In-home Versus Hospital Preoperative Training for Patients Undergoing Total Knee Replacement (home_ATR)

University of Valencia

Status: Completed

Conditions: Knee Osteoarthritis

Treatments: Other: Preoperative training (hospital); Other: Preoperative training (home)

Study type: Interventional

Funder types: Other

Identifiers

NCT03100890

PRE_ATR_home

Details and patient eligibility

About

In this work the importance of the potentiation and recovery of the balance with a physiotherapeutic intervention that begins in the early preoperative phase is compared with the conventional postoperative rehabilitation. The objective is to evaluate the influence of a muscle enhancement protocol in which a specific work of balance is included, with the physical benefits that this entails for the evolution of the patient. It also seeks to verify if the teaching and recommendation of exercises at home as preparation and conditioning for the intervention of ATR is effective, and to what extent, compared to a guided training in the hospital.

Enrollment: 67 patients

Sex: All

Ages: 60 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subjects with severe knee osteoarthritis that have not been operated before of total knee replacement.
• The score in Berg scale must be greater than 21.
• The score of the Mini-Mental State Examination must be equal or greater than 20.
• Once the informed consent is read and explained, patients must accept and agree to participate in the study.

Exclusion criteria

• Post-surgical infection of the operated knee.
• Pathology of central origin (i.e. cerebellar) that could interfere with balance or strength
• Vestibular pathology that could interfere with balance

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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67 participants in 3 patient groups

Control

No Intervention group

Description:

Non-active comparator

Balance-Proprioception (Hospital)

Active Comparator group

Description:

Preoperative training (hospital)

Treatment:

Other: Preoperative training (hospital)

Balance-Proprioception (Home)

Experimental group

Description:

Preoperative training (home)

Treatment:

Other: Preoperative training (home)