Pre-operative One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After Total Joint Arthroplasty

Arthroplasty Clinical Trial

Official title:

One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After TJA

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02872337
• Other study ID #: 2015-306
• Status: Completed
• Phase: N/A
• Start date: February 2015
• Est. completion date: November 2015

Study information

• Verified date: June 2023
• Source: Hospital for Special Surgery, New York
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study was to evaluate the efficacy of a one-time, preoperative physical therapy protocol on postoperative (1) discharge disposition, (2) pain, function and stiffness and (3) patient satisfaction.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 126
• Est. completion date: November 2015
• Est. primary completion date: October 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

Inclusion Criteria:

• Subjects will be required to meet the following inclusion criteria in order to participate:

• Unilateral Primary Knee OA or Hip OA

• Patients at least 18 years old up to 85.

• Undergoing surgery with one of the following study surgeons

• Able to independently ambulate = half a block with or without assistive device

• Able to independently perform non-reciprocal stairs with or without assistive device/rails

• Patients that plan to D/C home post TKA / THA

• Patients that speak English only.

Exclusion Criteria:

• Rheumatoid arthritis

• Psoriatic arthritis

• Juvenile rheumatoid arthritis

• Knee or Hip revisions

• Patients under 18 years of age

• Patients unwilling or unable to complete PRO instrument or study questionnaires at the specified study time points pre-operatively or post-operatively

• Bilateral TKA and THA

• Uni-condylar knee arthroplasty or Hip resurfacing

• Patellar reconstruction

• Patient on disability, workman's compensation

• Patients unwilling to participate in PEdPTWP and/or Patient education class and booklet.

• Patients that plan to D/C to rehabilitation center post TKA and THA

• Patients that do not speak English

• Patients that do not have access to computer

Related Conditions & MeSH terms

• Arthroplasty

Intervention

Behavioral:
• Preoperative Physical Therapy Session
This was a one-on-one preoperative physical therapy session on preoperative education. These patients were also given access to a surgery specific web-based microsite
• Group Preoperative Education Session (per the standard of care)

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Hospital for Special Surgery, New York

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT	This included a review of the hospital database for hospital discharge time. At this institution PT discharge is defined as the ability to (1) independently transfer, (2) independently ambulate approximately 150 feet and (3) independently negotiate stairs (4) independent with home exercise program and activities of daily living.; All of this data was recorded from hospital records	Through Study Completion, an average of 3 days
Secondary	Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)	This standard patient reported outcome was filled out preoperatively or at six weeks postoperatively	This standard patient reported outcome was filled out preoperatively or at six weeks postoperatively
Secondary	Patient Satisfaction Scores	Patient satisfaction was measured by a series of patient administered questionnaires at various stages of the study. All satisfaction questions, with the exception of the utilization of the microsites [Yes/No], were asked via a visual analogue scale to disagree or agree with given statements [0-5, where 0 was strongly disagree, 3 was neutral and 5 was strongly agree]. Patients unable to complete any forms at the time of the appointment completed the form over the phone with a co-investigator.	from two weeks prior to surgery until 6 weeks after surgery
Secondary	Time to meet Physical Therapy discharge criteria	At this institution PT discharge is defined as the ability to (1) independently transfer, (2) independently ambulate approximately 150 feet and (3) independently negotiate stairs (4) independent with home exercise program and activities of daily living.	Time from Surgery to meeting PT discharge criteria, an average of 3 days
Secondary	Hospital Length of Stay	collected from a hospital database	Time from Surgery until Hospital Discharge, an average of 2-3 days