Knee Arthroscopic Surgery, Partial Meniscectomy
Conditions
Brief summary
The primary aim of the study is to investigate whether video-based education and exercise-program is non-inferior to in-person instructions in improving pain-related self-efficacy in patients undergoing arthroscopic partial meniscectomy in a day-hospital setting. Secondary aims are to explore the potential superiority of the video-based program compared to in-person instructions in reducing disability and kinesiophobia in the same patient population.
Interventions
BEHAVIORALVideo-based education
The video-based education was sent to patients within 5-day before surgery and consists of instructions to follow after surgery on wight-baring on the operated limb, advice to reduce swelling and movements tallowed to be performed. Exercises to perform in the 2 weeks after surgery are shown.
BEHAVIORALUsual Care
Immediately after the surgery in day-hospital setting, a physiotherapist provided in-person instructions to patients assigned to control group. Instructions consists of the same educational content of the video-based group and the same exercises to perform in 2-weeks after surgery are shown and provided on a written spreadsheet.
Sponsors
Istituto Clinico Humanitas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for arthroscopic partial meniscectomy (medial or lateral meniscus) performed in a day-hospital setting. * Traumatic or degenerative meniscal tears. * Treatment at the Hip and Knee Orthopedic Unit of the Humanitas Clinical Institute. * Age ≥ 18 years. * Access to adequate video support. * Sufficient proficiency in the Italian language.
Exclusion criteria
* Previous surgery on either knee within the past 5 years. * Significant postoperative hematoma requiring aspiration. * Neurological conditions potentially affecting functional or motor recovery. * Musculoskeletal conditions potentially affecting functional or motor recovery. * Rheumatologic conditions potentially affecting functional or motor recovery. * Internal medicine conditions potentially affecting functional or motor recovery. * Oncological conditions potentially affecting functional or motor recovery. * Cognitive or psychiatric disorders (Mini-Mental State Examination ≤ 21).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Self-Efficacy Questionnaire (PSEQ) | From enrolment to the 6 weeks after surgery | The PSEQ assesses patients' confidence in performing daily activities despite pain, with score ranging from 0 to 60 and higher scores indicating greater pain-related self-efficacy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | From enrolment to the 3 weeks after surgery | The WOMAC evaluates knee pain, stiffness, and physical function, with score ranging from 0 to 96 and higher scores reflecting greater pain and functional impairment. |
| Tampa Scale of Kinesiophobia (TSK) | From enrolment to the 3 weeks after surgery | The TSK measures fear of movement and re-injury related to pain, with score ranging from 17 to 68 and higher scores indicating greater levels of kinesiophobia. |
| Pain Self-Efficacy Questionnaire (PSEQ) | From enrolment to the 3 weeks after surgery | The PSEQ assesses patients' confidence in performing daily activities despite pain, with score ranging from 0 to 60 and higher scores indicating greater pain-related self-efficacy. |
Countries
Italy
Contacts
CONTACTRoberto Gatti
Outcome results
None listed