Clinical trial NCT02120313: Inpatient Versus Outpatient Rehabilitation After TKA
Official title: Inpatient Versus Outpatient Rehabilitation Following Total Knee Arthroplasty
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Total Knee Arthroplasty
Keywords: rehabilitation
total knee arthroplasty
Lead sponsor: University of Rostock
Sponsor class: OTHER
First posted: 2014-04-22
Enrollment: 42
Sex: ALL
Minimum age (years): 50
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to compare the effectiveness of inpatient and outpatient rehabilitation following total knee arthroplasty. No studies exist that have evaluated these two rehabilitation programmes in a specific orthopaedic patient population with a focus on motor performance. We hypothesized that patients participating in outpatient care tend to be physically more active than patients in the rehabilitation clinic, leading to the assumption that outpatient rehabilitation has superior functional outcomes compared to the inpatient standard-of-care therapy.


Eligibility criteria: Inclusion Criteria:

* patients with knee osteoarthritis and scheduled for primary TKA
* age: 50-80

Exclusion Criteria:

* BMI \> 40
* musculoskeletal and neurological disorders that limit physical function
* any planned further joint surgery within 6 months
* substantial pain or functional limitation which make the patients unable to perform study procedures

Primary outcomes:
measure: physical activity (number of steps)
timeFrame: during the first seven days of rehabilitation and 3 months post surgery (posttest)
Secondary outcomes:
measure: gait performance
timeFrame: posttest (3 months after surgery)
measure: maximal active and passive knee joint range of motion
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
measure: stair climbing performance
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
measure: timed up and go performance
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
measure: joint position sense
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
measure: knee pain
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
measure: knee joint swelling
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
measure: long-term Memory representation of the gait
timeFrame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
Other outcomes:
Locations:
city: Rostock
country: Germany
facility: Department of Orthopedics, University Medicine Rostock
Study officials:
affiliation: Department of Orthopedics, University Medicine Rostock
name: Philipp Bergschmidt, MD
role: STUDY_CHAIR
affiliation: Department of Orthopedics, University Medicine Rostock
name: Wolfram Mittelmeier, MD
role: STUDY_DIRECTOR
affiliation: Department of Orthopedics, University Medicine Rostock
name: Anett Mau-Moeller, M.A.
role: PRINCIPAL_INVESTIGATOR
affiliation: Klinik für Orthopädie und Unfallchirurgie, HELIOS Klinikum Emil von Behring GmbH
name: Stephan Tohtz, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of Kinesiology, University of Rostock
name: Martin Behrens
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of Kinesiology, University of Rostock
name: Tino Stöckel, PhD
role: PRINCIPAL_INVESTIGATOR
References: