The Effect of AI-Assisted Anatomical Visualization Training on Anxiety and Kinesiophobia in Patients Undergoing Total Knee Arthroplasty: A Randomized Controlled Study
Trial ID: NCT07545447
Status: NOT_YET_RECRUITING
Study type: INTERVENTIONAL
Phase: NA
Start date: 2026-05-15
Completion date: 2026-11-15
Sponsor: Ataturk University
Conditions: Knee Osteoarthritis; Total Knee Arthroplasty
Interventions: Standard Clinical Education; Video-Supported Education; AI-Assisted Anatomical Visualization Training
Enrollment: 150
Age range: 55 Years - None
Sex: ALL

Summary:
Total knee arthroplasty (TDA) is an effective surgical method applied to reduce pain, improve joint function, and enhance quality of life in patients with advanced osteoarthritis or joint degeneration. However, it is known that surgical success is not limited to the operation itself; pre- and post-operative processes are at least as important as the surgical technique. In particular, active patient participation, early mobilization, and adherence to exercises during the rehabilitation period directly affect treatment outcomes.

Patient education plays a critical role in this process. Accurate and sufficient information reduces patients' anxieties about the surgical process and increases their confidence in the recovery process. It also prevents the development of kinesiophobia (fear of movement), supporting patients in participating in physical activity more quickly and safely.

Patient education can be provided through various methods. Traditional approaches include face-to-face clinical training, verbal information provided by nurses or physiotherapists, written brochures, and visual materials. While this standard clinical training is effective in conveying basic information, it may have limitations in patients' ability to recall information and adapt it to daily life.

In recent years, technology-based training methods have gained increasing importance. In particular, AI-assisted video-based anatomical visualization training can present the structure of the surgery, the placement of the prosthesis, and the movement mechanism to patients in a more understandable and visual way. Such interactive and visually rich training offers advantages in terms of increasing patients' knowledge levels, reducing anxiety, and strengthening their participation in treatment.

In conclusion, success after total knee arthroplasty depends not only on the surgical intervention but also on effective patient education. Comparing standard clinical training with AI-assisted visual training methods constitutes an important area of research for improving patient outcomes.

Eligibility criteria:
Inclusion Criteria:

* Adults aged 55 years and older
* Patients scheduled for elective total knee arthroplasty due to knee osteoarthritis
* Able to understand and communicate in Turkish
* Willing to participate in the study and provide written informed consent
* No prior total knee arthroplasty on the study knee
* Cognitively able to complete questionnaires and follow study procedures

Exclusion Criteria:

* Patients scheduled for revision total knee arthroplasty
* Patients with active infection
* Presence of severe neurological or psychiatric disease (conditions that would prevent reliable application of scales)
* Severe visual or hearing loss
* Diagnosed dementia or cognitive impairment
* Individuals who refused to participate in the study

Outcomes:
Anxiety Level