Arthritis Knee
Conditions
Brief summary
The goal of this study is to explore an under-researched aspect of recovery. Typically, post-operative care after a knee arthroplasty consists of compression (stockings), medications, rest, ice, elevation, physical therapy, and wound care. All of these treatments perform their role well, however, medications such opiates run the risk of addiction. An additional method of pain management such as heat application to the surrounding musculature warrants exploration. The goal of this study is to reduce the amount of pain, and improve the quality of life in post-operative patients. Pain, stiffness, symptoms, quality of life and function of the knee will be evaluated utilizing patient-reported measures and range of motion. Patients will be assessed using the Knee Injury and Osteoarthritis Outcome survey (KOOS Jr), Visual Analogue Scale (VAS) and PROMIS. Patients will be given these surveys during their two and six week check-in with the surgeon. In addition to these patient-reported measures, the investigators will also be tracking range of motion (ROM) and opioid usage. The data will then be collected via the patient's electronic health record, or by the researcher directly. The treatment group will be given a written order to apply heat to the quadriceps at least three times per day for 10-15 minutes each. This can be done in four hour increments or when patients symptoms begin to worsen. The patient will receive a rice sock for heat application. The control group will not be withheld from heat application, but will not be instructed to do so. The control group will instead follow the current standard of care as advised by the physician.
Interventions
OTHERRice Sock and Instructions to heat the quadriceps.
A rice sock will be provided to the experimental group to heat the quadriceps 3x per day for six weeks. The participants will be encouraged to heat before and after rehabilitation exercises as well.
Sponsors
The Idaho Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients undergoing a total knee arthroplasty ages 18 and older at Saint Alphonsus Hospital and at The Idaho Clinic between the months of June-February, or until the estimated sample size (150) is reached. Must be able to withstand heat to thigh. Must consent to research.
Exclusion criteria
* Anyone unable to give informed consent, pregnant individuals, children, or anyone whom the intervention may be harmful to.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Mental Health | Baseline, 2 and 6 weeks | Measured via PROMIS survey |
| Change in quality of life at 2 and 6 week check-ins | Baseline, 2 and 6 weeks | Measured via PROMIS survey |
| Change in Physical Health | Baseline, 2 and 6 weeks | Measured via PROMIS survey |
| Change in knee function at 2 and 6 week check-ins | Baseline, 2 and 6 weeks | Measured via Range of motion |
| Change of Pain experienced at 2 and 6 week check-ins | Baseline, 2, and 6 week evaluations | Measured via KOOS Jr survey |
| Change in stiffness experienced at 2 and 6 week check-ins | Baseline, 2 and 6 week evaluations | Measured via PROMIS survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Range of Motion at 2 and 6 week check-ins | Baseline, 2 and 6 week check-ins | ROM will be evaluated |
| Opiate Refills | Up to 6 weeks post-operation | Opiate usage/refills will be evaluated |
Countries
United States
Outcome results
None listed