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Effect of Physiotherapy After Total Knee Replacement

Primary Purpose

Knee Osteoarthritis

Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
walking skill group
usual physiotherapy care
Sponsored by
University of Oslo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis focused on measuring physiotherapy, functional outcome, activity level, self efficacy, task oriented exercises

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Primary gonarthrosis
  • Good written and oral understanding of Norwegian
  • Good cognitive function

Exclusion Criteria:

  • Severe gonarthrosis in the other knee or coxarthrosis
  • Neurological disorders or rheumatoid arthritis

Sites / Locations

  • Section of Nursing and Health Science, University of Oslo

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

walking skill group

usual physiotherapy care

Arm Description

weight-bearing 12 times, 70 minutes

partial weight-bearing, 12 times, 40 minutes

Outcomes

Primary Outcome Measures

6 minutes walk test

Secondary Outcome Measures

Self reported pain and activity level(KOOS)

Full Information

First Posted
December 11, 2008
Last Updated
December 4, 2014
Sponsor
University of Oslo
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1. Study Identification

Unique Protocol Identification Number
NCT00807716
Brief Title
Effect of Physiotherapy After Total Knee Replacement
Official Title
The Immediate and Long Term Effects of a Walking-skill Program Compared to Usual Physiotherapy Care in Patients Who Have Undergone Total Knee Arthroplasty (TKA): A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Oslo

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Physiotherapy plays an important part in rehabilitation after total knee arthroplasty. Even if this is a common practice, few studies have been performed on this issue. The prime aim of this study is to examine the effects of an ambulatory individualized task-oriented exercise program compared with current ambulatory physiotherapy(usual care)on activity performance and self efficacy beliefs in the time span 6 weeks to 3 months after total knee arthroplasty with a follow-up at twelve months. HO:Task oriented physiotherapy has better effect than usual care on activity performance and self-efficacy beliefs in the time span 6 weeks to 3 months after total knee replacement.
Detailed Description
A randomized controlled trial was performed with an experiment group having task oriented exercises in only weight-bearing 12 times from 6 weeks to 12 weeks after the operation, while the control group had usual physiotherapy care during the same time span. The primary outcome was walking measured by the six minutes walk test. Other performed and self reported measures of physical functioning were performed, at baseline, six weeks after the operation, immediately after the intervention at 12-14 weeks and with a follow-up nine months after the intervention.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Knee Osteoarthritis
Keywords
physiotherapy, functional outcome, activity level, self efficacy, task oriented exercises

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
57 (Actual)

8. Arms, Groups, and Interventions

Arm Title
walking skill group
Arm Type
Experimental
Arm Description
weight-bearing 12 times, 70 minutes
Arm Title
usual physiotherapy care
Arm Type
Active Comparator
Arm Description
partial weight-bearing, 12 times, 40 minutes
Intervention Type
Other
Intervention Name(s)
walking skill group
Intervention Description
12 Individualized group training sessions with focus on functional exercises like walking and stair climbing including balance training under physiotherapy guidance, 12 times 70 minutes.
Intervention Type
Other
Intervention Name(s)
usual physiotherapy care
Intervention Description
physiotherapy, mostly in non-weight bearing, 12 times 40 minutes
Primary Outcome Measure Information:
Title
6 minutes walk test
Time Frame
preoperatively, baseline at 6 weeks, after the intervention at 3 months, 12onths
Secondary Outcome Measure Information:
Title
Self reported pain and activity level(KOOS)
Time Frame
preoperatively, 6 weeks, 3 months and 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Primary gonarthrosis Good written and oral understanding of Norwegian Good cognitive function Exclusion Criteria: Severe gonarthrosis in the other knee or coxarthrosis Neurological disorders or rheumatoid arthritis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anne Marit Mengshoel, PhD
Organizational Affiliation
professor
Official's Role
Study Director
Facility Information:
Facility Name
Section of Nursing and Health Science, University of Oslo
City
Oslo
ZIP/Postal Code
0318
Country
Norway

12. IPD Sharing Statement

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Effect of Physiotherapy After Total Knee Replacement

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