Walking Stick Exercise in Patients Underwent Total Knee Arthroplasty

Knee Osteoarthritis Clinical Trial

Official title:

National Taipei University of Nursing and Health Sciences

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT05030662
• Other study ID #: YChou
• Status: Enrolling by invitation
• Phase: N/A
• Start date: August 1, 2021
• Est. completion date: October 31, 2023

Study information

• Verified date: August 2023
• Source: National Taipei University of Nursing and Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to examine whether the effect of "hiking poles exercise" on lower extremity muscular strength, knee range of motion, and quality of life in elderly patients underwent total knee arthroplasty

Description:

This is a longitudinal-experimental study. The data collection and analysis are in a single-blind manner. The study will be undertaken in the Department Orthopaedics of En Chu Kong hospital (approximate 500-bed regional teaching hospital). All patients who meet the inclusion criteria are admitted for primary total knee arthroplasty and assigned to control group or intervention group randomly. The 44 patients in the control group received routine guidance of " Rehabilitation and precautions for artificial knee replacement ". In addition to the routine guidance, the 44 patients in the intervention group received educations of " hiking poles exercise " on the day before surgery and before discharge, as well as a follow-up call at least once a week after discharge.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 88
• Est. completion date: October 31, 2023
• Est. primary completion date: May 31, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 85 Years

Eligibility

Minimum Age: 60 years Maximum Age: 85years Gender-Based: All Accepts Healthy Volunteers:No

Criteria:

Inclusion Criteria:

• Age between 60 and 85 years

• Informed consent

• Receipt of elective unilateral primary knee arthroplasty surgery.

Exclusion Criteria:

• Non-degenerative arthritis, including rheumatoid arthritis, or traumatic arthritis

• Patients receiving rehabilitation simultaneously

• Patients with other musculoskeletal or neurological problems, including fractures, Parkinsonism, cerebrovascular events, or patients with multiple comorbidities

• Cancer patients receive chemotherapy

• Patients with the peri-operative complication that has an adverse effect on outcomes,for example: intra-operative fractures, thromboembolism, peri-operative infections, or phlebitis

Related Conditions & MeSH terms

• Arthroplasty
• Knee Osteoarthritis
• Osteoarthritis
• Osteoarthritis, Knee
• Replacement

Intervention

Other:
• Walking stick exercise
Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge) The video clip of "walking stick exercise" is available to the patients. The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge.

Locations

Country	Name	City	State
Taiwan	TAIWAN	New Taipei City

Sponsors (1)

Lead Sponsor	Collaborator
National Taipei University of Nursing and Health Sciences

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	participant characteristics	age, sex, body mass index, job occupation, marriage,Primary caregiver, Exercise habits, BMI % , and education	on the day before surgery
Primary	Total knee arthroplasty of Quality of life	I hope the Walking stick exercise can to improving the total knee arthroplasty quality of life of patients. I use Knee injury and Osteoarthritis Outcome Score (KOOS). There are 5 territories analyzed in the knee injury and osteoarthritis outcome score (KOOS) calculator and a knee-related QOL, Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopedic scales and generic measures. Scores between 0 and 100 represent the percentage of the total possible score achieved. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery.	for three months
Secondary	lower limb muscle power	I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery.	for three months
Secondary	knee range of motion	I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery.	for three months