Knee Pain, Total Knee Arthoplasty
Conditions
Keywords
Total Knee Arthoplasty, Knee Pain, Post-operative, Transcutaneous electrical nerve stimulation, Intra-venous, Analgesics requirement, Recovery
Brief summary
Total knee arthroplasty (TKA) is among the major advancements for the treatment of knee pain and improvement of physical function when conservative management fails to comply with. The success of this arthoplasty results in more functional mobility and better quality of life. However, management of pain after TKA in post-operative period is a big challenge to deal.
Detailed description
Transcutaneous electrical nerve stimulation is a cost effective, non-invasive electrotherapeutic modality used in alleviating pain in both acute and chronic conditions affecting neuromusculoskeletal system of the body.
Interventions
OTHERRoutine Physical Therapy and Intra-venous analgesic regimen
ROM Exercises will be performed and analgesics including the NSAIDs and narcotics as per prescription of surgeon/physician will be given to all subjects
OTHERTranscutaneous Electrical Nerve Stimulation along with Routine Physical Therapy and Intra-venous analgesic regimen
High frequency stimulations via Transcutaneous Electrical Nerve Simulator will be applied. ROM Exercises will be performed and analgesics including the NSAIDs and narcotics as per prescription of surgeon/physician will be given to all subjects
Sponsors
University of Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor will be unaware of the treatment group
Eligibility
Sex/Gender
ALL
Age
31 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. Both male and female 2. Aged between 31-70 years 3. Total Knee Arthoplasty, who had been diagnosed with knee osteoarthritis, inflammatory arthritis, trauma, fracture result in total knee arthoplasty.
Exclusion criteria
1. Any allergic condition of skin 2. Chronic consumption of opioids 3. History of dysplasia or malignancy to knee joint 4. Any major bone operation of lower limb 5. BMI higher than 35 kg m-2 6. History of mental disorder 7. Neurological illness e.g. Alzheimer which might interfere with assessment process.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Pain intensity will be measured at baseline,and change in pain intensity will be measured from baseline to 24 hour, 48 hour and 72 hours. | Pain intensity will be measured using Visual Analogue Scale |
| Rang of Motion | Knee Range of Motion will be measured at baseline, and Change in Knee Range of Motion will be measured from baseline to 24 hour, 48 hour and 72 hours | Knee Rang of Motion will be measured using Universal Goniometer |
| Intra-venous analgesic requirement | Analgesics requirement will be observed at first post-operative day, at second post-operative day, at third post-operative day | Dose and frequency of intravenous analgesic requirement will be observed through Patient's file |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of Hospital Stay | It will be measured from the time of randomization till the time of discharge from hospital upto ten days | Length of Hospital Stay of patient |
Countries
Pakistan
Outcome results
None listed