Core Stability Via Telerehabitation on TKA

NCT ID: NCT06159205

Last Updated: 2023-12-06

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-01

Study Completion Date

2023-02-17

Brief Summary

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Objective: To investigate the effects of core stability exercises (CSE) added to the standard exercises (SE) on patient-reported (PR) and performance-based (PB) outcomes in patients with total knee arthroplasty (TKA) followed with telerehabilitation (TR).

Methods: The 42 patients who participated in the study were randomly divided into 2 groups \[group 1: SE (n= 21), group 2: SE + CSE (n= 21)\]. The first 8 weeks of the post-discharge follow-up were performed by videoconference-based TR under the supervision of a physiotherapist and the last 4 weeks by telephone-based TR. Functional level was assessed by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), pain intensity by Visual Analog Scale (VAS), affected knee range of motion (ROM) by Copenhagen Knee Range of Motion Scale (CKRS), quality of life by Short Form-12 (SF-12) and World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF), lower extremity muscle strength by 30-seconds Chair-Stand Test and locomotor performance by Stair Climb Test. Assessments were performed with TR preoperatively and at the first, second and third post-op months.

Detailed Description

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At the beginning of the study, an exercise booklet and exercise videos were prepared to be followed throughout the follow-up period. Subsequently, a telerehabilitation (TR) system was established using a laptop computer, a smartphone and a camera as hardware and WhatsApp® and Zoom® applications as software. The surgeries of all patients participating in the study were performed by the same surgical team with fast-track surgical procedure. Until discharge (1 day), a standard physiotherapy and rehabilitation (PTR) program consisting of range of motion and strengthening exercises, cold application, weight transfer and walking training was applied to both groups of patients. At the time of discharge, each patient was given an exercise booklet according to the intervention group.

During the follow-up period, only the interventions included in the standard exercise (SE) program were applied to the SE group, while interventions included in both the SE and core stability exercise (CSE) program were applied to the SE + CSE group. In addition to the TR sessions, each patient performed the interventions belonging to the group they were included in as a home program (HP), 3 sessions per day for the first 8 weeks of the follow-up period. Patient follow-up, which started from the 1st week after discharge, continued for 12 weeks. The content of the follow-up process was planned to include information, assessment, and PTR interventions. The first 8 weeks of the follow-up period consisted of PTR sessions performed with video-conference-based TR method under the supervision of a physiotherapist and HP, while the last 4 weeks consisted of the follow-up of the walking program performed with telephone-based TR method.

Conditions

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Knee Arthropathy Telerehabilitation

Keywords

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total knee arthroplasty exercise core stability telerehabilitation physiotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study was designed as a double-blind, randomised controlled trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Group 1: SE Group

SE: standard exercises During the follow-up period, only the interventions included in the standard exercise program were applied to the SE Group.

Group Type EXPERIMENTAL

standard exercises

Intervention Type OTHER

Standard exercises for TKA patients.

Group 2: SE + CSE Group

CSE: core stability exercises During the follow-up period interventions included in both the standard and core stability program were applied to the SE + CSE group.

Group Type EXPERIMENTAL

standard exercises

Intervention Type OTHER

Standard exercises for TKA patients.

core stability exercises

Intervention Type OTHER

Core stability exercises for TKA patients.

Interventions

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standard exercises

Standard exercises for TKA patients.

Intervention Type OTHER

core stability exercises

Core stability exercises for TKA patients.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* To be over 18 years old
* Undergoing primary unilateral TKA
* To be able to understand, speak and write Turkish,
* be able to understand verbal and written information, have internet access
* be able to use a video conferencing program

Exclusion Criteria

* To undergo revision TKA
* To have undergone any major surgery on the lower extremities
* Comorbid diseases such as rheumatoid arthritis, cancer, etc,
* Neurological disease causing functional disability
* Have a diagnosed psychiatric disorder
* Being addicted to alcohol or drugs
* Have a hearing or visual impairment that cannot be corrected with hearing aids or glasses,
* Being morbidly obese (BMI\>40 kg/m2)
* be unable to participate in a twelve-week rehabilitation program
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pamukkale University

OTHER

Sponsor Role collaborator

Burdur Mehmet Akif Ersoy University

OTHER

Sponsor Role lead

Responsible Party

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Akın Süzer

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Akın Süzer, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

Burdur Mehmet Akif Ersoy University

Nihal Büker, PT, PhD

Role: STUDY_DIRECTOR

Pamukkale University

Harun R Güngör, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Pamukkale University

Nusret Ök, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Pamukkale University

Raziye Şavkın, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

Pamukkale University

Locations

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Burdur Mehmet Akif Ersoy University

Burdur, , Turkey (Türkiye)

Site Status

Pamukkale University

Denizli, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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ErsoyU.E-60116787-020-90137

Identifier Type: -

Identifier Source: org_study_id