Clinical Trials Logo
  1. Home
  2. Physical Therapy
  3. NCT05858086

Is Physical Therapy Clearance Before Arthroplasty Home Discharge Necessary? — PTClearSHoT  

Physical Therapy Clinical Trial

Official title:
Is Postoperative Physical Therapy Clearance Necessary for Safe Home Discharge After Total Joint Arthroplasty?

Clinical Trial Summary

Conventionally, physical therapy (PT) clearance is sought before total joint arthroplasty (TJA) discharge. However, PT staffing limitations may preclude same-day discharge in patients having surgery late in the day. Failed same-day discharge in eligible TJA patients results in unnecessary hospital bed occupancy, which increases costs, limits operating room throughput for patients requiring inpatient admission, and introduces risks associated with longer length-of-stay. In collaboration with an institutional PT department, the investigators developed a protocol for discharging same-day TJA patients without postoperative PT clearance. Immediately preoperatively, PT administers gait training. Patients are then discharged home after ambulating with post-anesthesia care unit (PACU) nurses trained by PT on postoperative mobilization. This allows for the maximum number of patients discharged home, including the last patient of the day, PT staffing limitations notwithstanding. Single-institution pilot data demonstrates no increased risk of falls, emergency room (ER) visits, or readmissions with this process. The investigators propose a prospective, controlled, multicenter study to expand on pilot data. The study aim is to assess safety of day-of-surgery preoperative PT and postoperative ambulation with PACU nursing before TJA discharge. The primary endpoint is postoperative falls, while secondary endpoints include 90-day ER visits, 90-day hospital readmissions, patient-reported outcome measures, and patient satisfaction scores.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05858086
Study type Interventional
Source University of Maryland, Baltimore
Contact
Status Not yet recruiting
Phase N/A
Start date June 2024
Completion date December 2024
View Details
See also
  Status Clinical Trial Phase
Recruiting NCT06080763 - Biomechanics and Clinical Outcomes in Responders and Non-Responders
Completed NCT04330313 - Use of Different Electrophysical Agents in Cervical Region Flexibility Training of Healthy Individuals N/A
Recruiting NCT05906875 - A Novel Balance Program to Improve Balance in People With Parkinson's Disease N/A
Completed NCT05540990 - Robot Assisted Gait Training In Children With Cerebral Palsy N/A
Active, not recruiting NCT05075525 - EFFECT OF HIGH INTENSITY LASER IN PATELLOFEMORAL PAIN SYNDROME N/A
Completed NCT04746690 - Effects of Neurodynamic Mobilization and Stretching Exercises for Chronic Discogenic Sciatica N/A
Completed NCT04958213 - The Effect of Dextrose Prolotherapy on Isokinetic Power in the Treatment of Knee Osteoarthritis Phase 4
Completed NCT04765293 - GRAVITY System Therapy on Chronic Low Back Pain N/A
Completed NCT05027620 - Feasibility of Motor-cognitive Home Training for Parkinson's Disease Using eHealth Technology N/A
Enrolling by invitation NCT05789784 - Study of Zimmer Biomet Mymobility Application on Reverse Total Shoulder Arthroplasty (RTSA) Outcomes N/A
Completed NCT03529864 - Effects of Therapeutic Exercise on Quality of Life N/A
Active, not recruiting NCT03909178 - Arthroscopic Labral Repair Versus Physical Therapy for Tears of the Acetabular Labrum N/A
Not yet recruiting NCT04566146 - Clinical Prediction Rule for Patients With Shoulder Impingement N/A
Recruiting NCT05441670 - Art and Physical Therapy in Pediatric HCT N/A
Active, not recruiting NCT06447571 - Trunk Rehabilitation Compared to Core Stability in Patients With Multiple Sclerosis N/A
Completed NCT05621265 - Efficacy of Automated Text Messaging Services N/A
Completed NCT00027105 - Morbidity Following the Diagnosis and Treatment of Patients With Breast Cancer
Recruiting NCT06056180 - The Effect of Motor Image Training on Balance Performance in Geriatric Individuals N/A
Completed NCT04524559 - Feasibility Of Oral Sensorimotor Stimulation On Oropharyngeal Dysphagia In Children With Spastic Cerebral Palsy N/A
Recruiting NCT05925205 - Muscle Energy Technique Versus Strain Counterstrain for Upper Trapezius Myofascial Pain Syndrome N/A