Telerehabilitation After Total Knee Arthroplasty

Telerehabilitation Clinical Trial

Official title:

Early Function Recovery in Geriatric Patients With Total Knee Arthroplasty by Telerehabilitation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04923373
• Other study ID #: 2/11/2006
• Status: Completed
• Phase: N/A
• Start date: March 1, 2010
• Est. completion date: December 15, 2011

Study information

• Verified date: June 2021
• Source: University of Rzeszow
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

Description:

The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 105
• Est. completion date: December 15, 2011
• Est. primary completion date: December 15, 2011
• Accepts healthy volunteers: No
• Gender: All
• Age group: 50 Years to 80 Years

Eligibility

Inclusion Criteria:

• total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized),

• informed consent to participate in the study,

• full medical record,

• patients' regular control visits,

• knee degenerative disorder stage II and III according to Altman classification,

• ability to understand and independently perform the complete physiotherapeutic programme

Exclusion Criteria:

• partial arthroplasty,

• deformation aetiology other knee degenerative disorder,

• cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints,

• poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme,

• intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme,

• lack of informed consent to participate in the study.

Related Conditions & MeSH terms

• Physiotherapy
• Telerehabilitation

Intervention

Other:
• telerehabilitation
Procedure for both groups: I pre surgery evaluation initial training in hospital physiotherapeutic programme telerehabilitation versus standard 7 times a week Therapy duration: 6 weeks post-surgery II 6weeks post-surgery evaluation

Procedure:
• standard physiotherapy
standard physiotherapy

Locations

Country	Name	City	State
Poland	Szpital Specjalistyczny im. Swietej Rodziny	Rudna Mala	Podkarpackie

Sponsors (1)

Lead Sponsor	Collaborator
University of Rzeszow

Country where clinical trial is conducted

Poland, 

References & Publications (5)

Benz T, Angst F, Oesch P, Hilfiker R, Lehmann S, Mueller Mebes C, Kramer E, Verra ML. Comparison of patients in three different rehabilitation settings after knee or hip arthroplasty: a natural observational, prospective study. BMC Musculoskelet Disord. 2 — View Citation

Moffet H, Tousignant M, Nadeau S, Mérette C, Boissy P, Corriveau H, Marquis F, Cabana F, Ranger P, Belzile ÉL, Dimentberg R. In-Home Telerehabilitation Compared with Face-to-Face Rehabilitation After Total Knee Arthroplasty: A Noninferiority Randomized Co — View Citation

Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, Belmonte R, Muniesa JM. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. J Rehabil Med. 2013 Apr;45(4) — View Citation

Russell TG, Buttrum P, Wootton R, Jull GA. Rehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience. J Telemed Telecare. 2004;10 Suppl 1:85-7. — View Citation

Truszczynska-Baszak A, Dadura E, Drzal-Grabiec J, Tarnowski A. Static balance assessment in patients with severe osteoarthritis of the knee. Knee. 2020 Oct;27(5):1349-1356. doi: 10.1016/j.knee.2020.06.014. Epub 2020 Jul 27. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in 6 - Minute Walk Test	Change in walking distance in 6 minutes ( in meters)	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Primary	Change in Knee Society Score	Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome.	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Primary	Change in range of knee motion [degrees]	Change in knee flexion	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Primary	Change of knee pain intensity in Visual Analogue Scale	Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy