Fall Prevention in Total Knee Replacement Patients

May 13, 2025 updated by: Sibel ARSLAN, University of Gaziantep

The Effect Of Algorithm-Guided Care Provided To Total Knee Prosthesis Patients On Fall And Recovery: Randomized Controlled Trial

Falls, one of the patient safety goals, lead to injury and death if not prevented. This study was conducted to determine the effect of algorithm-guided care on falling, fear of movement, fear of falling and postoperative recovery index for patients with total knee replacement surgery at high risk of falling. The research was conducted as a randomized, controlled and experimental study in the orthopedic clinics of a city hospital and a state hospital between 20.01.2024 and 04.06.2024. The sample of the study consisted of 56 patients who would undergo total knee replacement surgery with a high risk of falling. The patients were divided into two groups: experimental (n=28) and control (n=28) groups. "Patient Questionnaire", "Postoperative Recovery Index (ASII)", "Tampa Kinesiophobia Scale (TKÖ)", "International Fall Effectiveness Scale (UDES)" were applied to all patients participating in the study. The "Fall Prevention Algorithm" prepared by the researchers was applied to the experimental group patients.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

56

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
    • Şahi̇nbey
      • Gazi̇antep, Şahi̇nbey, Turkey, 27900
        • Gaziantep Universty

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Having a unilateral total knee replacement surgery for the first time,
  • Not having a psychiatric illness diagnosis,
  • Being able to speak and understand Turkish,
  • Being willing to participate in the research.

Exclusion Criteria:

  • Patients who will undergo emergency surgery,
  • Have hearing and speech problems,
  • Have visual impairment,
  • Have conditions that may affect cognitive functions

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: EXPERİMENTAL
The "Fall Prevention Algorithm" prepared by the researchers was applied to the experimental group patients.
Behavioral: Algorithm; Algorithm-based maintenance created by researchers:such as falls training, early mobilization
The "Fall Prevention Algorithm" prepared by the researchers was applied to the experimental group patients.
No Intervention: control
No intervention was made by the researcher.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
FALL
Time Frame: Perioperative period , Within 30 days after surgery.
Patients' fall status will be recorded by asking questions in the "Patient Questionnaire Form".
Perioperative period , Within 30 days after surgery.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Gaziantep

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 20, 2024

Primary Completion (Actual)

June 4, 2024

Study Completion (Actual)

June 20, 2024

Study Registration Dates

First Submitted

March 24, 2025

First Submitted That Met QC Criteria

May 13, 2025

First Posted (Actual)

May 18, 2025

Study Record Updates

Last Update Posted (Actual)

May 18, 2025

Last Update Submitted That Met QC Criteria

May 13, 2025

Last Verified

May 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Gaziantep Unıv.

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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