Fast-track Rehabilitation After Total Knee or Hip Arthroplasty

NCT ID: NCT03035435

Last Updated: 2017-07-26

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

COMPLETED

Total Enrollment

58 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-01-31

Study Completion Date

2016-09-30

Brief Summary

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In the last years, a lot of surgical fast track programs (SFTP) have been created and developed. This is due to the steady growing number of interventions on knee and hip; after the surgical treatment, a period of physical rehabilitation (PR) is established to be useful and effective, it usually takes 2-3 weeks. The recovery of strength, range of motion (ROM), independence, the reduction of pain and disability are the aims of PR. With the SFTP and a specific rehabilitation program named fast track rehabilitation (FTR) these times can be reduced. First of all because the length of stay (LOS) it's also caused by organizational problems of the hospitals, not only for the factors related to the patient. It's already been demonstrated that an early mobilization decreases the risk of thromboembolic complications and of pain, furthermore an early rehabilitation increase the patient autonomy and reduces the lost of residual abilities. Moreover a PR program studied for fast track patient will reduce minimum by a 50% the LOS in hospital, decreasing so the sanitary efforts that are always a problem for all the countries. The aim of this study is therefore to propose a fast track rehabilitation program based on an 8 days program for hip and knee arthroplasty being operated with an SFTP.

Detailed Description

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Conditions

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Knee Arthroplasty Hip Arthroplasty

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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study group

fast-track rehabilitation

fast-track rehabilitation

Intervention Type OTHER

control group

standard care rehabilitation

standard care rehabilitation

Intervention Type OTHER

Interventions

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fast-track rehabilitation

Intervention Type OTHER

standard care rehabilitation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* adult people (\>18 years), both sex, admitted for elective total knee or hip arthroplasty, with a clinical stability (Hb\>9 g/l).

Exclusion Criteria

* the presence of pain measured with NRS (NRS\>4)
* rheumatoid arthritis, past surgery
* cancer
* neurological and psychiatric disorders
* dementia with Minimental Test\<24
* pregnancy
* participation in the other clinical studies.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Don Carlo Gnocchi Onlus

OTHER

Sponsor Role lead

Responsible Party

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Chiara Arienti

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chiara Arienti, PhD(s)

Role: PRINCIPAL_INVESTIGATOR

IRCCS Don Gnocchi Foundation

Other Identifiers

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Fast Track Rehab

Identifier Type: -

Identifier Source: org_study_id

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