This study aims to evaluate the patients' mobility and quality of life prior to their total knee replacement surgery and their progress pre-operatively and 6 months post-operatively using the smart activity tracker. We hypothesize that mobility limitation presents a strong correlation with reduced quality of life.
The present study is to determine the effect of TKA based on their mobility and QOL pre and post surgery. The GPS and accelerometry-based tracker will be able to provide quantitative-based outcomes to indicate the physical activity of patients after TKR remains at or above pre-surgical levels. A total of 50 participants are to be enrolled in this cross-sectional study. Patients who will be required to undergo unilateral total knee replacement will be recruited when fulfilling the respective inclusion and exclusion criteria. The patients will undergo the standard consultations and rehabilitation pre - and post operative care, no changes to the treatment itself will be made. After recruitment and counseling by the surgeon for TKR, the patients will have pre-operative baseline clinical scores taken prior to surgery. They will subsequently have their TKR surgery. Post-operatively, they will be followed up prospectively at the clinics as well as Orthopaedics Diagnostic Centre. Their outcome will be evaluated using validated scoring system, Oxford Knee Score, SF-36, Knee Society Clinical Rating System, satisfaction questionnaire, as well as be provided with a GPS-activity tracker. 50 patients will be issued a Garmin GPS-activity tracker where they will be required to wear for 24 hours for 1 week, prior to each timepoint (pre-operatively and 6 months post surgery). The de-identified raw data gathered from the Garmin tracker will be collected by Curtin University for their analysis. The patients will undergo the standard consultations and rehabilitation pre - and postoperative care, no changes to the treatment itself will be made. Standard consultations/review by orthopaedic specialist * Pre-surgery * 6 months post surgery Standard Orthopaedic Diagnostic Center (ODC) data collection timepoints * Pre-surgrey * 6 months Standard rehabilitation care * Upon discharge * 2 - 3 weeks post discharge in outpatient services (OPS) On top of the standard consultations and rehabilitation pre - and postoperative care, the patients will be monitored on their normal lifestyle at home using a tracker worn on their wrists for 1 week, pre-operatively and 6 months post surgery.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
50
50 patients will be issued a Garmin GPS-activity tracker where they will be required to wear for 24 hours for 1 week, prior to each timepoint (pre-operatively and 6 months post surgery).
Singapore General Hospital
Singapore, Singapore
RECRUITINGKnee Society Clinical Rating system
Measuring knee range of motion, knee extension lag, knee alignment in standing using the knee society clinical rating system (KSS Scores)
Time frame: pre-surgery
Knee Society Clinical Rating system
Measuring knee range of motion, knee extension lag, knee alignment in standing using the knee society clinical rating system (KSS Scores)
Time frame: 6 months post surgery
Oxford Knee
Using the Oxford Knee questionnaire to get the oxford knee score
Time frame: pre-surgery
Oxford Knee
Using the Oxford Knee questionnaire to get the oxford knee score
Time frame: 6 months post surgery
SF 36 Health survey
SF36 questionnaires to get SF-36 scores
Time frame: pre-surgery
SF 36 Health survey
SF36 questionnaires to get SF-36 scores
Time frame: 6 months post surgery
Expectation met for surgery
Patient satisfaction form
Time frame: pre-surgery
Expectation met for surgery
Patient satisfaction form
Time frame: 6 months post surgery
Overall result of surgery
Subject's summary and outcomes form; data collected from Orthopaedic diagnostis center (ODC)
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Time frame: pre-surgery
Overall result of surgery
Subject's summary and outcomes form; data collected from Orthopaedic diagnostis center (ODC)
Time frame: 6 months post surgery
Length of stay
the number of nights spend in the hospital from the day of surgery
Time frame: up to 6 months post surgery
Premorbid history
Patients reported ambulation status before surgery, including the use of walking aids and assistance level required
Time frame: up to 6 months post surgery
Early ambulation rate
Percentage of patients who start walking postoperative day (POD) 1
Time frame: up to 6 months post surgery
Knee range-of-motion
measure knee ROM
Time frame: up to 6 months post surgery
Ability to perform a straight leg raise
If patient is able to lift their leg independently. Lag is measured by a goniometer measured by a goniometer
Time frame: up to 6 months post surgery
Type of walking aids used
The type of walking aids required, namely, walking frame, broad- and narrow-based quadstick, or walking stick (in descending order of base of support provided)
Time frame: up to 6 months post surgery
Discharge Destination
Where the patient will be going to after discharge from SGH
Time frame: up to 6 months post surgery
Data Collected from Garmin GPS-activity tracker
1. Latitude and longitudinal location coordinates to determine an individual's activity space 2. Distance travelled 3. Walking speed 4. Heart rate 5. Calories burned 6. Energy expenditure 7. Steps count 8. Physical activity
Time frame: Pre-surgery for 1 week
Data Collected from Garmin GPS-activity tracker
1. Latitude and longitudinal location coordinates to determine an individual's activity space 2. Distance travelled 3. Walking speed 4. Heart rate 5. Calories burned 6. Energy expenditure 7. Steps count 8. Physical activity
Time frame: 6 months post surgery for 1 week