Effects Of Supervised Sensorimotor Training Through Telerehabilitation Monitoring After Total Knee Arthroplasty

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

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-05

Study Completion Date

2023-10-30

Brief Summary

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Knee Osteoarthritis (OA) along with low back pain, is one of the most frequent rheumatic disorder in the Asian regions. Total Knee Arthroplasty is considered as a gold standard management strategy for relieving symptoms due to degenerative arthritis of knee. Rehabilitation after knee arthroplasty is an essential component among this population and plays a significant role in improving the functional performance and quality of life. However, access to rehabilitation, health care services and follow up is not always possible. One of the possible solution is the utilization of telerehabilitation technology to allow monitoring facilities be delivered to the patients from distance, so that follow up of a patient could be ensured. Secondly, a type of therapeutic exercise followed after knee replacement constitutes muscle strengthening, muscle stimulation with resistance exercises, sensorimotor training and telerehabilitation. Sensorimotor training improves central nervous system function for managing movement and appropriate muscular firing patterns for maintaining joint stability. An important component missing in the treatment regime of a knee replacement patient is the lifestyle modification program which is a combination of education, exercise and diet. So, the aim of current project is to evaluate the effects of supervised sensorimotor training with and without lifestyle modifications through telerehabilitation monitoring on joint position sense, balance, posture, muscle strength, knee joint function and quality of life after total knee arthroplasty. The telerehabilitation system would interaction between clinician at hospital and patients at home. A web based portal will be developed and then utilized to provide the user with personalized information such as guided video and audio instructions about each exercise. The digital rehabilitation solution is well established in developed nations. It is the need of hour to introduce technological advancements in Pakistan. Tele-rehabilitation should be incorporated as it will be helpful for the community and will reduce the dependence on human resources while ensuring better clinical outcomes as standard therapy. Intervention group will receive lifestyle modification manual and follow up will be ensured through telerehabilitation monitoring. Analysis will be done through SPSS 21.

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Detailed Description

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Conditions

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Arthropathy of Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Group A

This group will receive the common treatment and will be discharged with complete manual on life style modifications comprising education, exercise and diet with telerehabilitation monitoring.

Group Type EXPERIMENTAL

experimental treatment

Intervention Type OTHER

This group will receive the common treatment and will be discharged with complete manual on life style modifications comprising education, exercise and diet with telerehabilitation monitoring.

Group B

This group will receive the common treatment and will be discharged with home exercise plan without telerehabilitation monitoring.

Group Type ACTIVE_COMPARATOR

common treatment

Intervention Type OTHER

This group will receive the common treatment and will be discharged with home exercise plan without telerehabilitation monitoring.

Interventions

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experimental treatment

This group will receive the common treatment and will be discharged with complete manual on life style modifications comprising education, exercise and diet with telerehabilitation monitoring.

Intervention Type OTHER

common treatment

This group will receive the common treatment and will be discharged with home exercise plan without telerehabilitation monitoring.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Both male and female
2. Successful Total Knee Arthroplasty surgery
3. Ability to walk (with walking aid or unaided)
4. Aged between 45 to 75 years old,
5. Active knee flexion of 80 degree and active knee extension of -10 degree upon discharge
6. Availability of internet service in the residing area.

Exclusion Criteria

1. Presence of health related medical conditions that could interfere with tests or the rehabilitation program
2. Neurological conditions that might affect balance
3. Inability to attend rehabilitation services, revised knee arthroplasty
4. Blindness and any condition incompatible with 30 minutes of light to moderate physical activity

Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No