Walking Stick Exercise in Patients Underwent Total Knee Arthroplasty

National Taipei University of Nursing and Health Sciences

Status: Invitation-only

Conditions: Arthroplasty; Replacement; Knee Osteoarthritis

Treatments: Other: Walking stick exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05030662

YChou

Details and patient eligibility

About

The purpose of this study is to examine whether the effect of "hiking poles exercise" on lower extremity muscular strength, knee range of motion, and quality of life in elderly patients underwent total knee arthroplasty

Full description

This is a longitudinal-experimental study. The data collection and analysis are in a single-blind manner. The study will be undertaken in the Department Orthopaedics of En Chu Kong hospital (approximate 500-bed regional teaching hospital). All patients who meet the inclusion criteria are admitted for primary total knee arthroplasty and assigned to control group or intervention group randomly. The 44 patients in the control group received routine guidance of " Rehabilitation and precautions for artificial knee replacement ". In addition to the routine guidance, the 44 patients in the intervention group received educations of " hiking poles exercise " on the day before surgery and before discharge, as well as a follow-up call at least once a week after discharge.

Enrollment: 88 estimated patients

Sex: All

Ages: 60 to 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Minimum Age: 60 years Maximum Age: 85years Gender-Based: All Accepts Healthy Volunteers:No

Criteria:

Inclusion Criteria:

• Age between 60 and 85 years
• Informed consent
• Receipt of elective unilateral primary knee arthroplasty surgery.

Exclusion Criteria:

• Non-degenerative arthritis, including rheumatoid arthritis, or traumatic arthritis
• Patients receiving rehabilitation simultaneously
• Patients with other musculoskeletal or neurological problems, including fractures, Parkinsonism, cerebrovascular events, or patients with multiple comorbidities
• Cancer patients receive chemotherapy
• Patients with the peri-operative complication that has an adverse effect on outcomes,for example: intra-operative fractures, thromboembolism, peri-operative infections, or phlebitis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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88 participants in 2 patient groups

Experimental:Walking stick exercise

Experimental group

Description:

The experimental:Walking stick exercise 1. Education of walking stick exercise by research nurses twice before discharge (on the day before surgery and before discharge) 2. The video clip of "walking stick exercise" is available to the patients. 3. The research nurses encourage our patients to keep rehabilitation by phone calls once a week after discharge.

Treatment:

Other: Walking stick exercise

Control group: conventional physical therapy.

No Intervention group

Description:

1. Perform bed mobility and transfers with the least amount of assistance while maintaining appropriate weight bearing (WB) precautions. 2. Ambulate with an assistive device for 25-100 feet and ascend/descend stairs to allow for independence with household activities while maintaining appropriate WB. 3. Verbalize understanding of post-operative activity recommendations/precautions including use of proper positioning of the lower extremity, range of motion and strengthening exercises.