Effects of a Perioperative Action Observation and Motor Imagery Training in Patients Undergoing Total Knee Arthroplasty

Istituto Clinico Humanitas

Status: Not yet enrolling

Conditions: Total Knee Arthoplasty

Treatments: Behavioral: Usual care; Behavioral: Action observation and motor imagery

Study type: Interventional

Funder types: Other

Identifiers

NCT05459766

CLF22/06

Details and patient eligibility

About

The study is aimed at investigating the effects of action observation and motor imagery training in patients undergoing total knee arthroplasty. Fifty participants will be enrolled during hospital admission and randomized into 2 groups (AO+MI and CTRL groups). AO+MI will undergo 12-minute AO+MI intervention for 3 days (preoperative day, first and second postoperartive days), whereas CTRL group will undergo usual care. At baseline, first and third postoperative days, participants will be assessed for mobility, pain, range of motion, quadriceps acrivation failure and patient's bady-pain representation by a blinded operator.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients scheduled for total knee arthroplasty
• age greater or equal to 18 years old
• ability to walk independently.

Exclusion criteria

• previous total knee arthoplasty on the contralateral side
• revision surgery
• dementia
• musculoskeletal and neurological disorders influencing functional recovery
• visual or auditory deficits.
• postoperative complications
• weight bearing restrictions
• lack of walking independency within the second postoperative day.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

AO+MI

Experimental group

Description:

Video-clips observation representing motor contents, followed by motor imagery (12 minutes a day per 3 days).

Treatment:

Behavioral: Action observation and motor imagery

CTRL

Active Comparator group

Description:

Usual care, consisting of preoperative education.

Treatment:

Behavioral: Usual care