Telerehabilitation After Total Knee Arthroplasty

Early Function Recovery in Geriatric Patients With Total Knee Arthroplasty by Telerehabilitation

The aim of this study was to assess the function, pain intensity and walking distance in patients prior to and after total knee arthroplasty, who received therapy either in a clinic under direct supervision of a physical therapist and patients who received telerehabilitation.

Study Overview

• Status: Completed
• Conditions: Telerehabilitation; Total Knee Arthoplasty; Physiotherapy
• Intervention / Treatment: Other: telerehabilitation; Procedure: standard physiotherapy

Detailed Description

The study population consisted of 105 patients who had knee arthroplasty due to knee arthrosis followed by 6- weeks physiotherapy, mean age 68.5 ± 7.3 years. The patients were randomly divided into two groups: I - telerehabilitation group (n=54), and II clinical control group (n=51), who received physiotherapy supervised by physiotherapist. All patients were given the following tests: VAS (0-10), 6-Minute Walk Test, and KSS - Knee Society Score.

• Study Type: Interventional
• Enrollment (Actual): 105
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Poland
  • Podkarpackie
    • Rudna Mała, Podkarpackie, Poland, 36-060
      • Szpital Specjalistyczny im. Świętej Rodziny

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• total cemented knee arthroplasty with posterior stability (PS -cruciate sacrificing, posterior stabilized),
• informed consent to participate in the study,
• full medical record,
• patients' regular control visits,
• knee degenerative disorder stage II and III according to Altman classification,
• ability to understand and independently perform the complete physiotherapeutic programme

Exclusion Criteria:

• partial arthroplasty,
• deformation aetiology other knee degenerative disorder,
• cognitive disorders resulting in inability to fill out the study questionnaire, - degenerative disorders of multiple joints,
• poor general health that prevented the patient from understanding or performing the full physiotherapeutic programme,
• intraoperative and postoperative complications preventing the patient from understanding or performing the full physiotherapeutic programme,
• lack of informed consent to participate in the study.

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: telerehabilitation; physiotherapeutic programme brochure exercises 7/week controlled by phone every week (5x in total)	Other: telerehabilitation; Procedure for both groups: I pre surgery evaluation; initial training in hospital; physiotherapeutic programme telerehabilitation versus standard 7 times a week Therapy duration: 6 weeks post-surgery II 6weeks post-surgery evaluation
Active Comparator: standard physiotherapy; Supervised physical therapy 3/ week, + physiotherapeutic programme brochure 4/week	Procedure: standard physiotherapy; standard physiotherapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in 6 - Minute Walk Test	Change in walking distance in 6 minutes ( in meters)	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Change in Knee Society Score	Change in disability measured by Knee disability score (min 0 - max 200 points). Higher scores mean a better outcome.	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Change in range of knee motion [degrees]	Change in knee flexion	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy
Change of knee pain intensity in Visual Analogue Scale	Change of knee pain intensity (0-10), 0 - no pain, 10 - worst pain	Change from baseline- 1st measurement before total knee arthroplasty and final - 2nd measurement in 6 weeks after total knee arthroplasty and physiotherapy

Collaborators and Investigators

• Sponsor: University of Rzeszow

Publications and helpful links

General Publications

• Moffet H, Tousignant M, Nadeau S, Merette C, Boissy P, Corriveau H, Marquis F, Cabana F, Ranger P, Belzile EL, Dimentberg R. In-Home Telerehabilitation Compared with Face-to-Face Rehabilitation After Total Knee Arthroplasty: A Noninferiority Randomized Controlled Trial. J Bone Joint Surg Am. 2015 Jul 15;97(14):1129-41. doi: 10.2106/JBJS.N.01066.
• Truszczynska-Baszak A, Dadura E, Drzal-Grabiec J, Tarnowski A. Static balance assessment in patients with severe osteoarthritis of the knee. Knee. 2020 Oct;27(5):1349-1356. doi: 10.1016/j.knee.2020.06.014. Epub 2020 Jul 27.
• Benz T, Angst F, Oesch P, Hilfiker R, Lehmann S, Mueller Mebes C, Kramer E, Verra ML. Comparison of patients in three different rehabilitation settings after knee or hip arthroplasty: a natural observational, prospective study. BMC Musculoskelet Disord. 2015 Oct 24;16:317. doi: 10.1186/s12891-015-0780-2.
• Russell TG, Buttrum P, Wootton R, Jull GA. Rehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience. J Telemed Telecare. 2004;10 Suppl 1:85-7. doi: 10.1258/1357633042614384.
• Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, Belmonte R, Muniesa JM. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. J Rehabil Med. 2013 Apr;45(4):392-6. doi: 10.2340/16501977-1119.

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2010
• Primary Completion (Actual): December 15, 2011
• Study Completion (Actual): December 15, 2011

Study Registration Dates

• First Submitted: May 25, 2021
• First Submitted That Met QC Criteria: June 8, 2021
• First Posted (Actual): June 11, 2021

Study Record Updates

• Last Update Posted (Actual): June 11, 2021
• Last Update Submitted That Met QC Criteria: June 8, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Keywords: geriatric; disability
• Other Study ID Numbers: 2/11/2006

Plan for Individual participant data (IPD)

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

Drug and device information, study documents

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