Walking Stick Exercise in Patients Underwent Total Knee Arthroplasty

National Taipei University of Nursing and Health Sciences

The purpose of this study is to examine whether the effect of "hiking poles exercise" on lower extremity muscular strength, knee range of motion, and quality of life in elderly patients underwent total knee arthroplasty

Study Overview

• Status: Enrolling by invitation
• Conditions: Knee Osteoarthritis; Arthroplasty; Replacement
• Intervention / Treatment: Other: Walking stick exercise

Detailed Description

This is a longitudinal-experimental study. The data collection and analysis are in a single-blind manner. The study will be undertaken in the Department Orthopaedics of En Chu Kong hospital (approximate 500-bed regional teaching hospital). All patients who meet the inclusion criteria are admitted for primary total knee arthroplasty and assigned to control group or intervention group randomly. The 44 patients in the control group received routine guidance of " Rehabilitation and precautions for artificial knee replacement ". In addition to the routine guidance, the 44 patients in the intervention group received educations of " hiking poles exercise " on the day before surgery and before discharge, as well as a follow-up call at least once a week after discharge.

• Study Type: Interventional
• Enrollment (Estimated): 88
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • New Taipei City, Taiwan, 237
    • Taiwan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 85 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Minimum Age: 60 years Maximum Age: 85years Gender-Based: All Accepts Healthy Volunteers:No

Criteria:

Inclusion Criteria:

• Age between 60 and 85 years
• Informed consent
• Receipt of elective unilateral primary knee arthroplasty surgery.

Exclusion Criteria:

• Non-degenerative arthritis, including rheumatoid arthritis, or traumatic arthritis
• Patients receiving rehabilitation simultaneously
• Patients with other musculoskeletal or neurological problems, including fractures, Parkinsonism, cerebrovascular events, or patients with multiple comorbidities
• Cancer patients receive chemotherapy
• Patients with the peri-operative complication that has an adverse effect on outcomes,for example: intra-operative fractures, thromboembolism, peri-operative infections, or phlebitis

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental:Walking stick exercise; The experimental:Walking stick exercise; Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge); The video clip of "walking stick exercise" is available to the patients.; The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge.	Other: Walking stick exercise; Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge); The video clip of "walking stick exercise" is available to the patients.; The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge.
No Intervention: Control group: conventional physical therapy.; Perform bed mobility and transfers with the least amount of assistance while maintaining appropriate weight bearing (WB) precautions.; Ambulate with an assistive device for 25-100 feet and ascend/descend stairs to allow for independence with household activities while maintaining appropriate WB.; Verbalize understanding of post-operative activity recommendations/precautions including use of proper positioning of the lower extremity, range of motion and strengthening exercises.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Total knee arthroplasty of Quality of life	I hope the Walking stick exercise can to improving the total knee arthroplasty quality of life of patients. I use Knee injury and Osteoarthritis Outcome Score (KOOS). There are 5 territories analyzed in the knee injury and osteoarthritis outcome score (KOOS) calculator and a knee-related QOL, Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopedic scales and generic measures. Scores between 0 and 100 represent the percentage of the total possible score achieved. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery.	for three months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
lower limb muscle power	I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery.	for three months
knee range of motion	I hope the Walking stick exercise can to improving the total knee arthroplasty lower limb muscle power. I use include 30-second chair stand test. Furthermore, I will follow up to study on the day before surgery at 1, 6, and 12 weeks post-surgery.	for three months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
participant characteristics	age, sex, body mass index, job occupation, marriage,Primary caregiver, Exercise habits, BMI % , and education	on the day before surgery

Collaborators and Investigators

• Sponsor: National Taipei University of Nursing and Health Sciences
• Investigators: Principal Investigator: Yu Hua Chou, none,specify Unaffiliated

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2021
• Primary Completion (Actual): May 31, 2022
• Study Completion (Estimated): October 31, 2023

Study Registration Dates

• First Submitted: August 14, 2021
• First Submitted That Met QC Criteria: August 31, 2021
• First Posted (Actual): September 1, 2021

Study Record Updates

• Last Update Posted (Actual): August 21, 2023
• Last Update Submitted That Met QC Criteria: August 18, 2023
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Keywords: total knee arthroplasty; Walking stick exercise
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: YChou

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