Arthroplasty Rehabilitation Score - Can we Predict the Short Term Postoperative Outcome?
NCT ID: NCT00668915
Last Updated: 2008-04-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
200 participants
OBSERVATIONAL
Brief Summary
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In order to quantify patients' level of functioning, several tests will be used: hand grip strength, Timed up and go test (TUG) and Oxford knee and hip score. The factors that will be found statistically significantly associated with level of functioning, will be used in an attempt to develop a scale that will predict the level of functioning 6 weeks postoperatively.
Such a scale can allow preoperative identification of patients at high risk of postoperative low functioning levels and the application of a unique rehabilitation program, for only these patients, in order to optimize their functioning.
Detailed Description
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Population:
Approximately a 100 patients, scheduled for an elective arthroplasty will be recruited for the study:
* Males and females above 18 years of age, speaking Hebrew, English or Russian, scheduled for an elective unilateral (one joint) primary total joint arthroplasty of hip or knee.
* Available for follow up 1.5-2 months after the surgery.
* Willing to participate in the study.
Inclusion criteria:
1. Patient above the age of 18 and eligible to provide informed consent.
2. Scheduled for elective unilateral (one joint), primary total joint arthroplasty of hip or knee.
3. Stepping with the operated leg is allowed after the surgery.
Exclusion criteria:
1. Patients unwilling to participate.
2. Patients with complications preventing regular rehabilitation, e.g. Myocardial Infarction, Pulmonary Embolism, Pneumonia, and infection or fracture of the joint.
3. Patients with any complication that prevents stepping with the operated leg.
Design:
1. Prior to the scheduled operation, the following data regarding the patient will be collected:
* Gender, age, height, weight.
* Comorbidities (using Katz Score).
* Type of scheduled operation.
* Involvement by the primary pathology of joints other than the one being operated (by patient questioning).
* Hemoglobin level at admission.
* Self assessed health status (by patient questioning).
* Pain perception in the operated leg (using VAS Score).
In addition, the following tests will be performed:
* Evaluation of muscle strength using handgrip machine.
* Evaluation of motor functioning level using the TUG test and the Oxford knee and hip score.
2. During the postoperative hospitalization period, hemoglobin and CRP levels will be checked, and the patients will be evaluated for complications.
3. In the follow up visit, the following data will be collected:
* Complications after discharge from hospital.
* Blood transfusions in this period.
* Duration of time in rehabilitation program, and intensity of physiotherapy given.
During the visit, the following tests will be performed:
* Evaluation of muscle strength using handgrip machine.
* Evaluation of motor functioning level, similar to the one performed preoperatively, using the TUG test and the Oxford knee and hip score.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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A
Primary arthroplasty
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
2. Scheduled for elective unilateral (one joint), primary total joint arthroplasty of hip or knee.
3. Stepping with the operated leg is allowed after the surgery.
Exclusion Criteria
2. Patients with complications preventing regular rehabilitation, e.g. Myocardial Infarction, Pulmonary Embolism, Pneumonia, and infection or fracture of the joint.
3. Patients with any complication that prevents stepping with the operated leg.
18 Years
ALL
No
Sponsors
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Hadassah Medical Organization
OTHER
Locations
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Hadassah Medical Organization
Jerusalem, , Israel
Countries
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Central Contacts
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Other Identifiers
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rehabtjr-HMO-CTIL
Identifier Type: -
Identifier Source: org_study_id