Physical Therapy Prior to Total Knee Replacement

Rothman Institute Orthopaedics

Status: Unknown

Conditions: Osteoarthritis of the Hip

Treatments: Behavioral: Supervised physical therapy program prior to total knee replacement surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT02279277

Austin2014

Details and patient eligibility

About

In this study, the investigators are investigating the effects of physical therapy (PT) for treating high grade knee osteoarthritis (OA) in patients that are candidates for total knee replacement. Through the examination of patient outcomes, such as pain, stiffness, and physical function, the investigators will determine if PT prior to total knee replacement is an effective treatment in a patient with high grade OA.

Enrollment: 148 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Knee osteoarthritis (Kellgren-Lawrence grade 3 or 4) confirmed via standing AP radiograph
2. Surgical candidate for TKA, having had a least a 3 months of pain affecting ADL's unresponsive to conservative treatment consisting of AT LEAST one non-narcotic medication AND one injection (corticosteroid or series of viscosupplementation). Injection must not have been administered within 6 weeks of start of PT trial
3. Prior knee surgery from arthroscopies, meniscal surgery and ligament reconstruction

Exclusion criteria

1. Anyone who received physical therapy in the last 6 months
2. Inability to walk unaided for >1 block
3. Currently engaged in regular PT or a regular home exercise program
4. Prior knee arthroplasty
5. Prior knee surgery for trauma, tumor and osteotomy
6. Injection given within 6 weeks of starting therapy
7. Patients using daily narcotic medications within prior 6 weeks

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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148 participants in 2 patient groups

No physical therapy

No Intervention group

Description:

No prescribed, supervised physical therapy prior to total knee replacement

Physical Therapy

Active Comparator group

Description:

Prescribed, supervised physical therapy prior to total knee replacement

Treatment:

Behavioral: Supervised physical therapy program prior to total knee replacement surgery