Total Knee Arthroplasty
Conditions
Brief summary
This study evaluates the effect of preoperative exercise in patients undergoing a total knee arthroplasty.
Detailed description
The objectives of this study were to investigate the effects of a single (9 sessions) prescription community based preoperative physical therapy in patients awaiting a Total Knee Arthroplasty, taking prognostic factors into account. The investigators will use different outcome measures to evaluate any possible effects.
Interventions
Each intervention session contains a stretching part and aerobic training
Sponsors
Balgrist University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
A Randomized Controlled Pilot Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing a Total Knee Arthroplasty * Signed informed consent after being informed
Exclusion criteria
* Acute pain * Weakness due to neurological problems * Known or suspected non-compliance * High BMI \> 28 * Patellar residual subluxation * High patellar height
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stair climbing test | 5 minutes | The stair climbing test (SCT) measures the time used to ascend and descend a flight of twelve steps. Patients are asked to complete the test as quickly as they felt safe and comfortable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee - Range of Motion | 2 minutes | The range of motion of the knee will be assessed. |
| Tegner Activity Scale and Lysholm Score | 10 minutes | The Lysholm score and the Tegner activity scale are widely used for assessing knee function and activity level after knee ligament injuries |
| Patient Global Impression of Change | 2 minutes | The self-report measure Patient Global Impression of Change (PGIC) reflects a patient's belief about the efficacy of treatment. |
| Risk of Discharge to a Rehabilitation Facility | 20 minutes | Costs and duration of postoperative rehabilitation will be measured with help of a personal calendar. All participants will report on this calendar any post-acute care services after surgery, Costs of skilled nursing facilities, home health agencies, and inpatient rehabilitation. |
Countries
Switzerland
Outcome results
None listed