None listed
Conditions
Brief summary
The aim of the study is to determine the impact of pre and post-operative rehabilitation provided through a digital application on Clinical and Hospital Outcomes. Clinical outcome will assessed with patient reported outcome measures and knee range of motion. Hospital outcomes measured will include length of stay and inpatient and rehabilitation costs attributed to care after TKA. Patients who are selected for Total Knee Arthroplasty (TKA) and agree to participate in the study will be randomly assigned to a control or experimental group. The control group will be provided current standard care prior to and after their surgery. The experimental group will be provided a pre and post-operative rehabilitation program consisting of Physiotherapy exercises through a mobile electronic application. The program will be monitored and modified by one Physiotherapist. The experimental group will be able to contact the Physiotherapist via telephone or email at any point during the program to discuss their progress. Patients can choose to opt in and opt out of the digital rehabilitation program and will be included in the analysis on an intention to treat basis. Prior to surgery, patient reported outcome measures will be collected to determine the patient’s pre-operative state. After surgery, various patient reported outcomes measures will be collected at two weeks, six weeks and three months to assess patient satisfaction, self-perceived confidence, pain levels and return to function. Patient reported outcome measuress will be captured via a tablet, email and / or letter, based on patient preference. Patient range of motion will be collected pre-operatively and at six weeks post-operatively by the treating surgeon. Hospital data collected will include length of stay, decision for ongoing rehabilitation and complications, which are collected as part of the hospital record. The digital application collects data on patient compliance and reported pain levels whilst using the program. Analysis will be performed between the two groups to determine the impact of pre and post-operative digital rehabilitation on clinical and hospital outcomes after TKA surgery.
Interventions
The intervention is a pre and post-operative rehabilitation program consisting of Physiotherapy exercises through a mobile electronic application.
The program will be delivered on an individual level via a telemedicine platform.
The program will be monitored and modified by one experienced orthopaedic Physiotherapist.
Participants in the interventional group will be able to contact the Physiotherapist via telephone or email at any point during the program, 6 weeks pre-operative and 6-weeks po
The intervention is a pre and post-operative rehabilitation program consisting of Physiotherapy exercises through a mobile electronic application. The program will be delivered on an individual level via a telemedicine platform. The program will be monitored and modified by one experienced orthopaedic Physiotherapist. Participants in the interventional group will be able to contact the Physiotherapist via telephone or email at any point during the program, 6 weeks pre-operative and 6-weeks post-operative, to discuss their progress. A participants individualised program will be implemented 6 weeks pre-operative following an initial assessment of the patient. The program will be progressed at a minimum of fortnightly. The participants intervention will be personalised as each participant may have different areas of strengths and weaknesses and thus a personalised approach will lead to a better outcome. This initial personalisation will occur following the initial assessment 6 weeks pre-operatively and will be based upon clinical judgement and reasoning, An individuals program may be altered at any time due to feedback from the participant, further assessment of the participant or general progression of the individuals program. The strategies used to monitor adherence will be through the mobile electronic application where participants will be required to log exercises completed, any pain association with exercises and any further comments regarding the exercise. Participants will complete this log daily.
Sponsors
360 Knee Systems
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients with symptomatic osteoarthritis who are candidates for a primary TKA surgery Patients who understand the conditions of the study and are willing to participate for the length of the prescribed follow up
Exclusion criteria
Patients who do not have proficiency in English Patients with cognitive deficiencies who will not be able to utilise the digital rehabilitation program Patients who do not consent to participate in the study
Outcome results
None listed