Relaxation; Joint, Total Knee Arthroplasty, Exercise
Conditions
Brief summary
Surgical techniques and treatment methods of the arthroplasty have been improved and the results after total knee arthroplasty (TKA) are generally good. However, some patients have suboptimal postoperative results with respect to pain and physical functioning and may not be satisfied with the results of their TKA. Psychological symptoms were found to be associated with these suboptimal results. The aim of the present study is to determine weather relaxation techniques had beneficial effects on pain, sleeping quality, functional status and physiological symptoms in TKA patients during their hospital stay.
Interventions
OTHERRelaxation Treatment
Relaxation Group recieve progressive muscle relaxation exercises additional to the standard exercises. The relaxation exercises are applied two times a day till the discharge day starting on the postoperative day one. Progressive muscle relaxation included the relaxing of different muscle groups along with deep breathing. The maximal contraction period consist of the contraction of muscle groups around ankle, calf, knee, hip, lumbar, thoracic and cervical regions, shoulder, arm, forearm for 5 s and continued with a relaxation period for 30 s while focusing on breathing. These two periods ware repeated for each muscle groups and lasted approximately 30 min
OTHERStandard Exercises
The physiotherapy protocol is applied under the supervision of the same physiotherapist within a progressive manner immediately after surgery. Continued passive range of motion is applied twice a day starting with 45º of knee flexion range of motion and increased gradually as tolerated. All patients performed same isometric, isotonic and active exercises. Patients were instructed to bear weight as tolerated on the postoperative day 1
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
55 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* primary knee osteoarthritis, Female Patients who are scheduled for unilateral Total Knee Arthroplasty surgery, were included in the study.
Exclusion criteria
* having a previous knee or hip surgery or fracture, diagnosis of rheumatoid arthritis, severe obesity (BMI\>40 kg/m2), sensory and motor disorders in the operated limb, inability to understand pain assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Level Change | Mean change from Postoperative day 1 to day 4 recorded | Visual analog scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee Range of Motion Change | Mean change from Postoperative day4 to 6 weeks following surgery recorded | Flexion and Extension |
| Functional Outcomes Change | Mean change from Postoperative day4 to 6 weeks following surgery recorded | Timed Up and Go |
| Sleep Quality Change | Mean change from Postoperative day 1 to day 4 recorded | Visual analog scale |
Outcome results
None listed