Accelerated Rehabilitation in Individuals After Total Knee Arthroplasty

Mahidol University

Status: Enrolling

Conditions: Arthroplasties, Knee Replacement; Knee Osteoarthristis

Treatments: Behavioral: Routine exercise; Behavioral: Accelerated exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT07319546

MU-CIRB 2025/443.2908

Details and patient eligibility

About

The primary aim of this double-blind randomized controlled trial is to evaluate the effectiveness of an accelerated rehabilitation protocol on knee joint function and quality of life in individuals undergoing TKA compared to conventional rehabilitation in Dali, Yunan, China. The study will include patients aged 50-80 years who are scheduled for primary unilateral TKA. Participants will be randomly assigned to either an accelerated rehabilitation group or conventional rehabilitation group. The primary outcomes will include knee joint function, assessed using the KOOS and quality of life measures using the SF-36 surveys. The study will follow participants for 6 months post-surgery to assess longer-term outcomes. This study will not include individuals undergoing revision TKA or those with severe comorbid conditions. The results will provide critical insights into the role of accelerated rehabilitation in improving post-operative recovery, functional outcomes, and overall quality of life for TKA patients.

Enrollment: 32 estimated patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients diagnosed with end-stage knee OA necessitating primary unilateral TKA.

Exclusion criteria

• History of joint infections, cancer, or inflammatory arthritis.
• End-stage OA from rheumatoid or septic arthritis.
• Individuals with neurological disorders such as Alzheimer's disease, - Parkinson's disease, stroke.
• Individuals who are unable to follow a structured rehabilitation protocol.
• Previous history of knee surgeries (other than arthroscopy).
• Severe comorbidities that would hinder participation (e.g., advanced cardiovascular diseases).
• Individuals who have severe osteoporosis.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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32 participants in 2 patient groups

Accelerated rehabilitation

Experimental group

Description:

Rehabilitaion after TKR with the accelerated and optimal loading concepts

Treatment:

Behavioral: Accelerated exercise

Conventional rehabilitation

Active Comparator group

Treatment:

Behavioral: Routine exercise