Knee Osteoarthritis
Conditions
Keywords
knee, osteoarthritis, arthroplasty, rehabilitation
Brief summary
The purpose of this clinical trial is to compare the effectiveness of a new interactive virtual telerehabilitation (IVT) system with the conventional program in the rehabilitation of patients after total knee arthroplasty.
Detailed description
Patients are distributed into two treatment groups: 1) Group I (control): standard clinical protocol of TKA rehabilitation consisting of 1-hour sessions for 10 days; and 2) Group II (IVT): 1-hour IVT sessions for 10 days (5 sessions under a therapist's supervision to verify the absence of medical complications + 5 sessions performed at home). The IVT is an interactive virtual software-hardware platform that facilitates the development of remote rehabilitation therapy for multiple diseases. Patients receive information required to perform exercise and the therapist remotely monitors the patient's performance. For the purpose of this trial, the IVT system was designed for lower limb motor recovery in patients undergoing TKA.
Interventions
OTHERInteractive Virtual Telerehabilitation (IVT)
Rehabilitation after arthroplasty of knee using IVT
Standard care rehabilitation after total knee arthroplasty
Sponsors
Parc de Salut Mar
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Post-TKA active range of motion: flexion 80º and extension -10º * ABsence of stiffness * Ability to walk with the use of a walking aid * Ability to read and understand Spanish * Ability to understand and accept the trial procedures and to sign an informed consent form in accordance with national legislation
Exclusion criteria
* Sensory, cognitive and/or praxic impairment * Concomitant medical conditions that may influence the rehabilitation process * Discharge destination other than home * Patients with any local or systemic complication (e.g., surgical wound infection, suspicion of deep vein thrombosis…) in the three-month follow-up period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Active knee extension/flexion | Change from baseline to 2 weeks | Active knee extension/flexion measured by investigator |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscle strength | Baseline to 2 weeks | Measure of muscle stregth by investigator. That include measures of strength of the quadriceps, Harmstring muscle strength and Timed Getr-UP-ang-Go test |
| Pain | Baseline to 2 weeks | Measure of pain by visual analog scales |
| Functional capacity | Baseline to 2 weeks | Measure of functional capacity using questionnaires /Western Ontario and MacMaster University) |
Countries
Spain
Outcome results
None listed