Arthroplasty, Knee Osteoarthritis, Replacement
Conditions
Keywords
total knee arthroplasty, Walking stick exercise
Brief summary
The purpose of this study is to examine whether the effect of hiking poles exercise on lower extremity muscular strength, knee range of motion, and quality of life in elderly patients underwent total knee arthroplasty
Detailed description
This is a longitudinal-experimental study. The data collection and analysis are in a single-blind manner. The study will be undertaken in the Department Orthopaedics of En Chu Kong hospital (approximate 500-bed regional teaching hospital). All patients who meet the inclusion criteria are admitted for primary total knee arthroplasty and assigned to control group or intervention group randomly. The 44 patients in the control group received routine guidance of Rehabilitation and precautions for artificial knee replacement . In addition to the routine guidance, the 44 patients in the intervention group received educations of hiking poles exercise on the day before surgery and before discharge, as well as a follow-up call at least once a week after discharge.
Interventions
OTHERWalking stick exercise
1. Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge) 2. The video clip of walking stick exercise is available to the patients. 3. The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge.
Sponsors
National Taipei University of Nursing and Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Sigle,were not involved in the study assessments beyond recording the timed-get-up-and-go test before and after the treatment intervention
Eligibility
Sex/Gender
ALL
Age
60 Years to 85 Years
Healthy volunteers
Yes
Inclusion criteria
Minimum Age: 60 years Maximum Age: 85years Gender-Based: All Accepts Healthy Volunteers:No Criteria: Inclusion Criteria: * Age between 60 and 85 years * Informed consent * Receipt of elective unilateral primary knee arthroplasty surgery.
Exclusion criteria
* Non-degenerative arthritis, including rheumatoid arthritis, or traumatic arthritis * Patients receiving rehabilitation simultaneously * Patients with other musculoskeletal or neurological problems, including fractures, Parkinsonism, cerebrovascular events, or patients with multiple comorbidities * Cancer patients receive chemotherapy * Patients with the peri-operative complication that has an adverse effect on outcomes,for example: intra-operative fractures, thromboembolism, peri-operative infections, or phlebitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total knee arthroplasty of Quality of life | for three months | I hope the Walking stick exercise can to improving the total knee arthroplasty quality of life of patients. I use Knee injury and Osteoarthritis Outcome Score (KOOS). There are 5 territories analyzed in the knee injury and osteoarthritis outcome score (KOOS) calculator and a knee-related QOL, Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopedic scales and generic measures. Scores between 0 and 100 represent the percentage of the total possible score achieved. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| lower limb muscle power | for three months | I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery. |
| knee range of motion | for three months | I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery. |
Other
| Measure | Time frame | Description |
|---|---|---|
| participant characteristics | on the day before surgery | age, sex, body mass index, job occupation, marriage,Primary caregiver, Exercise habits, BMI % , and education |
Countries
Taiwan
Outcome results
None listed