Knee Osteoarthritis
Conditions
Brief summary
In this work the importance of the potentiation and recovery of the balance with a physiotherapeutic intervention that begins in the early preoperative phase is compared with the conventional postoperative rehabilitation. The objective is to evaluate the influence of a muscle enhancement protocol in which a specific work of balance is included, with the physical benefits that this entails for the evolution of the patient. It also seeks to verify if the teaching and recommendation of exercises at home as preparation and conditioning for the intervention of ATR is effective, and to what extent, compared to a guided training in the hospital.
Interventions
OTHERPreoperative training (hospital)
Preoperative hospital training
OTHERPreoperative training (home)
Preoperative in-home training
Sponsors
Hospital Politècnic i Universitari la Fe de València
University of Valencia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Subjects with severe knee osteoarthritis that have not been operated before of total knee replacement. * The score in Berg scale must be greater than 21. * The score of the Mini-Mental State Examination must be equal or greater than 20. * Once the informed consent is read and explained, patients must accept and agree to participate in the study.
Exclusion criteria
* Post-surgical infection of the operated knee. * Pathology of central origin (i.e. cerebellar) that could interfere with balance or strength * Vestibular pathology that could interfere with balance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee injury and Osteoarthritis Outcome Score (KOOS) | change from baseline to the week before surgery, 2 and 6 weeks after surgery | Self-reported functionality assessment |
| Berg Balance Scale (BBS) | change from baseline to the week before surgery, 2 and 6 weeks after surgery | Overall state of balance. Balance among older people with impairment in balance function by assessing the performance of functional tasks from the total score achieved in the 14 items test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go Test (TUG) | change from baseline to the week before surgery, 2 and 6 weeks after surgery | Dynamic balance assessment. Also points at the risk of falling. Time of getting up from a chair, walk three meters, come back and sit again, measured in seconds |
| Knee Range of Mobility (ROM) | change from baseline to the week before surgery, 2 and 6 weeks after surgery | Knee Range of Mobility (Flexion, Extension) in degree |
| Quadriceps Strength | change from baseline to the week before surgery, 2 and 6 weeks after surgery | Electronic dynamometer in Newton |
| Euro Quality of Life 5 Dimension | change from baseline to the week before surgery, 2 and 6 weeks after surgery | Quality of Life assessment |
Countries
Spain
Outcome results
None listed