic degree of pain is planned to be evaluated with the Pain Catastrophizing Scale.

Eligibility criteria: Inclusion Criteria:

* Diagnosed with knee osteoarthritis and being on the waiting list to receive unilateral total knee arthroplasty
* Approved by the orthopedist for early physiotherapy treatment after total knee arthroplasty

Exclusion Criteria:

* - Individuals undergoing revision total knee arthroplasty or undergoing bilateral total knee arthroplasty,
* Contralateral knee osteoarthritis (defined by activity greater than 4/10 pain)
* Having undergone any physical therapy intervention or other surgery in the last 6 months
* Any neurological, cardiac, pulmonary or psychiatric disease (eg, uncontrolled diabetes mellitus, neoplasms, uncontrolled blood pressure, neurological conditions) before or after surgery;
* Fracture, infection in the acute postoperative phase or presence of fever
* Cognitive impairments that alter the probability of correct understanding of the motor imagery program
* Body mass index \> 35 kg / m2
* Difficulties with understanding or communication
* Insufficient knowledge of Turkish to follow the study instructions.

Primary outcomes:
measure: Pain intensity
timeFrame: Baseline
measure: Pain intensity
timeFrame: 6 weeks after surgery
measure: Pain intensity
timeFrame: 6 months after surgery
measure: WOMAC
timeFrame: Baseline
measure: WOMAC
timeFrame: 6 weeks after surgery
measure: WOMAC
timeFrame: 6 months after surgery
Secondary outcomes:
measure: Pressure pain threshold
timeFrame: Baseline
measure: Pressure pain threshold
timeFrame: 6 weeks after surgery
measure: Pressure pain threshold
timeFrame: 6 months after surgery
measure: Central sensitization
timeFrame: Baseline
measure: Central sensitization
timeFrame: 6 weeks after surgery
measure: Central sensitization
timeFrame: 6 months after surgery
measure: Joint Range of Motion
timeFrame: Baseline
measure: Joint Range of Motion
timeFrame: 6 weeks after surgery
measure: Joint Range of Motion
timeFrame: 6 months after surgery
measure: Quadriceps muscle strength
timeFrame: Baseline
measure: Quadriceps muscle strength
timeFrame: 6 weeks after surgery
measure: Quadriceps muscle strength
timeFrame: 6 months after surgery
measure: Kinesiophobia
timeFrame: Baseline
measure: Kinesiophobia
timeFrame: 6 weeks after surgery
measure: Kinesiophobia
timeFrame: 6 months after surgery
measure: Functional mobility
timeFrame: Baseline
measure: Functional mobility
timeFrame: 6 weeks after surgery
measure: Functional mobility
timeFrame: 6 months after surgery
measure: Mental chronometry delta time
timeFrame: Baseline
measure: Mental chronometry delta time
timeFrame: 6 weeks after surgery
measure: Mental chronometry delta time
timeFrame: 6 months after surgery
measure: Laterality task
timeFrame: Baseline
measure: Laterality task
timeFrame: 6 weeks after surgery
measure: Laterality task
timeFrame: 6 months after surgery
measure: Movement Imagery Questionnaire-3 (MIQ-3)
timeFrame: Baseline
measure: Movement Imagery Questionnaire-3 (MIQ-3)
timeFrame: 6 weeks after surgery
measure: Movement Imagery Questionnaire-3 (MIQ-3)
timeFrame: 6 months after surgery
measure: Pain Catastrophizing Scale
timeFrame: Baseline
measure: Pain Catastrophizing Scale
timeFrame: 6 weeks after surgery
measure: Pain Catastrophizing Scale
timeFrame: 6 months after surgery
Other outcomes:
Locations:
city: Malatya
country: Turkey
facility: Inonu Unıversity
Study officials:
affiliation: Inonu University
name: Burcu TALU
role: PRINCIPAL_INVESTIGATOR
References:
citation: La Touche R, Grande-Alonso M, Cuenca-Martinez F, Gonzalez-Ferrero L, Suso-Marti L, Paris-Alemany A. Diminished Kinesthetic and Visual Motor Imagery Ability in Adults With Chronic Low Back Pain. PM R. 2019 Mar;11(3):227-235. doi: 10.1016/j.pmrj.2018.05.025. Epub 2019 Jan 15.
citation: Dilek B, Ayhan C, Yagci G, Yakut Y. Effectiveness of the graded motor imagery to improve hand function in patients with distal radius fracture: A randomized controlled trial. J Hand Ther. 2018 Jan-Mar;31(1):2-9.e1. doi: 10.1016/j.jht.2017.09.004. Epub 2017 Nov 6.
citation: Gurudut P, Jaiswal R. Comparative Effect of Graded Motor Imagery and Progressive Muscle Relaxation on Mobility and Function in Patients with Knee Osteoarthritis: A Pilot Study. Altern Ther Health Med. 2022 Mar;28(3):42-47.
citation: Lee HG, An J, Lee BH. The Effect of Progressive Dynamic Balance Training on Physical Function, The Ability to Balance and Quality of Life Among Elderly Women Who Underwent a Total Knee Arthroplasty: A Double-Blind Randomized Control Trial. Int J Environ Res Public Health. 2021 Mar 3;18(5):2513. doi: 10.3390/ijerph18052513.