Impact of Personalized Rehabilitation Guidance

Impact of Personalized Rehabilitation Guidance Based on WeChat Official Accounts Platform on Functional Recovery and Quality of Life of Patients with Knee Osteoarthritis

To investigate the impact of personalized rehabilitation guidance based on the WeChat Official Accounts Platform on the functional recovery and quality of life of patients with knee osteoarthritis (KOA).Ninety patients diagnosed with KOA undergoing joint replacement were included via convenient sampling.The patients were randomly divided into an observation group and a control group,with 45 patients in each group.The control group received traditional rehabilitation guidance,while the observation group received personalized rehabilitation guidance through the WeChat Official Accounts Platform in addition to the traditional guidance.Different care plans had varying effects on patients' scores on the 36-item Short Form Health Survey (SF-36),Visual Analog Scale (VAS),and Lysholm Knee Scoring Scale.

Study Overview

• Status: Completed
• Conditions: Knee Osteoarthritis
• Intervention / Treatment: Behavioral: conventional nursing care; Behavioral: Intervention Care

• Study Type: Interventional
• Enrollment (Actual): 90
• Phase: Not Applicable

Contacts and Locations

Study Locations

• China
  • Anhui
    • Fuyang City, Anhui, China, 236000
      • Fuyang Hospital Of Anhui Medical University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• aged 50 to 80 years;
• conscious, without cognitive impairments, and able to complete reading independently or with assistance;
• able to operate a smartphone and use WeChat;
• willing to participate in this study and provide signed informed consent.

Exclusion Criteria:

• acute cerebrovascular disease with sequelae in the past 6 months;
• coexisting primary psychiatric disorders;
• unable to perform physical exercise due to physical disability in the lower limbs;
• postoperative complications, such as deep vein thrombosis or infection;
• participation in other interventional studies.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: control group	Behavioral: conventional nursing care; (1) Preoperative education: An appropriate walking aid was provided for the patient and instructions were given to guide correct use, while isometric muscle exercises were taught. (2) Postoperative care: Six hours after anesthesia recovery, the head of the patient's bed could be elevated as needed, and the patient was instructed to perform ankle pumps (dorsiflexion and plantarflexion of the ankle).(3) Postoperative exercise: One to two days after surgery, following the removal of the drainage tube, the patient was encouraged to continue with ankle pumps and isometric quadriceps contractions, as well as to begin straight-leg raises. (4) Postoperative Day 3: In strict accordance with medical advice and under the guidance of a physiotherapist, patients engaged in continuous passive motion therapy for the affected knee, along with manual knee joint massage. (5) Postoperative Days 5-7: the patient would try to stand with the assistance of a walker, gradually progressing to walking exercises
Experimental: observation group	Behavioral: Intervention Care; (1) Intervention Day 1: (i) All patients in the observation group were provided with an introduction to the study and invited to join the WeChat group for the observation group. (2) Intervention Day 2: Exercise guidance for patients with KOA was shared via the WeChat group.(3) Intervention Day 3: Guidance for emotional regulation was sent to the patients with KOA via the WeChat group.(4) Intervention Week 1: A micro-lesson on KOA-related knowledge was delivered via the WeChat group to deepen patients' understanding. (5) Intervention Week 2: (i) Text instructions and related questions on common conservative treatments for KOA, including topical and oral painkillers, were shared, with correct answers provided the next day.(ii) A micro-lesson on exercise guidance for patients with KOA was uploaded to the WeChat group to reinforce patients' understanding.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The 36-item Short Form Health Survey (SF-36)	The SF-36 is a concise health survey divided into 8 subscales: physical function, role physical, bodily pain, global health, vitality, social function, role emotional, and mental health, where a higher score indicates a better health status.	at 1 week and 1 month post-discharge
Visual Analog Scale (VAS)	The VAS was used to assess pain levels before and after treatment in the two groups. VAS scores are positively correlated with pain intensity, where 0 indicates no pain and 10 indicates the most severe pain. A score of ≤3 is defined as mild pain, 4-6 as moderate pain, and ≥7 as severe pain.	at 1 week and 1 month post-discharge
Lysholm Knee Scoring Scale	The Lysholm Knee Scoring Scale was employed to evaluate knee function. This scale covers eight aspects, including limping, support, restraining, instability, pain, swelling, climbing stairs, and squatting. It is scored on a scale of 0 to 100. The total score is 100 points, with higher scores indicating fewer symptoms and higher levels of functioning. A score above 95 is considered excellent, 85-94 is good, 65-84 is fair, and less than 65 is poor.	at 1 week and 1 month post-discharge
The Newcastle Satisfaction with Nursing Scale (NSNS)	The Newcastle Satisfaction with Nursing Scale (NSNS) was used to measure patient satisfaction with nursing care. This scale consists of 19 items, such as nurse competence, communication, emotional support, and safety management. Each item is rated on a scale of 1-5, with a total score ranging from 19 to 95 points. A score of ≥77 indicates very satisfied, 58-76 indicates satisfied, 39-57 indicates moderately satisfied, and ≤38 indicates dissatisfied.	at 1 week and 1 month post-discharge

Collaborators and Investigators

• Sponsor: Yan Dong

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2024
• Primary Completion (Actual): August 15, 2024
• Study Completion (Actual): September 1, 2024

Study Registration Dates

• First Submitted: December 18, 2024
• First Submitted That Met QC Criteria: December 23, 2024
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 23, 2024
• Last Verified: September 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Arthritis; Joint Diseases; Rheumatic Diseases; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: Fuyang Affiliated Hospital 001

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
• product manufactured in and exported from the U.S.: No