Rehabilitation, Total Knee Arthroplasty
Conditions
Keywords
Fast Rehabilitation, Inpatient Rehabilitation, Total Knee Arthroplasty
Brief summary
Rehabilitation is an important part of the post-operative treatment after TKA by consensus. This study intends to analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Detailed description
Rehabilitation, which is an important part of the post-operative treatment after TKA, could effectively alleviate symptoms of pain and swell, as well as improve knee joint and general function. It has reached a consensus that post-TKA rehabilitation should contain muscle strengthening, ROM, proprioceptive, balance training and physical factor therapy, etc. This study intends to use observational cohort study methods with exposure factor of fast inpatient rehabilitation after TKA, establish a TKA exposure group and a control group of TKA without inpatient rehabilitation, analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Interventions
COMBINATION_PRODUCTFast Inpatient Rehabilitation
Routine inpatient rehabilitation protocol, administered by licensed Physical Therapist, duration period of 1.5h-2h each time, 2 times for weekdays and 1 time for weekends, totally lasting for 1 week, are applied to the exposed group. After the fast inpatient rehabilitation for 1 week, the patients can get discharged if reaching to the rehabilitation goals of symptoms of pain and swell reduced, knee flexion ≥ 90° and knee extension ≥ 0°, quadriceps femurs and hamstrings muscle strength enhanced, recovery to aided standing and walking, and acquiring of rehabilitation training methods.
Sponsors
Peking University Third Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Initial unilateral TKA patients due to osteoarthritis, rheumatoid arthritis, etc. * Satisfactory operative knee joint ROM: knee flexion ≥120° and extension ≥ 0°. * Prior informed consent by patients.
Exclusion criteria
* Complication of other medical conditions and disability to cooperate with rehabilitation. * Complication of other conditions affecting bilateral lower limbs such as fracture, tumor, neurologic disorder, etc. * Deep venous thrombosis of lower limbs with exception of inter-muscular venous thrombosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| bilateral knee Rang Of Motion (ROM) | 1 day after TKA | bilateral knee flexion and extension ROM are measured by articular protractor |
| bilateral quadriceps femurs | 1 day after TKA | measured by manual muscle test (MMT) |
| hamstrings muscle strength | 1 day after TKA | measured by manual muscle test (MMT) |
| Hospital for Special Surgery-Knee Rating scale (HSSKR) | 1 day after TKA | to measure knee function, with the minimum 0 and maximum 100, higher score means a better outcome |
| modified Barthel Index (mBI) | 1 day after TKA | to measure ADL, with the minimum 0 and maximum 100, higher score means a better outcome |
| Numerical Rating Scale (NRS) for pain | 1 day after TKA | the minimum is 0 and maximum 10, higher score means a worse outcome |
| NRS for pain | 6 weeks after TKA | — |
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | 1 day after TKA | to measure knee function and global function, with the minimum 0 and maximum 100, higher score means a better outcome |
| KOOS | 6 weeks after TKA | — |
Countries
China
Contacts
Primary ContactYanyan Yang, MD
Backup ContactWenjing Qi, MD
Outcome results
None listed