Dynamic Splinting After Total Knee Arthroplasty

NCT ID: NCT00857701

Last Updated: 2013-08-12

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Brief Summary

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The purpose of this study is to evaluate the effectiveness of a dynamic splinting system for knee flexion contracture following a total knee arthroplasty.

Detailed Description

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The purpose of the study is to evaluate the efficacy of dynamic splinting for knee flexion contracture following a total knee arthroplasty.

Conditions

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Reduced Knee Flexion

Keywords

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total knee arthroplasty Dynamic Splinting Knee extension knee Reduced knee flexion after total knee arthroscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Patient will receive post-surgical standard of care treatment with standard Physical therapy and NSAIDs.

Group Type NO_INTERVENTION

No interventions assigned to this group

2

Patients will be treated with the Standard of Care physical therapy and NSAIDs as well as a Knee Extension Dynasplint that includes tension chambers.

Group Type EXPERIMENTAL

Knee Extension Dynasplint

Intervention Type DEVICE

Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. The Knee Extension Dynasplint for the Experimental group will have tension chambers delivering therapeutic treatment from the device.

Interventions

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Knee Extension Dynasplint

Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. The Knee Extension Dynasplint for the Experimental group will have tension chambers delivering therapeutic treatment from the device.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Reduced flexibility in AROM of knee extension
* Pain that is worsened by bending over while legs are straight
* Impaired gait pattern
* Ability to understand informed consent and experiment responsibilities

Exclusion Criteria

* Fractures
* Knee sepsis
* Osteomyelitis or any orthopedic infection
* Extensor mechanism dysfunction
* Psoriasis
* Knee joint neuropathy
* Previous Stroke or Brain Injury
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dynasplint Systems, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Dennis L Armstrong M.D.

Mesa, Arizona, United States

Site Status

Countries

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United States

References

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Denis M, Moffet H, Caron F, Ouellet D, Paquet J, Nolet L. Effectiveness of continuous passive motion and conventional physical therapy after total knee arthroplasty: a randomized clinical trial. Phys Ther. 2006 Feb;86(2):174-85.

Reference Type BACKGROUND
PMID: 16445331 (View on PubMed)

Scuderi GR, Kochhar T. Management of flexion contracture in total knee arthroplasty. J Arthroplasty. 2007 Jun;22(4 Suppl 1):20-4. doi: 10.1016/j.arth.2006.12.110.

Reference Type BACKGROUND
PMID: 17570272 (View on PubMed)

Kotani A, Yonekura A, Bourne RB. Factors influencing range of motion after contemporary total knee arthroplasty. J Arthroplasty. 2005 Oct;20(7):850-6. doi: 10.1016/j.arth.2004.12.051.

Reference Type BACKGROUND
PMID: 16230234 (View on PubMed)

Jansen CM, Windau JE, Bonutti PM, Brillhart MV. Treatment of a knee contracture using a knee orthosis incorporating stress-relaxation techniques. Phys Ther. 1996 Feb;76(2):182-6. doi: 10.1093/ptj/76.2.182.

Reference Type BACKGROUND
PMID: 8592722 (View on PubMed)

Fitzgerald GK, Childs JD, Ridge TM, Irrgang JJ. Agility and perturbation training for a physically active individual with knee osteoarthritis. Phys Ther. 2002 Apr;82(4):372-82.

Reference Type BACKGROUND
PMID: 11922853 (View on PubMed)

Laskin RS, Beksac B. Stiffness after total knee arthroplasty. J Arthroplasty. 2004 Jun;19(4 Suppl 1):41-6. doi: 10.1016/j.arth.2004.02.008.

Reference Type BACKGROUND
PMID: 15190548 (View on PubMed)

Bourne RB, Laskin RS, Guerin JS. Ten-year results of the first 100 Genesis II total knee replacement procedures. Orthopedics. 2007 Aug;30(8 Suppl):83-5.

Reference Type BACKGROUND
PMID: 17824343 (View on PubMed)

Bradbury N, Borton D, Spoo G, Cross MJ. Participation in sports after total knee replacement. Am J Sports Med. 1998 Jul-Aug;26(4):530-5. doi: 10.1177/03635465980260041001.

Reference Type BACKGROUND
PMID: 9689373 (View on PubMed)

Cloutier JM, Sabouret P, Deghrar A. Total knee arthroplasty with retention of both cruciate ligaments. A nine to eleven-year follow-up study. J Bone Joint Surg Am. 1999 May;81(5):697-702. doi: 10.2106/00004623-199905000-00011.

Reference Type BACKGROUND
PMID: 10360698 (View on PubMed)

Kawamura H, Bourne RB. Factors affecting range of flexion after total knee arthroplasty. J Orthop Sci. 2001;6(3):248-52. doi: 10.1007/s007760100043.

Reference Type BACKGROUND
PMID: 11484119 (View on PubMed)

Kahle JT, Highsmith MJ, Hubbard SL. Comparison of nonmicroprocessor knee mechanism versus C-Leg on Prosthesis Evaluation Questionnaire, stumbles, falls, walking tests, stair descent, and knee preference. J Rehabil Res Dev. 2008;45(1):1-14. doi: 10.1682/jrrd.2007.04.0054.

Reference Type BACKGROUND
PMID: 18566922 (View on PubMed)

Other Identifiers

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2008.009

Identifier Type: -

Identifier Source: org_study_id