Total Knee Arthroplasty (TKA), Osteoarthritis of knee. Osteoarthritis of knee
Conditions
Interventions
Intervention 1: The participants in this group will enjoy immersion in the virtual environment for 10 minutes while performing manual therapy techniques by the physiotherapist in addition to conventio
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
55 Years to 75 Years
Inclusion criteria
Inclusion criteria: Age range 55 to 75 years Unilateral TKA for the first time Refer to physiotherapy up to three months after surgery Knee pain intensity above 3 on the VAS scale at rest Restriction of the range of motion of the knee joint more than 30 degrees
Exclusion criteria
Exclusion criteria: Overweight (body mass index above 30 kg/m2) Severe osteoporosis Ligament damage or prosthesis fracture during surgery Previous orthopedic surgeries on the same limb (Total hip Arthroplasty) Unstable health condition (heart or lung disease), use of psychoactive drugs Complications after surgery (fever, failure of wound healing, open wound after surgery, deep vein thrombosis) Visual or hearing impairment Balance disorder, dizziness, use of antiepileptic drugs Inability to understand exercise instructions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity in the knee joint will be measured by a Visual Analog Scale (VAS). Timepoint: 1. Evaluation at the beginning of each session 2. Evaluation during the application of manual therapy techniques 3. Evaluation at the end of each session 4. Evaluation at the follow-up session two months after the last session. Method of measurement: Patients will determine the intensity of their pain on a horizontal 100 mm chart, where 0 indicates no pain and 100 indicates the highest level of pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| The range of motion of the knee joint in the open chain will be measured by a goniometer. Timepoint: 1. Initial evaluation before the start of the first session 2. Final evaluation at the end of the tenth session. Method of measurement: The patient is lying in a supine position and the hip joint is bent to 90 degrees without rotation, in order to prevent additional movements, one hand of the therapist is placed on the thigh and one hand is placed on the ankle, and the person brings the ankle as close to the hip as possible. The maximum range of knee flexion in TKA patients will be 120 degrees.;Functional disability of the knee will be evaluated by the Persian version of The Western Ontario and McMaster Universities Arthritis Index Questionnaire (WOMAC). Timepoint: 1. Initial evaluation before the start of the first session 2. Evaluation at the end of the 10th session 3. Final evaluation in the follow-up session two months after the last session. Method of measurement: The equivalent Persian version of the WOMAC questionnaire will be used to check the level of functional disability in the knee joint. This questionnaire is a form that is used to evaluate the functional status and general health of the patient in knee arthritis, which includes 33 questions and measures the patient's health and performance from various aspects, including: clinical symptoms, joint stiffness, pain intensity, and daily activities.;The level of satisfaction with the treatment will be measured by the treatment satisfaction form with 7 questions and scoring from 1 to 6. Timepoint: 1. Evaluation at the end of the tenth session 2. Evaluation at the follow-up session two months after the last session. Method of measurement: The participants will complete the treatment satisfaction form, which includes 7 questions and scores from 1 to 6, from very dissatisfied to very satisfied.;Adherence to exercise will be measured by the Exercise Adherence Rating Scale (EARS). Timepoint: 1. Evaluation at the e | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZahra Salahzadeh
Tabriz University of Medical Sciences
Outcome results
None listed