Rehabilitation after primary total knee arthroplasty in knee osteoarthritis patients Musculoskeletal Diseases Gonarthrosis
Conditions
Interventions
Patient information was provided according to the Declaration of Helsinki. The patients were first informed about the study by letter and then contacted by telephone by the head investigator or by the
simple mobility exercises for the lower limbs
maintenance of cardiovascular fitness) were recommended to all the participants by a physiotherapist when the decision of surgery was made. An outpatient control visit to an orthopedic surgeon was mad
Sponsors
Oulu University Hospital (Finland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients scheduled for primary unilateral TKA in the Department of Surgery at the Oulu University Hospital were recruited from the surgical waiting list. The inclusion criteria were: 1. Diagnosis of primary OA of the knee 2. Both males and females, 60 - 80 years of age 3. Primary unilateral TKA as a scheduled procedure 4. Voluntary participation in the study
Exclusion criteria
Exclusion criteria: 1. Severe cardiovascular or pulmonary disease (New York Heart Association [NYHA] III - IV) 2. Severe dementia (Mini-Mental State Examination [MMSE] less than 18) 3. Rheumatoid arthritis 4. Primary TKA scheduled as a treatment of an acute trauma of the knee 5. Planned use of a special endoprosthesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported functional ability and pain, assessed with the arthritis-specific Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) composite score and subscale scores of pain, stiffness and function in both groups preoperatively and at the 2, 6 and 12-month follow-ups. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following were assessed preoperatively and at 2-, 6- and 12-month follow-up: 1. HRQoL was measured with the generic 15D and the Rand 36-Item Health Survey 1.0 (Rand-36) 2. Demographic characteristics and surgical backgrounds were obtained preoperatively 3. Utilisation of rehabilitation services, assessed by a self-administered questionnaire at 2, 6 and 12 months after TKA 4. Physical performance tests: 4.1. Physical performance, objectively measured with a 15 metre (15 m) walk test and a stair test 4.2. Isometric strength of the knee was measured with the Lido Active Multijoint Rehabilitation System (Loredan Biomedical, USA) 4.3. Active knee flexion range of motion (ROM), measured with a standard long-arm goniometer Note: The physical performance tests were administered by five experienced physical therapists and two exercise physiologists, all of whom adhered to the protocol that included patient positioning, patient instructions, and evaluation of the results. The order of the tests remained constant throughout the study. | — |
Countries
Finland
Outcome results
None listed