Patient-navigation-based Preoperative Rehabilitation Exercise Program in Patients Undergoing TKA
NCT ID: NCT07047079
Last Updated: 2025-11-19
Study Results
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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ENROLLING_BY_INVITATION
NA
84 participants
INTERVENTIONAL
2025-07-02
2026-02-28
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Autonomous preoperative rehabilitation exercise program
Participants will receive an autonomous preoperative rehabilitation program from admission day to surgery day (preoperative).
Autonomous preoperative rehabilitation exercises
1. Method: On the day of admission, a research assistant provided a verbal explanation of the preoperative rehabilitation exercise regimen and distributed a guidance manual. Participants are advised to perform self-directed exercises 2-3 times daily according to the manual from admission day to surgery day (preoperative). They were also advised to promptly inform ward medical staff of any unusual conditions or concerns.
2. Preoperative rehabilitation exercise regimen:
* Pulmonary function exercises: including abdominal breathing exercises and effective cough learning.
* Quadriceps strength exercises: including straight leg raises and lateral leg raises.
* Knee range of motion exercises: including knee flexion exercises and knee extension exercises.
* Lower limb thrombosis prevention exercises: ankle pump exercise
Patient-navigation-based preoperative rehabilitation exercise program
Participants will receive a patient-navigation-based preoperative rehabilitation exercise programme from admission day to surgery day (preoperative).
The navigator provided full-period preoperative rehabilitation exercise guidance+navigation services
1. The navigator's guidance preoperative rehabilitation exercise regimen was identical to that of the control group, but offered full-period guidance, including the following:
1. On the day of admission, in addition to the same measures as the control group, the navigators demonstrated the exercise movements and required participants to perform return demonstrations to ensure mastery of the exercises.
2. During the preoperative period, navigators conducted daily ward visits, offering two 20-minute supervised sessions and sending nightly exercise reminders between 7:00-8:00 PM.
2. Navigation services covered seven areas:
establishing contact with participants or carers, providing disease-related education, assessing needs and facilitating resources, offering social and emotional support, providing interpretation services upon request, identifying and resolving exercise barriers, and promoting self-management.
Interventions
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Autonomous preoperative rehabilitation exercises
1. Method: On the day of admission, a research assistant provided a verbal explanation of the preoperative rehabilitation exercise regimen and distributed a guidance manual. Participants are advised to perform self-directed exercises 2-3 times daily according to the manual from admission day to surgery day (preoperative). They were also advised to promptly inform ward medical staff of any unusual conditions or concerns.
2. Preoperative rehabilitation exercise regimen:
* Pulmonary function exercises: including abdominal breathing exercises and effective cough learning.
* Quadriceps strength exercises: including straight leg raises and lateral leg raises.
* Knee range of motion exercises: including knee flexion exercises and knee extension exercises.
* Lower limb thrombosis prevention exercises: ankle pump exercise
The navigator provided full-period preoperative rehabilitation exercise guidance+navigation services
1. The navigator's guidance preoperative rehabilitation exercise regimen was identical to that of the control group, but offered full-period guidance, including the following:
1. On the day of admission, in addition to the same measures as the control group, the navigators demonstrated the exercise movements and required participants to perform return demonstrations to ensure mastery of the exercises.
2. During the preoperative period, navigators conducted daily ward visits, offering two 20-minute supervised sessions and sending nightly exercise reminders between 7:00-8:00 PM.
2. Navigation services covered seven areas:
establishing contact with participants or carers, providing disease-related education, assessing needs and facilitating resources, offering social and emotional support, providing interpretation services upon request, identifying and resolving exercise barriers, and promoting self-management.
Eligibility Criteria
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Inclusion Criteria
* Assessed by the attending physician as medically fit to tolerate preoperative rehabilitation exercise, possessing effective communication skills, and capable of cooperating with all required examinations and assessments
* Assessed as capable (either the patient or their caregiver) of using a smartphone to receive information
Exclusion Criteria
* Concurrent severe comorbidities such as liver cirrhosis, respiratory failure, renal failure, malignant tumors, trauma, etc.
* History of significant neuromuscular disorders or other joint diseases deemed by the attending physician to affect joint function
* a time interval of greater than 7 days or less than 3 days between the admission day date and the scheduled surgery date;
* Currently undergoing systematic lower limb functional exercise training within the past four weeks
45 Years
90 Years
ALL
Yes
Sponsors
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First Affiliated Hospital of Jinan University
OTHER
Anna Sun
OTHER
Responsible Party
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Anna Sun
Nurse Practitioner
Principal Investigators
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Anna Sun
Role: PRINCIPAL_INVESTIGATOR
research team
Locations
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First Affiliated Hospital of Jinan University
Guangzhou, Guangdong, China
Countries
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Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Document Type: Informed Consent Form
Other Identifiers
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KY-2025-105
Identifier Type: -
Identifier Source: org_study_id
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