Comparison of Telerehabilitation vs Clinical Setup Rehabilitation in TKR Patients

Knee Injuries Clinical Trial

Official title:

Comparison of Telerehabilitation vs Clinical Setup Rehabilitation in TKR Patients

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06457620
• Other study ID #: MSRSW/Batch-Fall22/725
• Status: Active, not recruiting
• Phase: N/A
• Start date: November 1, 2023
• Est. completion date: October 30, 2024

Study information

• Verified date: June 2024
• Source: Superior University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study examines the feasibility, attainability, and patient satisfaction of telerehabilitation and clinical consultation rehabilitation.

Description:

The objective is to assess whether telerehabilitation can provide comparable or significantly better outcomes in terms of functional recovery, pain management, improved range of motion, and patient satisfaction for Total Knee Replacement (TKR) patients. If telehealth interventions prove successful, they can be implemented to increase access to high-quality rehabilitation treatments and enhance healthcare delivery. Evidence-based findings from this study can help healthcare providers make educated decisions about incorporating telerehabilitation into post-operative rehabilitation protocols, thereby enhancing patient care and optimizing resource utilization in orthopedic settings.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 36
• Est. completion date: October 30, 2024
• Est. primary completion date: May 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years to 75 Years

Eligibility

Inclusion Criteria:

• Male and female patients diagnosed with TKR

• Older Age above 65

• Patient communicates with medical staff

• Patient with cemented TKA

• Patients who underwent TKA owing to degenerative arthritis

Exclusion Criteria:

• Older patients aged >75 years

• Patient with a history of knee joint surgery before TKA

• Patient who possibly had a systematic inflammatory disease such as rheumatoid arthritis.

• Patients with difficulty in seeing, hearing, and walking independently

• Patients having a history of mental illnesses (Stroke, Multiple sclerosis, Parkinsonism, Alzheimer's Disease)

• Patient history of severe mobility disorder

• Systemic illness (Liver Failure, Active cancer, Cardiopulmonary distress)

Related Conditions & MeSH terms

• Knee Injuries

Intervention

Behavioral:
• Conventional Physiotherapy
Each participant received conventional physiotherapy at the clinic as a part of their management plan. Group A exercise was five times a week for thirty minutes, beginning on the third day after total knee arthroplasty (TKA). The program aimed to improve leg strength, core stability, balance, and overall performance through exercise instructions. The baseline evaluation was completed one day before the TKA, and the posttest was completed four weeks after the TKA.

Other:
• Traditional Physical Preatment
Each participant got traditional physical treatment during a video conference as part of telerehabilitation. The physiotherapy assistant contacted Group B to arrange a virtual follow-up clinic appointment via Zoom or WhatsApp, along with a 4-week program. We inquired about the patient's level of satisfaction with their TKR procedure. The patient was informed that clinical photos were taken, and the video call was to be recorded. Before the virtual clinic, each patient's verbal agreement was acquired. With workout instructions, the program pursued to enhance leg strength, core stability, balance, and overall performance. The posttest was conducted four weeks after the TKA, and the baseline assessment was finished one day before the procedure.

Locations

Country	Name	City	State
Pakistan	Acti Life Physiotherapy and Rehabilitation Center Horizon Hospital	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Superior University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Western Ontario and McMaster Universities Osteoarthritis (WoMAC)	The WOMAC consists of three subscales: pain (five questions), stiffness (two questions), and physical function (17 questions). The subscale scores can vary, with pain ranging from 0 to 20 points; stiffness, 0 to 8 points; and physical function, 0 to 68 points. ,	12 Months
Primary	Knee Outcome Survey-Activities of Daily Living (KOS-ADLS)	The Knee Outcome Survey (KOS) is a patient-completed questionnaire that provides a percentage of disability during every day activities (activities of daily living subscale) or sports (sports activity subscale). The lower the percentage, the higher the disability.	12 months