Effect of Preoperative Exercise in Patients Undergoing Total Knee Arthroplasty

Effect of Preoperative Exercise in Patients Undergoing Total Knee Arthroplasty: A Randomized Controlled Pilot Trial

This study evaluates the effect of preoperative exercise in patients undergoing a total knee arthroplasty.

Study Overview

• Status: Completed
• Conditions: Total Knee Arthroplasty
• Intervention / Treatment: Other: preoperative exercise

Detailed Description

The objectives of this study were to investigate the effects of a single (9 sessions) prescription community based preoperative physical therapy in patients awaiting a Total Knee Arthroplasty, taking prognostic factors into account.

The investigators will use different outcome measures to evaluate any possible effects.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Switzerland
  • Zurich, Switzerland, 8008
    • Balgrist University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients undergoing a Total Knee Arthroplasty
• Signed informed consent after being informed

Exclusion Criteria:

• Acute pain
• Weakness due to neurological problems
• Known or suspected non-compliance
• High BMI > 28
• Patellar residual subluxation
• High patellar height

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; Preoperative exercise intervention	Other: preoperative exercise; Each intervention session contains a stretching part and aerobic training
No Intervention: Control; Only measurements

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Stair climbing test	The stair climbing test (SCT) measures the time used to ascend and descend a flight of twelve steps. Patients are asked to complete the test as quickly as they felt safe and comfortable.	5 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knee - Range of Motion	The range of motion of the knee will be assessed.	2 minutes
Tegner Activity Scale and Lysholm Score	The Lysholm score and the Tegner activity scale are widely used for assessing knee function and activity level after knee ligament injuries	10 minutes
Patient Global Impression of Change	The self-report measure Patient Global Impression of Change (PGIC) reflects a patient's belief about the efficacy of treatment.	2 minutes
Risk of Discharge to a Rehabilitation Facility	Costs and duration of postoperative rehabilitation will be measured with help of a personal calendar. All participants will report on this calendar any post-acute care services after surgery, Costs of skilled nursing facilities, home health agencies, and inpatient rehabilitation.	20 minutes

Collaborators and Investigators

• Sponsor: Balgrist University Hospital
• Investigators: Principal Investigator: Jaap Swanenburg, PhD, Balgrist University Hospital

Publications and helpful links

General Publications

• Granicher P, Stoggl T, Fucentese SF, Adelsberger R, Swanenburg J. Preoperative exercise in patients undergoing total knee arthroplasty: a pilot randomized controlled trial. Arch Physiother. 2020 Aug 5;10:13. doi: 10.1186/s40945-020-00085-9. eCollection 2020.

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2016
• Primary Completion (Actual): July 1, 2017
• Study Completion (Actual): August 1, 2017

Study Registration Dates

• First Submitted: May 18, 2017
• First Submitted That Met QC Criteria: May 18, 2017
• First Posted (Actual): May 19, 2017

Study Record Updates

• Last Update Posted (Actual): October 23, 2017
• Last Update Submitted That Met QC Criteria: October 19, 2017
• Last Verified: October 1, 2017

More Information

Terms related to this study

• Other Study ID Numbers: 2015-0472

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: no there is not

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No