Telerehabilitation Clinical Trial
Official title:
Examining the Effect of Action Observation Therapy Added to the Telerehabilitation-Based Standard Exercise Program on Patient-Reported and Performance-Based Outcomes in Patients Undergoing Total Knee Arthroplasty Surgery
The goal of this clinical trial is to compare patient-reported and performance-based outcomes of patients followed with a standard exercise program based on telerehabilitation and patients followed with action observation therapy program added to a standard exercise program based on telerehabilitation after total knee arthroplasty surgery. The main questions it aims to answer are: - [What is the effect of action observation therapy added to a telerehabilitation-based standard exercise program on patient-reported outcomes after total knee arthroplasty surgery?] - [What is the effect of action observation therapy added to a telerehabilitation-based standardized exercise program on performance-based outcomes after total knee arthroplasty surgery?] Participants will be divided into three groups by computer-assisted randomization method: Group 1: home exercise with information leaflet group, Group 2: information leaflet + telerehabilitation-based standard exercise program group, Group 3: information leaflet + telerehabilitation-based standard exercise program + action observation therapy group. Patients in the second and third groups will be followed up with the telerehabilitation method accompanied by a physiotherapist for 30 minutes 3 days a week for 6 weeks after discharge. The third group will receive a standard exercise program 3 days a week and 15 minutes of action observation therapy via video conferencing.
Status | Recruiting |
Enrollment | 36 |
Est. completion date | December 31, 2025 |
Est. primary completion date | September 30, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years and older |
Eligibility | Inclusion Criteria: - Volunteer - 40 years and older - Undergo primary unilateral total knee arthroplasty surgery after the diagnosis of osteoarthritis - Can understand, speak and write Turkish - Understand verbal and written information given - Internet access - Able to use video conferencing program Exclusion Criteria: - Revision total knee arthroplasty surgery - Previous major surgery on the extremity to be operated on - Additional comorbid diseases such as rheumatoid arthritis, cancer - Has any engine defect that may affect performance - With a diagnosed psychiatric disorder - People with alcohol or drug addiction - Hearing or visual impairment that cannot be corrected with hearing aids or glasses - Morbidly obese (BMI > 40 kg/m2) - Who will not be able to participate in a six-week rehabilitation program Exclusion Criteria for Volunteers: - Patients who did not come to follow-up after surgery for any reason, - Patients who want to leave the study, - Patients who are unable to continue the study due to an additional condition will be excluded from the study. |
Country | Name | City | State |
---|---|---|---|
Turkey | Pamukkale University | Denizli |
Lead Sponsor | Collaborator |
---|---|
Pamukkale University |
Turkey,
McKeon JF, Alvarez PM, Vajapey AS, Sarac N, Spitzer AI, Vajapey SP. Expanding Role of Technology in Rehabilitation After Lower-Extremity Joint Replacement: A Systematic Review. JBJS Rev. 2021 Sep 13;9(9). doi: 10.2106/JBJS.RVW.21.00016. — View Citation
Villafane JH, Isgro M, Borsatti M, Berjano P, Pirali C, Negrini S. Effects of action observation treatment in recovery after total knee replacement: a prospective clinical trial. Clin Rehabil. 2017 Mar;31(3):361-368. doi: 10.1177/0269215516642605. Epub 2016 Jul 10. — View Citation
Windsor EN, Sharma AK, Gkiatas I, Elbuluk AM, Sculco PK, Vigdorchik JM. An Overview of Telehealth in Total Joint Arthroplasty. HSS J. 2021 Feb;17(1):51-58. doi: 10.1177/1556331620972629. Epub 2021 Feb 21. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain, stiffness and physical function (WOMAC) | • Western Ontario McMaster University Osteoarthritis Index (WOMAC): This index questions clinically significant problems in the areas of pain, stiffness and physical function in patients with osteoarthritis of the hip and knee. | 5 minutes | |
Primary | Pain intensity | Pain intensity will be assessed with the Visual Analog Scale (VAS). | 2 minutes | |
Primary | Knee range of motion | Active and passive knee range of motion will be measured in the sitting position with a digital goniometer (HALO Medical Devices, Australia). | 5 minutes | |
Primary | Physical activity assessment | IPAQ-Short Form and smartphone pedometer application (Samsung Health®) will be used for physical activity assessment. The IPAQ-Short Form consists of 7 questions asking about various degrees of physical activity and sedentary behaviors in the past 1 week. | 5 minutes | |
Primary | Lower extremity muscle strength | Lower extremity muscle strength will be assessed by 30 seconds sit and stand test. | 30 seconds | |
Primary | Walking speed | In the 40-meter walk test, the patient is asked to walk a distance of 40 meters as fast as possible and the time in seconds is recorded. | Average 5 minutes | |
Primary | Locomotor performance | Locomotor performance will be assessed with the stair climbing test. The patient will be asked to ascend and descend 9 steps 16-20 centimeters long stairs as quickly but safely as possible. | Average 5 minutes | |
Secondary | Quality of Life Assessment | KOOS-ADLS and EQ-5D scales will be used for quality of life assessment.KOOS-ADLS is a scale used to detect symptoms and limitations in daily life tasks.The EQ-5D index scale consists of a questionnaire with five dimensions (movement, self-care, usual activities, pain/discomfort and anxiety/depression). | 10 minutes | |
Secondary | Patient satisfaction assessment | Patient satisfaction with telerehabilitation sessions will be assessed. Technical quality (such as reliability of technology, quality of audio/video synchronization, quality of image, quality of sound), achievement of treatment goals of the session and overall satisfaction with the session will be questioned. | 2 minutes |
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