Telerehabilitation After Total Knee Arthroplasty

University of Rzeszow105 enrolled

Overview

The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

105

Conditions

Telerehabilitation Total Knee Arthoplasty Physiotherapy

Interventions

telerehabilitationOTHER

Procedure for both groups: I pre surgery evaluation 1. initial training in hospital 2. physiotherapeutic programme telerehabilitation versus standard 7 times a week Therapy duration: 6 weeks post-surgery II 6weeks post-surgery evaluation

standard physiotherapyPROCEDURE

standard physiotherapy

Eligibility

Sex: ALLMin age: 50 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized), * informed consent to participate in the study, * full medical record, * patients' regular control visits, * knee degenerative disorder stage II and III according to Altman classification, * ability to understand and independently perform the complete physiotherapeutic programme Exclusion Criteria: * partial arthroplasty, * deformation aetiology other knee degenerative disorder, * cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints, * poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme, * intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme, * lack of informed consent to participate in the study.

Locations (1)

Szpital Specjalistyczny im. Świętej Rodziny

Rudna Mała, Podkarpackie Voivodeship, Poland

Outcomes

Primary Outcomes

Change in 6 - Minute Walk Test

Change in walking distance in 6 minutes ( in meters)

Time frame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

Change in Knee Society Score

Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome.

Time frame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

Change in range of knee motion [degrees]

Change in knee flexion

Time frame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

Change of knee pain intensity in Visual Analogue Scale

Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain

Time frame: Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

Data from ClinicalTrials.gov

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