Physical Therapy Prior to Total Knee Replacement

NCT ID: NCT02279277

Last Updated: 2014-10-31

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Brief Summary

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In this study, the investigators are investigating the effects of physical therapy (PT) for treating high grade knee osteoarthritis (OA) in patients that are candidates for total knee replacement. Through the examination of patient outcomes, such as pain, stiffness, and physical function, the investigators will determine if PT prior to total knee replacement is an effective treatment in a patient with high grade OA.

Detailed Description

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Conditions

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Osteoarthritis of the Hip

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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No physical therapy

No prescribed, supervised physical therapy prior to total knee replacement

Group Type NO_INTERVENTION

No interventions assigned to this group

Physical Therapy

Prescribed, supervised physical therapy prior to total knee replacement

Group Type ACTIVE_COMPARATOR

Supervised physical therapy program prior to total knee replacement surgery

Intervention Type BEHAVIORAL

Interventions

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Supervised physical therapy program prior to total knee replacement surgery

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Knee osteoarthritis (Kellgren-Lawrence grade 3 or 4) confirmed via standing AP radiograph
2. Surgical candidate for TKA, having had a least a 3 months of pain affecting ADL's unresponsive to conservative treatment consisting of AT LEAST one non-narcotic medication AND one injection (corticosteroid or series of viscosupplementation). Injection must not have been administered within 6 weeks of start of PT trial
3. Prior knee surgery from arthroscopies, meniscal surgery and ligament reconstruction

Exclusion Criteria

1. Anyone who received physical therapy in the last 6 months
2. Inability to walk unaided for \>1 block
3. Currently engaged in regular PT or a regular home exercise program
4. Prior knee arthroplasty
5. Prior knee surgery for trauma, tumor and osteotomy
6. Injection given within 6 weeks of starting therapy
7. Patients using daily narcotic medications within prior 6 weeks
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rothman Institute Orthopaedics

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Other Identifiers

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Austin2014

Identifier Type: -

Identifier Source: org_study_id