Physiotherapy, Telerehabilitation, Total Knee Arthoplasty
Conditions
Keywords
disability, geriatric
Brief summary
The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.
Detailed description
The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.
Interventions
OTHERtelerehabilitation
Procedure for both groups: I pre surgery evaluation 1. initial training in hospital 2. physiotherapeutic programme telerehabilitation versus standard 7 times a week Therapy duration: 6 weeks post-surgery II 6weeks post-surgery evaluation
PROCEDUREstandard physiotherapy
standard physiotherapy
Sponsors
University of Rzeszow
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The patients (n=105) were randomly divided into two groups: telerehabilitation group (n=54) - 42 women and 12 men and control group (n=51) 40 women and 11 men - direct physiotherapist supervised group.
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized), * informed consent to participate in the study, * full medical record, * patients' regular control visits, * knee degenerative disorder stage II and III according to Altman classification, * ability to understand and independently perform the complete physiotherapeutic programme
Exclusion criteria
* partial arthroplasty, * deformation aetiology other knee degenerative disorder, * cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints, * poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme, * intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme, * lack of informed consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in 6 - Minute Walk Test | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | Change in walking distance in 6 minutes ( in meters) |
| Change in Knee Society Score | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome. |
| Change in range of knee motion [degrees] | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | Change in knee flexion |
| Change of knee pain intensity in Visual Analogue Scale | Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy | Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain |
Countries
Poland
Outcome results
None listed