Traditional PT v Internet Based PT After Total Knee Arthroscopy

Physical Therapy Clinical Trial

Official title:

Comparison of Traditional Physical Therapy to Internet-Based Physical Therapy After Knee Arthroscopy: A Prospective Randomized Controlled Trial Comparing Patient Outcomes and Satisfaction

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04843280
• Other study ID #: DMAZ17D.288
• Status: Completed
• Phase: N/A
• Start date: July 30, 2017
• Est. completion date: February 19, 2019

Study information

• Verified date: April 2021
• Source: Rothman Institute Orthopaedics
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Knee arthroscopy results in significant improvements in functional outcomes, pain relief and quality of life for patients suffering from mechanical symptoms associated with meniscal tears. Patients are able to return to their activities of daily living, occupation, or sport without significant limitations. Traditionally, patients have undergone formal physical therapy (PT) after knee arthroscopy to regain function. There is a significant cost and time commitment associated with traditional outpatient physical therapy. An internet based therapy program allows patients to perform therapy at home on their own time schedule. A recent study demonstrated that patients who undergo internet based PT after total knee arthroplasty performed as well patients receiving traditional physical therapy. These findings have not been studied in the knee arthroscopy patient population. The goal of this study is to compare traditional outpatient physical therapy rehabilitation to Internet-based rehabilitation in patients undergoing knee arthroscopy for partial meniscectomy.

The purpose of this study is to compare functional outcome, and patient satisfaction, internet-based rehabilitation program vs. standard outpatient physical therapy after unilateral knee arthroscopy for meniscal tear.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 167
• Est. completion date: February 19, 2019
• Est. primary completion date: February 19, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Any patient undergoing unilateral primary knee arthroscopy for meniscal tear

• Any patient 18 years or older

Exclusion Criteria:

• Patients without access to the Internet

• Post-traumatic osteoarthritis

• Patients with ligamentous injury

• Patients with full thickness cartilage defects

• Patients with osteoarthritis or inflammatory arthritis

• Revision or conversion knee arthroscopy

• Patients receiving workers compensations

• Patients discharged to a rehabilitation unit or other form of respite care such as a skilled nursing facility, acute rehabilitation center, convalescent home, long-term care facility or nursing home.

Related Conditions & MeSH terms

• Physical Therapy

Intervention

Procedure:
• FORCE therapeutics (physical therapy)
6 weeks of internet based physical therapy following arthroscopic knee surgery
• Traditional Outpatient Physical Therapy
6 weeks of outpatient physical therapy following arthroscopic knee surgery

Locations

Country	Name	City	State
United States	Rothman Orthopaedic Institute	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Rothman Institute Orthopaedics

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postoperative Knee Function	Investigators will be measuring whether there is an increase in participants function as assessed by the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation. This will be measured on a scale of 0-100 with 0 being the lowest level of function and 100 being the highest level of function	4 months
Primary	Cost analysis	cost analysis survey will be completed by participants to determine if there is a difference in outpatient physical therapy versus internet based physical therapy	4 months
Primary	Postoperative Physical therapy Patient Satisfaction	Participant satisfaction with physical therapy will be assessed using the physical therapy satisfaction evaluation. This consist of a single question asking the participant how satisfied they are with their surgery on a scale of 0-10. 0 being not satisfied at all and 10 being extremely satisfied.	4 months