A Pilot Study to Test the Feasibility of a Hybrid Preoperative Physical Therapy Intervention for Patients Undergoing Total Joint Arthroplasty
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About
This study aims to determine the feasibility of implementing a hybrid physical therapy intervention prior to total joint replacement surgery.
Full description
Study objectives include: 1) testing the feasibility of a hybrid preoperative physical therapy intervention for physically deconditioned patients undergoing total hip and knee replacement, and 2) observing differences in post-surgical outcomes such as pain, pain interference, function and healthcare utilization, between patients who receive the intervention and those who do not.
Enrollment
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Inclusion criteria
- Patient is above 55 years old, indicated for primary total knee or hip replacement surgery and is deconditioned based on the surgeon's clinical judgement (i.e., Use of walker, limited or staggered gait, difficulty in sit to stand) as recorded in study log.
- Patient falls below the median score on the HOOS/KOOS JR/PROMIS physical function (<47.4, <49.8, ≤ 37 respectively and below the median score on the PROMIS Pain Interference score (≥63).
- Patient has access to technology to participate in telehealth.
Exclusion criteria
- Patient is not ambulatory
- Patient is scheduled for bilateral arthroplasty or revision arthroplasty.
- Patient is morbidly obese (BMI >40).
- Patient has pre-existing medical condition that is contraindicated for exercise such as unstable cardiomyopathy
Trial design
Primary purpose
Allocation
Interventional model
Masking
4 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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