The purpose of this study is to determine whether a pre-operative home rehabilitation exercise program designed for knee replacements is more effective than pre-operative usual care.
Patients with lower levels of function prior to total knee arthroplasty (TKA) attain lower functional endpoints after surgery. Therapeutic exercise improves function in patients with arthritis of the knee, yet little evidence has examined the impact of pre-operative exercise for TKA. Single blinded randomized clinical trial comparing a pre-operative home exercise program to pre-operative usual care for patients who are waiting for TKA.Comparison group is usual care within the health region which does not include pre-operative rehabilitation program. Primary outcome: WOMAC function subscale. Secondary outcomes: 1) quality of life; 2) ambulation; 3) self-efficacy; 4) anxiety; 5) patient satisfaction; 6) cost-effectiveness of this intervention. Total Enrollment: 230 patients If the intervention improves function prior to surgery, results will be clinically applicable for patients waiting for surgery
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
240
University of Alberta- Capital Health
Edmonton, Alberta, Canada
Self-reported function
Self-reported function
Time frame: 5 evaluations within 6 months after surgery
Quality of life, self-efficacy, ambulation, anxiety and patient satisfaction
Quality of life
Time frame: 5 evaluations within 6 months after surgery
self-efficacy
self-efficacy
Time frame: 5 evaluations within 6 months after surgery
ambulation, anxiety and patient satisfaction
ambulation
Time frame: 5 evaluations within 6 months after surgery
anxiety
anxiety
Time frame: 5 evaluations within 6 months after surgery
patient satisfaction
patient satisfaction
Time frame: 5 evaluations within 6 months after surgery
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