Knee Osteoarthritis
Conditions
Brief summary
To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic
Detailed description
To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic
Interventions
Physiotherapy at community rehabilitation center
Physiotherapy at hospital
Sponsors
Study design
Masking description
Data analysis blinded
Eligibility
Inclusion criteria
i) unilateral TKA; ii) age 55 years old and above; iii) able to engage in outpatient physiotherapy; iii) postoperative knee flexion ≥75° and knee extension ≤5°; iv) able to ambulate independently preoperatively.
Exclusion criteria
i) had revision TKA or fully constrained knee arthroplasty; ii) had knee replacement for indications other than osteoarthritis; iii) had post-operative complications during hospital stay; iv) were unable to participate due to cognitive impairment or language barriers; v) had acute spinal diseases or joint, muscle or systemic diseases affecting gait; iv) had comorbid health conditions that would prevent active participation (e.g. prior hemiplegic stroke, severe cardiorespiratory illnesses.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30 sec chair stand test | 0, 12 weeks | 30 sec chair stand test score |
| Passive knee flexion range | 0, 4, 12 weeks | Passive knee flexion range |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 0,12 weeks | Pain intensity score |
| Oxford knee score | 0,12 weeks | Oxford knee score |
| Quadriceps muscle strength | 0,4,12 weeks | Quadriceps muscle strength, measured from 0 to 5 on Medical Research Council scale |
| EQ5D score | 0,12 weeks | EQ5D Visual Analog Score, EQ5D Utility score |
| Knee Society Score | 0,12 weeks | Knee Society Score |
Countries
Singapore
Contacts
Tan Tock Seng Hospital