Action Observation in Knee Replacement

Self-administered Action Observation Treatment Enhance the Efficacy of Inpatient Rehabilitation After Total Knee Replacement: A Randomized Controlled Trial

Postoperative rehabilitation is required for a successful outcome following total knee arthroplasty. Traditionally rehabilitative programs aim to increase range of motion, to strengthen quadriceps, to restore normal gait, and to recover independence in activities of daily living. In the last decade action observation treatment, in addition to conventional physiotherapy has been proposed as a treatment method in rehabilitative medicine. There is growing evidence of the applicability of action observation training in rehabilitative medicine, indeed it has been applied in the rehabilitation of stroke of Parkinson disease of cerebral palsy and of aphasia.

Nevertheless those are small studies and one of them included a mixed population of hip and knee arthroplasty.

Study Overview

• Status: Completed
• Conditions: Total Knee Replacement
• Intervention / Treatment: Device: Experimental group; Device: Conventional physiotherapy; Device: Control group

• Study Type: Interventional
• Enrollment (Actual): 41
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Italy
  • Turin
    • Piossasco, Turin, Italy, 10045
      • Jorge Hugo Villafañe

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Primary total knee replacement.

Exclusion Criteria:

• bilateral knee replacement
• previous total knee replacement.
• pre-existing motor impairment (i.e. hemiparesis, poliomyelitis, lumbar sciatica);

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group; Video of the exercises and conventional physiotherapy. 45 minutes twice a day, 5 days a week for 2 weeks.	Device: Experimental group; Video of the exercises; Device: Conventional physiotherapy; Mobilization, exercises and transfer practice.
Active Comparator: Control group; Video of nature scenes and conventional physiotherapy. 45 minutes twice a day, 5 days a week for 2 weeks.	Device: Conventional physiotherapy; Mobilization, exercises and transfer practice.; Device: Control group; video of nature scenes

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change of Pain intensity	Visual Analogue Scale	Baseline and immediately post-intervention
Change of Range Of Motion	Active and passive range of motion of knee	Baseline and immediately post-intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Barthel index	Barthel index	Baseline and immediately post-intervention
Short Form-36 motor		Baseline and immediately post-intervention
Tinetti scale		Baseline and immediately post-intervention
Lequesne index		Baseline and immediately post-intervention

Collaborators and Investigators

• Sponsor: Fondazione Don Carlo Gnocchi Onlus

Study record dates

Study Major Dates

• Study Start: April 1, 2014
• Primary Completion (Actual): September 1, 2014
• Study Completion (Actual): October 1, 2014

Study Registration Dates

• First Submitted: February 27, 2016
• First Submitted That Met QC Criteria: March 8, 2016
• First Posted (Estimate): March 14, 2016

Study Record Updates

• Last Update Posted (Estimate): March 14, 2016
• Last Update Submitted That Met QC Criteria: March 8, 2016
• Last Verified: March 1, 2016

More Information

Terms related to this study

• Keywords: Rehabilitation; Total knee replacement; Action observation treatment
• Other Study ID Numbers: Dongnocchi

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO