Knee Arthroplasty
Conditions
Brief summary
In this study, the effectiveness of a comprehensive training program consisting of pain management, relaxation, breathing, massage and falling components will be investigated in patients with total knee arthroplasty. In this randomized controlled study, the trainings will be offered face-to-face after the initial evaluation and within the scope of telemedicine with prepared videos. The first evaluation will be performed on the first postoperative day and the last evaluation will be performed 3 months postoperatively. The aim of this study is to evaluate the effectiveness of a comprehensive education program consisting of pain management, relaxation, respiration, massage and fall components in patients with total knee arthroplasty.
Interventions
OTHERRehabilitation
The control group will not be trained. Only exercise brochure including muscle strengthening and stretching will be given. In addition, the intervention group will be taught the training program and applications.
Sponsors
Muğla Sıtkı Koçman University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Participants aged 50 and over * Participants indicated for unilateral or bilateral total knee arthoplasty * Individuals to be followed after surgery
Exclusion criteria
* Other surgeries * Individuals with neurological and orthopedic diagnoses * Individuals with cognitive, hearing, speech and psychiatric problems that prevent them from communicating * Illiterate individuals * Presence of malignancy * Not signing the consent form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Society Short Form (KSSF) | Change from Baseline KSSF at 12 weeks | The scale is a 9-item measure developed to assess total knee arthroplasty patients' satisfaction, expectations, physical activities, and clinical and functional status in the preoperative and postoperative period, reported by both the physician and the patient. |
| Visual Analog Scale (VAS) | Change from Baseline VAS at 12 weeks | On a 10 cm straight line or numeric scale, the patient is asked to mark the pain they feel (0: no pain, 10: excruciating pain). |
| Tampa Scale for Kinesiophobia (TSK) | Change from Baseline TSK at 12 weeks | The questionnaire is a 17-item scale developed to measure fear of movement/reinjury. The normal score range is between 17 and 68. |
| EQ-5D-3L Quality of Life Scale | Change from Baseline EQ-5D-3L at 12 weeks | The EQ-5D-3L provides information on three aspects of quality of life. Each dimension has three levels of impairment: no problems (level 1), some problems (level 2) and extreme problems (level 3). The score ranges from less than 0 to 1 (where 0 is a health status equivalent to death and negative values are worse than death) and 1 is the most positive score (the best perceived level according to the five dimensions included in the scale). Finally, the EQ VAS score is obtained by asking patients to rate their health status on a 20 cm vertical scale. The scale ranges from 0 to 100, with 0 meaning worst imaginable health and 100 meaning best imaginable health. |
| Pain Catastrophising Scale (PCS) | Change from Baseline PCS at 12 weeks | Scale is used to assess the patient's feelings and thoughts about pain and disaster. The total score ranges from 0 to 52 points. A high score indicates a bad situation. |
| Activity Specific Balance Confidence Scale (ABC) | Change from Baseline ABC at 12 weeks | This scale includes 16 tasks related to indoor and outdoor activities of daily living to measure balance confidence in older people with various levels of function. Scores for each question range from 0% (no confidence) to 100% (full confidence). Higher scores indicate greater confidence. |
| Fear of Falling Avoidance Behavior Questionnaire (FFABQ) | Change from Baseline FFABQ at 12 weeks | The Fear of Falling Avoidance Behavior Questionnaire (FFABQ) was developed to assess avoidance behavior (activity limitation and participation restriction) in community-dwelling older adults. The FFABQ consists of 14 items ranked using a five-point Likert style, resulting in a maximum possible score of 56 points. A high score indicates activity limitation and participation restriction. |
Countries
Turkey (Türkiye)
Outcome results
None listed