None listed
Conditions
Brief summary
The primary purpose of this study is to compare the effects of targeted hip strengthening with those of traditional care in a total knee replacement rehabilitation program. The hypotheses of this study are: 1. The targeted hip strengthening program will result in greater performance and patient reported outcomes when compared to usual care rehabilitation. 2. The targeted hip strengthening program will result in greater increases in hip strength than the usual care rehabilitation program.
Interventions
The intervention involves usual care rehabilitation with additional hip strengthening exercises following total knee arthroplasty (TKA). The exercises in the usual care program are representative of usual care following TKA at Donvale Rehabilitation Hospital and focus on quadriceps, hamstring and calf muscle strengthening, and increasing knee range of movement. The exercises performed are static quadriceps contractions, knee extension over a fulcrum, forward step-ups, squats, leg press and forwa
The intervention involves usual care rehabilitation with additional hip strengthening exercises following total knee arthroplasty (TKA). The exercises in the usual care program are representative of usual care following TKA at Donvale Rehabilitation Hospital and focus on quadriceps, hamstring and calf muscle strengthening, and increasing knee range of movement. The exercises performed are static quadriceps contractions, knee extension over a fulcrum, forward step-ups, squats, leg press and forward step downs (for quadriceps strengthening), hamstring curls in prone and standing (for hamstring strengthening), calf raises (for calf strengthening), knee flexion, exercise bike and knee extension stretches (for increasing knee range of movement). The additional hip strengthening exercises are hip abduction, hip extension, sideways walking and hip hitching. The intervention will commence on admission to inpatient rehabilitation (approximately 7 days post-operatively). The intervention will continue for 1 hour sessions, twice daily for 10 days as an inpatient, followed by 1 hour sessions approximately twice per week for 3-4 weeks as an outpatient.The number of outpatient physiotherapy sessions delivered will be determined by the treating physiotherapist based on clinical progress. The intervention will be delivered by the treating physiotherapists. The participants will complete a home exercise program to continue the intervention independently after discharge.The exercises to be performed will be identical to those performed in the physiotherapy session with instructions for progression, e.g. the addition of resistance. The participants will be given a booklet with diagrams and descriptions of the exercises to be performed for 1 hour once daily until the final follow-up period at 6 months post-operatively. Adherence will be monitored by participant notes kept by the treating physiotherapist at the physiotherapy sessions which include the type of exercises and dosage. Following discharge from outpatient physiotherapy, patients will record daily exercises in a diary.
Sponsors
Margaret Schache
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients will be eligible if they have had a primary unilateral total knee arthroplasty for end-stage knee osteoarthritis in the previous two weeks and are admitted for inpatient rehabilitation followed by outpatient rehabilitation at Donvale Rehabilitation Hospital.
Exclusion criteria
Patients will be excluded if they have unstable medical conditions preventing them from participating in the rehabilitation programs, history of ipsilateral hip replacement, ipsilateral hip osteoarthritis or lateral hip pain, neurological or any other conditions affecting strength or function of the lower limbs.
Outcome results
None listed