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Progressive Exercise After Total Knee Arthroplasty (TKA)

J

Jyväskylä Central Hospital

Status

Completed

Conditions

Osteoarthritis

Treatments

Other: Knee muscle exercises

Study type

Interventional

Funder types

Other

Identifiers

NCT00605124
KSSHP (Other Identifier)
KSSHP Dnro6/2007

Details and patient eligibility

About

Total knee arthroplasty (TKA) is performed more than 7.000 times a year in Finland most often for osteoarthritis (OA). While pain is predictably reduced, function does not typically ever reach that of age-matched, uninjured subjects. Quadriceps weakness has been implicated in the development and progression of knee OA and is a significant problem after TKA. Advance to return to normal daily activities is not sufficient to restore knee function or quadriceps strength after TKA.

The aim of this study is to assess the effectiveness of progressive exercise program restoring knee strength, mobility and improving the functional outcome after primary TKA.

Full description

Many studies have shown, that after TKA pain decreased significantly, but muscle strength of the operated knee did not recover and may stay under the preoperative level. To find out the effects of progressive exercise program the investigators will perform, 6 weeks after TKA, a randomized clinical trial of lower extremity strength training using two subgroups of people: traditional exercise group and progressive exercise group.

Enrollment

120 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • primary unilateral TKA for knee osteoarthritis

Exclusion criteria

  • Rheumatoid arthritis
  • Fibromyalgia
  • Bilateral TKA
  • Heart or lung disease, which prevent training
  • Unstable serious disease (cancer)
  • Reduced cooperation (drug, alcohol abuse, mental illness)

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

120 participants in 2 patient groups

exercise
Experimental group
Description:
progressive exercise, home-based exercise program, tree exercise sessions weekly, chec-up visits every third month
Treatment:
Other: Knee muscle exercises
Conventional treatment
Active Comparator group
Description:
Normal treatment, single guidance to home exercise
Treatment:
Other: Knee muscle exercises

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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