Patient-navigation-based Preoperative Rehabilitation Exercise Program in Patients Undergoing TKA

Anna Sun

Status: Invitation-only

Conditions: Knee Osteoarthritis; Total Knee Arthroplasty

Treatments: Other: The navigator provided full-period preoperative rehabilitation exercise guidance+navigation services; Other: Autonomous preoperative rehabilitation exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT07047079

KY-2025-105

Details and patient eligibility

About

This study aimed to assess the effectiveness of a patient navigation-based preoperative rehabilitation exercise program for patients undergoing total knee arthroplasty.

Full description

Participants were recruited from among patients newly admitted to the orthopaedic ward who met the selection criteria. Participants who provided written informed consent completed a survey collecting demographic and clinical information, followed by a baseline assessment (T0). Subsequently, they were randomly assigned to either the control group or the experimental group. Participants in both groups received standardised, identical inpatient rehabilitation and nursing services throughout their hospitalisation. From admission day to surgery day (preoperative), control group participants will receive an autonomous preoperative rehabilitation exercise programme, while experimental group participants will receive a patient-navigation-based preoperative rehabilitation exercise programme

Enrollment: 84 estimated patients

Sex: All

Ages: 45 to 90 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients diagnosed with knee osteoarthritis (KOA) scheduled to undergo primary unilateral total knee arthroplasty (TKA)
• 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

• Individuals unable to cooperate due to impaired consciousness, cognitive impairment, or similar conditions
• 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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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84 participants in 2 patient groups

Autonomous preoperative rehabilitation exercise program

Other group

Description:

Participants will receive an autonomous preoperative rehabilitation program from admission day to surgery day (preoperative).

Treatment:

Other: Autonomous preoperative rehabilitation exercises

Patient-navigation-based preoperative rehabilitation exercise program

Other group

Description:

Participants will receive a patient-navigation-based preoperative rehabilitation exercise programme from admission day to surgery day (preoperative).

Treatment:

Other: The navigator provided full-period preoperative rehabilitation exercise guidance+navigation services