Comparison of the Supervised and Home-Based Progressive Resistant Training in Female Total Knee Arthroplasty Patients

Pamukkale University

Status: Completed

Conditions: Total Knee Arthroplasty

Treatments: Procedure: Home-based progressive resistance training; Procedure: Supervised progressive resistance training

Study type: Interventional

Funder types: Other

Identifiers

NCT05618015

60116787-020/49018/13

Details and patient eligibility

About

Early postoperative rehabilitation programs after TKA aims to provide optimal functional recovery. The current rehabilitation process in TKA typically includes 2 to 3 months post-surgery, as the greatest declines in strength and functional performance occur immediately after surgery. Yet, the content, duration, and intensity of the rehabilitation programs for the reorganization of physical function after surgery have not yet been fully clarified. Whether home-based rehabilitation is comparable to supervised rehabilitation in the midterm period requires further research, as practices after TKA vary. The purpose of this study is to compare the effectiveness of supervised and home-based progressive resistance training (PRT) in the midterm postoperative period in female patients undergoing TKA.

Full description

The objective of this study is to compare the pain, quadriceps strength, knee function, joint awareness, and quality of life between supervised or home-based PRT at 3 months after the total knee arthroplasty.

The study design is a single-blinded randomized trial. Both groups received standard physiotherapy for three months. In the third month postoperatively, supervised and home-based PRE, which consisted of sixteen sessions of exercise lasting eight weeks initiated. The clinical outcomes were compared at baseline (third month postoperatively) and the fifth month postoperative.

The clinical outcomes consisted of pain, range of motion (ROM), quadriceps and hip abductor muscle strength, and WOMAC (Western Ontario and McMaster University Arthritis Index ) score. The performance-based activity limitation test consisted of the 30-second sit-to-stand test, the 40-meter fast-paced walk test and the 9-step stair climb test. Joint awareness was assessed with Forgotten Joint Score-12 (FJS12). The quality of life was evaluated with the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF).

Enrollment: 32 patients

Sex: Female

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• being a woman between the ages of 50-70
• underwent unilateral primary TKA surgery due to knee osteoarthritis three months ago
• understanding verbal and written instructions

Exclusion criteria

• revision TKA surgery
• neurological disease
• rheumatoid arthritis
• psychiatric problems
• severe limitation of knee ROM (knee flexion range < 90°)
• regular hypnotic or anxiolytics usage
• dementia.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Supervised progressive resistance training

Experimental group

Description:

Supervised PRT was conducted face-to-face at the clinic

Treatment:

Procedure: Supervised progressive resistance training

Home-based progressive resistance training

Active Comparator group

Description:

Home-based PRT was conducted at home without supervision

Treatment:

Procedure: Home-based progressive resistance training