Inpatient Versus Outpatient Rehabilitation After TKA

Total Knee Arthroplasty Clinical Trial

Official title:

Inpatient Versus Outpatient Rehabilitation Following Total Knee Arthroplasty

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02120313
• Other study ID #: ESAR
• Status: Completed
• Phase: N/A
• First received: April 17, 2014
• Last updated: May 19, 2017
• Start date: April 2014
• Est. completion date: June 2016

Study information

• Verified date: May 2017
• Source: University of Rostock
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to compare the effectiveness of inpatient and outpatient rehabilitation following total knee arthroplasty. No studies exist that have evaluated these two rehabilitation programmes in a specific orthopaedic patient population with a focus on motor performance. We hypothesized that patients participating in outpatient care tend to be physically more active than patients in the rehabilitation clinic, leading to the assumption that outpatient rehabilitation has superior functional outcomes compared to the inpatient standard-of-care therapy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 42
• Est. completion date: June 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 50 Years to 80 Years

Eligibility

Inclusion Criteria:

• patients with knee osteoarthritis and scheduled for primary TKA

• age: 50-80

Exclusion Criteria:

• BMI > 40

• musculoskeletal and neurological disorders that limit physical function

• any planned further joint surgery within 6 months

• substantial pain or functional limitation which make the patients unable to perform study procedures

Related Conditions & MeSH terms

• Total Knee Arthroplasty

Intervention

Other:
• inpatient rehabilitation

• outpatient rehabilitation

Locations

Country	Name	City	State
Germany	Department of Orthopedics, University Medicine Rostock	Rostock

Sponsors (1)

Lead Sponsor	Collaborator
University of Rostock

Country where clinical trial is conducted

Germany, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	physical activity (number of steps)	over a period of 7 days using activPAL activity recording system	during the first seven days of rehabilitation and 3 months post surgery (posttest)
Secondary	gait performance	spatio-temporal and temprophasic gait parameters	posttest (3 months after surgery)
Secondary	maximal active and passive knee joint range of motion	digital long-arm goniometer	change from baseline (9 days after surgery) to posttest (3 months after surgery)
Secondary	stair climbing performance	stair climbing test	change from baseline (9 days after surgery) to posttest (3 months after surgery)
Secondary	timed up and go performance	timed up and go test	change from baseline (9 days after surgery) to posttest (3 months after surgery)
Secondary	joint position sense	The subjects' ability to actively reproduce a previously presented knee flexion angle (30° and 50° of knee Flexion)	change from baseline (9 days after surgery) to posttest (3 months after surgery)
Secondary	knee pain	visual analogue scale	change from baseline (9 days after surgery) to posttest (3 months after surgery)
Secondary	knee joint swelling	measurement of circumference	change from baseline (9 days after surgery) to posttest (3 months after surgery)
Secondary	long-term Memory representation of the gait	structural dimensional analysis of mental representation (SDA-M)	change from baseline (9 days after surgery) to posttest (3 months after surgery)

External Links

•   Biomechanics and Implant Technology Research Laboratory (ForBioMit), Department of Orthopedics, University Medicine Rostock
•   Exercise Science Research Laboratory, University of Rostock
•   Stiftung Oskar Helene Heim