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Physical Therapy Prior to Total Knee Replacement

Effect of Physical Therapy on Grade 3 or 4 Knee Osteoarthritis

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02279277
Enrollment
148
Registered
2014-10-31
Start date
2014-10-31
Completion date
Unknown
Last updated
2014-10-31

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

Conditions

Osteoarthritis of the Hip

Brief summary

In this study, the investigators are investigating the effects of physical therapy (PT) for treating high grade knee osteoarthritis (OA) in patients that are candidates for total knee replacement. Through the examination of patient outcomes, such as pain, stiffness, and physical function, the investigators will determine if PT prior to total knee replacement is an effective treatment in a patient with high grade OA.

Interventions

BEHAVIORALSupervised physical therapy program prior to total knee replacement surgery

Sponsors

Rothman Institute Orthopaedics
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Knee osteoarthritis (Kellgren-Lawrence grade 3 or 4) confirmed via standing AP radiograph 2. Surgical candidate for TKA, having had a least a 3 months of pain affecting ADL's unresponsive to conservative treatment consisting of AT LEAST one non-narcotic medication AND one injection (corticosteroid or series of viscosupplementation). Injection must not have been administered within 6 weeks of start of PT trial 3. Prior knee surgery from arthroscopies, meniscal surgery and ligament reconstruction

Exclusion criteria

1. Anyone who received physical therapy in the last 6 months 2. Inability to walk unaided for \>1 block 3. Currently engaged in regular PT or a regular home exercise program 4. Prior knee arthroplasty 5. Prior knee surgery for trauma, tumor and osteotomy 6. Injection given within 6 weeks of starting therapy 7. Patients using daily narcotic medications within prior 6 weeks

Design outcomes

Primary

MeasureTime frame
Range of Motion following Total Knee Replacement6 weeks

Secondary

MeasureTime frame
Patient reported perception of pain following total knee replacement6 weeks
Return to functional activities following total knee replacement6 weeks

Outcome results

None listed

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