Effect of Physiotherapy After Total Knee Replacement

The Immediate and Long Term Effects of a Walking-skill Program Compared to Usual Physiotherapy Care in Patients Who Have Undergone Total Knee Arthroplasty (TKA): A Randomized Controlled Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00807716

Enrollment

Registered

2008-12-12

Start date

2008-10-31

Completion date

2011-12-31

Last updated

2014-12-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee Osteoarthritis

Keywords

physiotherapy, functional outcome, activity level, self efficacy, task oriented exercises

Brief summary

Physiotherapy plays an important part in rehabilitation after total knee arthroplasty. Even if this is a common practice, few studies have been performed on this issue. The prime aim of this study is to examine the effects of an ambulatory individualized task-oriented exercise program compared with current ambulatory physiotherapy(usual care)on activity performance and self efficacy beliefs in the time span 6 weeks to 3 months after total knee arthroplasty with a follow-up at twelve months. HO:Task oriented physiotherapy has better effect than usual care on activity performance and self-efficacy beliefs in the time span 6 weeks to 3 months after total knee replacement.

Detailed description

A randomized controlled trial was performed with an experiment group having task oriented exercises in only weight-bearing 12 times from 6 weeks to 12 weeks after the operation, while the control group had usual physiotherapy care during the same time span. The primary outcome was walking measured by the six minutes walk test. Other performed and self reported measures of physical functioning were performed, at baseline, six weeks after the operation, immediately after the intervention at 12-14 weeks and with a follow-up nine months after the intervention.

Interventions

OTHERwalking skill group

12 Individualized group training sessions with focus on functional exercises like walking and stair climbing including balance training under physiotherapy guidance, 12 times 70 minutes.

OTHERusual physiotherapy care

physiotherapy, mostly in non-weight bearing, 12 times 40 minutes

Study design

Allocation

RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

55 Years to No maximum

Healthy volunteers

Inclusion criteria

* Primary gonarthrosis * Good written and oral understanding of Norwegian * Good cognitive function

Exclusion criteria

* Severe gonarthrosis in the other knee or coxarthrosis * Neurological disorders or rheumatoid arthritis

Design outcomes

Primary

Measure	Time frame
6 minutes walk test	preoperatively, baseline at 6 weeks, after the intervention at 3 months, 12onths

Secondary

Measure	Time frame
Self reported pain and activity level(KOOS)	preoperatively, 6 weeks, 3 months and 12 months

Countries

Norway

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026