Ambulation Versus Standing on Postoperative Day 0 (PT on POD 0)

Rush

Status: Completed

Conditions: Osteoarthritis

Treatments: Other: Physical Therapy; Other: Standing

Study type: Interventional

Funder types: Other

Identifiers

NCT02879188

1234568

Details and patient eligibility

About

The purpose of this study is to determine the impact of the timing of physical therapy (PT) initiation on postoperative length of stay and the time to physical therapy clearance following total knee replacement.

Enrollment: 394 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years of age or older
• scheduled for primary TKA (Total Knee Arthroplasty) for any degenerative condition
• Anesthesia for TKA is Spinal + Regional block (Adductor Canal Block)

Exclusion criteria

• require assistive devices (walker, wheelchair) for ambulation preoperatively
• planning to go to a subacute nursing facility or acute rehab facility following surgery
• < 18 yrs of age
• not willing to participate or unable to consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

394 participants in 2 patient groups

Ambulation

Experimental group

Description:

Patients will initiate inpatient physical therapy on the day of their surgery including attempted ambulation with an assistive device that is supervised by a physical therapist.

Treatment:

Other: Physical Therapy

Standing

Active Comparator group

Description:

Patients will initiate inpatient physical therapy on postoperative day 1. On the day of their surgery they will dangle their feet over the edge of the bed with supervision of nursing.

Treatment:

Other: Standing