Knee Arthritis
Conditions
Keywords
integrated rehabilitation, total knee arthroplasty, personalized medicine
Brief summary
This project is about the integrated rehabilitation program for the patients receiving total knee arthroplasty. The investigators are monitoring the WOMAC(Western Ontario and Mcmaster University Arthritis Index)/ Pain scores/Anxiety scores/Knee society scores in the treatment course between the intervention group and the control group.
Detailed description
This is a quasi-experimental design study. The participants received total knee arthroplasty by one single surgeon in two facilities within the same medical system (Kaohsiung Medical University affiliated hospitals). The intervention groups received integrated rehabilitation program including verbal one-on-one education, personalized post-operation rehabilitation during admission and scheduled post-operation follow up by a nurse case manager. The control group received the same surgery with traditional clinical pathway by the single surgeon in another affiliated hospital. We recorded the pain scores, state-trait anxiety inventory scores, WOMAC(Western Ontario and Mcmaster Universities Arthritis Index) scores, American Knee society scores for these participants.
Interventions
PROCEDUREintegrated rehabilitation (the collaborative patient education)
Pre-operative education and rehabilitation. During hospitalization: group rehabilitation education program. Discharge: post-operative care navigation for total knee arthroplasty
Sponsors
Kaohsiung Medical University Chung-Ho Memorial Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
A two-site, two-arm, parallel-group controlled trial of integrated rehabilitation program
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients over 65 years of age * Patients scheduled to receive unilateral total knee arthroplasty due to advanced osteoarthritis * Patients are able to understand the study and express opinions clearly * Patients are willing to participate in this study and provide informed consents
Exclusion criteria
* Patients with inflammatory joint disease * Patients with neurosensory system disease (such as stroke or parkinsonism) * Patients have intellectual impairment, or dementia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Pain Score (VAS) | From admission to 3 months after surgery | Minimum pain intensity from 0 to Maximum of 10. Higher scores mean a higher pain intensity. |
| State-trait Anxiety Inventory (STAI) | From admission to 3 months after surgery | Peri-operative anxiety scoring system. STAI varies from a minimum score of 20 to a maximum score of 80. STAI scores are commonly classified as no or low anxiety (20-37), moderate anxiety (38-44), and high anxiety (45-80). Higher scores mean higher anxiety. |
| American Knee Society Scores(AKS) | From admission to 3 months after surgery | The AKS ranges from 100 (normal knee function score) to 0 (worst knee function score). Higher scores mean a better outcome. |
| WOMAC (Western Ontario and Mcmaster Universities Arthritis Index) | From admission to 3 months after surgery | The WOMAC evaluates 3 dimensions : pain(maximal score of 20), stiffness(maximal score of 8), and physical function(maximal score of 68). Higher scores mean worse outcomes. |
Countries
Taiwan
Outcome results
None listed