An observational study in Total Knee Arthroplasty and Rehabilitation, sponsored by Peking University Third Hospital. Status unknown at 1 site in China. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-07-07.
Sponsored by Peking University Third Hospital · Observational
Rehabilitation is an important part of the post-operative treatment after TKA by consensus. This study intends to analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Rehabilitation, which is an important part of the post-operative treatment after TKA, could effectively alleviate symptoms of pain and swell, as well as improve knee joint and general function. It has reached a consensus that post-TKA rehabilitation should contain muscle strengthening, ROM, proprioceptive, balance training and physical factor therapy, etc. This study intends to use observational cohort study methods with exposure factor of fast inpatient rehabilitation after TKA, establish a TKA exposure group and a control group of TKA without inpatient rehabilitation, analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Peking University Third Hospital is the lead sponsor of 735 studies on the registry; 262 are open to participants now.
Counted across the registry records on this site, refreshed daily.
He/She is admitted to orthopedics department of Peking University Third Hospital and undertaken initial unilateral TKA due to osteoarthritis, rheumatoid arthritis, etc.
Exclusion Criteria:
Both exposed group and control group are undertaken TKA surgery and routine postoperative management for 2 days in orthopedics department. Exposed group patients are transferred from orthopedics department to rehabilitation department on 2nd day after TKA, and accept fast inpatient rehabilitation for 1 week before hospital discharge, while control group patients continue to accept routine peri-operative management and conventional oral instructions of exercises in orthopedics department until hospital discharge.
Combination Product: Fast Inpatient Rehabilitation
Both exposed group and control group are undertaken TKA surgery and routine postoperative management for 2 days in orthopedics department. Exposed group patients are transferred from orthopedics department to rehabilitation department on 2nd day after TKA, and accept fast inpatient rehabilitation for 1 week before hospital discharge, while control group patients continue to accept routine peri-operative management and conventional oral instructions of exercises in orthopedics department until hospital discharge.
Routine inpatient rehabilitation protocol, administered by licensed Physical Therapist, duration period of 1.5h-2h each time, 2 times for weekdays and 1 time for weekends, totally lasting for 1 week, are applied to the exposed group. After the fast inpatient rehabilitation for 1 week, the patients can get discharged if reaching to the rehabilitation goals of symptoms of pain and swell reduced, knee flexion ≥ 90° and knee extension ≥ 0°, quadriceps femurs and hamstrings muscle strength enhanced, recovery to aided standing and walking, and acquiring of rehabilitation training methods.
bilateral knee Rang Of Motion (ROM)
bilateral knee flexion and extension ROM are measured by articular protractor
Time frame: 1 day after TKA
bilateral quadriceps femurs
measured by manual muscle test (MMT)
Time frame: 1 day after TKA
hamstrings muscle strength
measured by manual muscle test (MMT)
Time frame: 1 day after TKA
Hospital for Special Surgery-Knee Rating scale (HSSKR)
to measure knee function, with the minimum 0 and maximum 100, higher score means a better outcome
Time frame: 1 day after TKA
modified Barthel Index (mBI)
to measure ADL, with the minimum 0 and maximum 100, higher score means a better outcome
Time frame: 1 day after TKA
Numerical Rating Scale (NRS) for pain
the minimum is 0 and maximum 10, higher score means a worse outcome
Time frame: 1 day after TKA
NRS for pain
Time frame: 6 weeks after TKA
NRS for pain
Time frame: 3 months after TKA
NRS for pain
Time frame: 6 months after TKA
Knee Injury and Osteoarthritis Outcome Score (KOOS)
to measure knee function and global function, with the minimum 0 and maximum 100, higher score means a better outcome
Time frame: 1 day after TKA
KOOS
Time frame: 6 weeks after TKA
KOOS
Time frame: 3 months after TKA
KOOS
Time frame: 6 months after TKA
Plan to share: Yes
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This study is status unknown, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.
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Peking University Third Hospital