The purpose of this study is to compare the effectiveness of inpatient and outpatient rehabilitation following total knee arthroplasty. No studies exist that have evaluated these two rehabilitation programmes in a specific orthopaedic patient population with a focus on motor performance. We hypothesized that patients participating in outpatient care tend to be physically more active than patients in the rehabilitation clinic, leading to the assumption that outpatient rehabilitation has superior functional outcomes compared to the inpatient standard-of-care therapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
42
Department of Orthopedics, University Medicine Rostock
Rostock, Germany
physical activity (number of steps)
over a period of 7 days using activPAL activity recording system
Time frame: during the first seven days of rehabilitation and 3 months post surgery (posttest)
gait performance
spatio-temporal and temprophasic gait parameters
Time frame: posttest (3 months after surgery)
maximal active and passive knee joint range of motion
digital long-arm goniometer
Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
stair climbing performance
stair climbing test
Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
timed up and go performance
timed up and go test
Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
joint position sense
The subjects' ability to actively reproduce a previously presented knee flexion angle (30° and 50° of knee Flexion)
Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
knee pain
visual analogue scale
Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
knee joint swelling
measurement of circumference
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Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)
long-term Memory representation of the gait
structural dimensional analysis of mental representation (SDA-M)
Time frame: change from baseline (9 days after surgery) to posttest (3 months after surgery)