Pre-operative One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After Total Joint Arthroplasty

NCT ID: NCT02872337

Last Updated: 2023-06-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 126 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-02-28
• Study Completion Date: 2015-11-30

Brief Summary

The purpose of this study was to evaluate the efficacy of a one-time, preoperative physical therapy protocol on postoperative (1) discharge disposition, (2) pain, function and stiffness and (3) patient satisfaction.

Conditions

Arthroplasty

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Experimental (Intervention): PreopPT Group

This group will undergo the group preoperative education session. Following this session (intervention) this group underwent a one-time, one-on-one preoperative PT session. They also were given access to a web-based microsite which was customized to surgeon

Group Type: EXPERIMENTAL

Preoperative Physical Therapy Session

Intervention Type: BEHAVIORAL

This was a one-on-one preoperative physical therapy session on preoperative education. These patients were also given access to a surgery specific web-based microsite

Group Preoperative Education Session (per the standard of care)

Intervention Type: BEHAVIORAL

Control (standard of care): No PreopPT Group

This group underwent the current of standard of care at our institution. This only includes the group preoperative education session. No further preoperative education was given.

Group Type: PLACEBO_COMPARATOR

Group Preoperative Education Session (per the standard of care)

Intervention Type: BEHAVIORAL

Interventions

Preoperative Physical Therapy Session

This was a one-on-one preoperative physical therapy session on preoperative education. These patients were also given access to a surgery specific web-based microsite

Intervention Type: BEHAVIORAL

Group Preoperative Education Session (per the standard of care)

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Unilateral Primary Knee OA or Hip OA
• Patients at least 18 years old up to 85.
• Undergoing surgery with one of the following study surgeons
• Able to independently ambulate ≥ half a block with or without assistive device
• Able to independently perform non-reciprocal stairs with or without assistive device/rails
• Patients that plan to D/C home post TKA / THA
• Patients that speak English only.

Exclusion Criteria

• Rheumatoid arthritis
• Psoriatic arthritis
• Juvenile rheumatoid arthritis
• Knee or Hip revisions
• Patients under 18 years of age
• Patients unwilling or unable to complete PRO instrument or study questionnaires at the specified study time points pre-operatively or post-operatively
• Bilateral TKA and THA
• Uni-condylar knee arthroplasty or Hip resurfacing
• Patellar reconstruction
• Patient on disability, workman's compensation
• Patients unwilling to participate in PEdPTWP and/or Patient education class and booklet.
• Patients that plan to D/C to rehabilitation center post TKA and THA
• Patients that do not speak English
• Patients that do not have access to computer

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hospital for Special Surgery, New York

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Other Identifiers

2015-306

Identifier Type: -

Identifier Source: org_study_id