Effect of Physiotherapy After Total Knee Replacement

Knee Osteoarthritis Clinical Trial

Official title:

The Immediate and Long Term Effects of a Walking-skill Program Compared to Usual Physiotherapy Care in Patients Who Have Undergone Total Knee Arthroplasty (TKA): A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00807716
• Other study ID #: 2008/2436
• Status: Completed
• Phase: N/A
• First received: December 11, 2008
• Last updated: December 4, 2014
• Start date: October 2008
• Est. completion date: December 2011

Study information

• Verified date: December 2014
• Source: University of Oslo
• Contact: n/a
• Is FDA regulated: No
• Health authority: Norway: Norwegian Social Science Data ServicesNorway:National Committee for Medical and Health Research Ethics
• Study type: Interventional

Clinical Trial Summary

Physiotherapy plays an important part in rehabilitation after total knee arthroplasty. Even if this is a common practice, few studies have been performed on this issue.

The prime aim of this study is to examine the effects of an ambulatory individualized task-oriented exercise program compared with current ambulatory physiotherapy(usual care)on activity performance and self efficacy beliefs in the time span 6 weeks to 3 months after total knee arthroplasty with a follow-up at twelve months.

HO:Task oriented physiotherapy has better effect than usual care on activity performance and self-efficacy beliefs in the time span 6 weeks to 3 months after total knee replacement.

Description:

A randomized controlled trial was performed with an experiment group having task oriented exercises in only weight-bearing 12 times from 6 weeks to 12 weeks after the operation, while the control group had usual physiotherapy care during the same time span. The primary outcome was walking measured by the six minutes walk test. Other performed and self reported measures of physical functioning were performed, at baseline, six weeks after the operation, immediately after the intervention at 12-14 weeks and with a follow-up nine months after the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 57
• Est. completion date: December 2011
• Est. primary completion date: December 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

• Primary gonarthrosis

• Good written and oral understanding of Norwegian

• Good cognitive function

Exclusion Criteria:

• Severe gonarthrosis in the other knee or coxarthrosis

• Neurological disorders or rheumatoid arthritis

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Knee Osteoarthritis
• Osteoarthritis, Knee

Intervention

Other:
• walking skill group
12 Individualized group training sessions with focus on functional exercises like walking and stair climbing including balance training under physiotherapy guidance, 12 times 70 minutes.
• usual physiotherapy care
physiotherapy, mostly in non-weight bearing, 12 times 40 minutes

Locations

Country	Name	City	State
Norway	Section of Nursing and Health Science, University of Oslo	Oslo

Sponsors (1)

Lead Sponsor	Collaborator
University of Oslo

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	6 minutes walk test		preoperatively, baseline at 6 weeks, after the intervention at 3 months, 12onths	No
Secondary	Self reported pain and activity level(KOOS)		preoperatively, 6 weeks, 3 months and 12 months	No