Pre-operative One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After Total Joint Arthroplasty

Hospital for Special Surgery (HSS)

Status: Completed

Conditions: Arthroplasty

Treatments: Behavioral: Preoperative Physical Therapy Session; Behavioral: Group Preoperative Education Session (per the standard of care)

Study type: Interventional

Funder types: Other

Identifiers

NCT02872337

2015-306

Details and patient eligibility

About

The purpose of this study was to evaluate the efficacy of a one-time, preoperative physical therapy protocol on postoperative (1) discharge disposition, (2) pain, function and stiffness and (3) patient satisfaction.

Enrollment: 126 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subjects will be required to meet the following inclusion criteria in order to participate:

  • Unilateral Primary Knee OA or Hip OA
  • Patients at least 18 years old up to 85.
  • Undergoing surgery with one of the following study surgeons
  • Able to independently ambulate ≥ half a block with or without assistive device
  • Able to independently perform non-reciprocal stairs with or without assistive device/rails
  • Patients that plan to D/C home post TKA / THA
  • Patients that speak English only.

Exclusion criteria

• Rheumatoid arthritis
• Psoriatic arthritis
• Juvenile rheumatoid arthritis
• Knee or Hip revisions
• Patients under 18 years of age
• Patients unwilling or unable to complete PRO instrument or study questionnaires at the specified study time points pre-operatively or post-operatively
• Bilateral TKA and THA
• Uni-condylar knee arthroplasty or Hip resurfacing
• Patellar reconstruction
• Patient on disability, workman's compensation
• Patients unwilling to participate in PEdPTWP and/or Patient education class and booklet.
• Patients that plan to D/C to rehabilitation center post TKA and THA
• Patients that do not speak English
• Patients that do not have access to computer

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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126 participants in 2 patient groups, including a placebo group

Experimental (Intervention): PreopPT Group

Experimental group

Description:

This group will undergo the group preoperative education session. Following this session (intervention) this group underwent a one-time, one-on-one preoperative PT session. They also were given access to a web-based microsite which was customized to surgeon

Treatment:

Behavioral: Group Preoperative Education Session (per the standard of care)

Behavioral: Preoperative Physical Therapy Session

Control (standard of care): No PreopPT Group

Placebo Comparator group

Description:

This group underwent the current of standard of care at our institution. This only includes the group preoperative education session. No further preoperative education was given.

Treatment:

Behavioral: Group Preoperative Education Session (per the standard of care)