ClinicalTrials.gg
RecruitingNCT07848126Updated Oct 2, 2026

Effect of Foam Rolling After Total Knee Arthroplasty

An interventional study of Foam rolling after total knee arthroplasty and Standard home exercise program after total knee arthroplasty in Total Knee Arthroplasty Recovery, Total Knee Arthroplasty Postoperative Pain and Total Knee ArthroplastyKnee Pain, Functionality, sponsored by Dokuz Eylul University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Primary conditionPain, PostoperativeRegistry: PainReclassifiedWhy we changed it
Registry
Pain — the first condition term the registry derived for this study.
ClinicalTrials.gg
Pain, Postoperative
Why
  1. The study's listed conditions name Pain, Postoperative, a narrower term within Pain.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Dokuz Eylul University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Sep 29, 2026Newly registeredGo to Updates ↓

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,095 studies in Pain, Postoperative with a site in Turkey — 264 open to participants now, 296 under way, none of them phase 3. Pain, Postoperative · Turkey.

Planned enrollment
862nd of 880
26 · median 70
Started
2026
with 219 others
No phase
811 of 1,095
217 open now
Primary completion
2027-12
later than 285 of 295 live
Registered
1,043rd of 1,095
by date

Among the 1,095 studies in Pain, Postoperative with a site in Turkey, this one is the 862nd largest by planned enrollment of the 880 interventional ones that give a count, is one of 220 that started in 2026, is one of 811 with no phase, reaches primary completion later than 285 of the 295 other live ones, and was the 1,043rd registered.

Pain, Postoperative

5,644 studies on the registry are indexed under Pain, Postoperative; 1,231 are open to participants now.

Browse Pain, Postoperative studies →

Open to participants now

264 of the 1,095 studies in Pain, Postoperative with a site in Turkey are open now. Recruiting first, the newest first:

258 more — sign in →

All 264 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 679 Pain, Postoperative studies recruiting now, 240 (35%) set no upper age limit and 329 (48%) stop at 75 or younger; 74 take children under 18; 128 take healthy volunteers.

This study: 40 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,095 studies in Pain, Postoperative with a site in Turkey, or all of them as a file.
02

Study summary

The aim of this study is to investigate the effects of foam rolling in patients who have undergone total knee arthroplasty on pain, knee mobility, leg muscle strength, the ability to sense joint position, fear of movement, walking, balance, and the ability to perform daily activities.

A total of 26 patients, with 13 patients in each group, will be included in the study. Participants will be randomly assigned to two groups. One group will receive the routine rehabilitation program, while the other group will receive foam rolling in addition to the routine rehabilitation program.

Foam rolling and rehabilitation exercises will be taught at the Dokuz Eylül University Orthopedics and Traumatology Outpatient Clinic, and you will be asked to perform these exercises at home. The foam rolling group will perform foam rolling 6 days per week, 2 sets per day, with 3 repetitions of 60 seconds each. The control group will not perform foam rolling and will follow the routine rehabilitation program.

The standard rehabilitation program will consist of strengthening exercises in different directions for the entire leg, range-of-motion exercises, stretching exercises, and walking exercises. You will be asked to perform the exercises for 3 sets of 10 repetitions per day.

The assessments in the study will be performed at the second postoperative week (test 1), sixth postoperative week (test 2), and fourteenth postoperative week (test 3). These time points are also times when you would normally visit your doctor for routine follow-up; therefore, you will not be expected to make any additional hospital visits for the study.

The study will continue for 1 year, and each patient will be followed for 14 weeks.

Pain will be assessed using a single-question questionnaire. Walking, functional level, and leg muscle strength will be assessed using short performance tests involving sitting-to-standing and walking activities, as well as a questionnaire. Knee joint range of motion and proprioception will be assessed by measuring the angles of your knee using a ruler-like plastic device. Fear of movement will be assessed using a short questionnaire.

All assessments will take no more than 20 minutes. The results will be determined by examining whether there are differences in these measurements between the different assessment time points.

Read the detailed description

The aim of this study is to investigate the effects of foam rolling after total knee arthroplasty on pain, range of motion, muscle strength, proprioception, kinesiophobia, gait, balance, and functional level.

All patients will receive education regarding postoperative pain management, exercises, foam rolling, and the rehabilitation program to be implemented. Both the rehabilitation exercises and foam rolling will be taught to the patients by physiotherapists in the outpatient clinic and performed by the patients at home as part of their home program. The foam rolling intervention group will perform foam rolling for 4 weeks starting from the second postoperative week, 3 days per week, 1 set per day, with 3 repetitions of 60 seconds each. The control group will not perform foam rolling and will follow the standard home exercise program.

The standard home exercise program will consist of lower-extremity range-of-motion exercises, isometric exercises, stretching exercises for the knee joint, and straight leg raise exercises in different directions. Patients will be instructed to perform these exercises for 3 sets of 10 repetitions per day. In addition, patients will be encouraged to mobilize both indoors and outdoors.

Outcome assessments will be performed at the second postoperative week (test 1), sixth postoperative week (test 2), and fourteenth postoperative week (test 3).

Demographic and clinical characteristics, including age, gender, height, body weight, and body mass index, will be recorded on the data collection form. Clinical assessments will include pain level, range of motion, muscle strength, proprioception, kinesiophobia, gait, balance, and functional level. Maximum isometric muscle strength will be assessed only at the fourteenth postoperative week (test 3).

Pain will be assessed using the Visual Analog Scale (VAS). The maximum isometric muscle strength of the quadriceps femoris and hamstring muscles will be assessed using manual muscle testing and a hand-held dynamometer. Range of motion will be assessed using a plastic manual goniometer. Knee joint proprioception will be assessed using the active joint repositioning test at target angles of 30° and 60° of knee flexion. The Hospital for Special Surgery (HSS) Knee Score will be used to evaluate knee arthroplasty outcomes. Kinesiophobia will be assessed using the self-reported Tampa Scale for Kinesiophobia. The Timed Up and Go Test and the Five-Times Sit-to-Stand Test will be used to assess lower-extremity function, functional mobility, gait, and balance.

03

Conditions studied

  • Total Knee Arthroplasty Recovery
  • Total Knee Arthroplasty Postoperative Pain
  • Total Knee ArthroplastyKnee Pain, Functionality
  • Total Knee Arthroplasty\(TKA\)
  • Foam Roller

Browse trials for

Keywords

  • total knee arthroplasty
  • foam roller
  • rondomized controlled trials
04

In context

Pain, Postoperative Reclassified

5,644 studies on the registry are indexed under Pain, Postoperative; 1,231 are open to participants now.

This study's planned enrollment of 26 is below the median of 75 across 4,829 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Dokuz Eylul University is the lead sponsor of 261 studies on the registry; 35 are open to participants now.

Compared within Pain, Postoperative, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Pain. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Willingness to participate in the study
  • Scheduled for primary total knee arthroplasty
  • Age 40 years or older

Exclusion criteria

Exclusion Criteria:

  • (BMI) > 40 kg/m²
  • History of revision surgery in the knee region
  • Any other orthopedic or neurological condition that may cause walking or functional impairment
  • Presence of heart disease or uncontrolled hypertension
  • Presence of neuromuscular or neurodegenerative disease
  • Inability to understand the study protocol instructions
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

06

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
26 participants (estimated)

Study arms

  • Experimental
    Foam rolling group

    The foam rolling intervention group will perform foam rolling for 4 weeks starting from the second postoperative week, 3 days per week, 1 set per day, with 3 repetitions of 60 seconds each.

    Other: Foam rolling after total knee arthroplasty

  • Active comparator
    Control group

    The control group will not perform foam rolling and will follow the standard home exercise program. The standard home exercise program will consist of lower-extremity range-of-motion exercises, isometric exercises, stretching exercises for the knee joint, and straight leg raise exercises in different directions. Participants will be instructed to perform the exercises for 3 sets of 10 repetitions per day.

    Other: Standard home exercise program after total knee arthroplasty

Interventions

  • OtherFoam rolling after total knee arthroplasty

    The foam rolling intervention will be performed for 4 weeks starting from the second postoperative week, 3 days per week, 1 set per day, with 3 repetitions of 60 seconds each.

  • OtherStandard home exercise program after total knee arthroplasty

    The control group will not perform foam rolling and will follow the standard home exercise program. The standard home exercise program will consist of lower-extremity range-of-motion exercises, isometric exercises, stretching exercises for the knee joint, and straight leg raise exercises in different directions. Participants will be instructed to perform the exercises for 3 sets of 10 repetitions per day.

07

What researchers measure

Primary outcomes

  1. Change from baseline at week 14 in knee pain

    Pain will be assessed using the 10-cm Visual Analog Scale (VAS), scored from 0 (no pain) to 10 (unbearable pain).

    Time frame: From enrollment to the end of the 14-week period

  2. Change from baseline at week 14 in knee range of motion

    Knee range of motion will be measured using a 30-cm transparent plastic manual goniometer.

    Time frame: From enrollment to the end of the 14-week period

Secondary outcomes

  1. Change from baseline at week 14 in muscle strength

    Maximum isometric strength of the quadriceps femoris and hamstring muscles will be measured using a hand-held dynamometer and muscle strength will also be assessed using manual muscle testing.

    Time frame: From enrollment to the end of the 14-week period

  2. Change from baseline at week 14 in knee joint proprioception

    Knee proprioception will be assessed using the active joint repositioning test at 30° and 60° knee flexion, with the absolute difference between the target and reproduced angles recorded.

    Time frame: From enrollment to the end of the 14-week period

  3. Change from baseline at week 14 in kinesiophobia

    Kinesiophobia will be assessed using the 17-item Turkish version of the Tampa Scale for Kinesiophobia. Each item will be scored using a 4-point Likert scale ranging from 1 to 4.

    Time frame: From enrollment to the end of the 14-week period

  4. Change from baseline at week 14 in Timed Up and Go Test performance

    Gait, balance, and functional mobility will be assessed using the Timed Up and Go Test. The patient will be asked to stand up from a chair, walk 3 meters, turn around, and sit back down. The completion time will be recorded in seconds.

    Time frame: From enrollment to the end of the 14-week period

  5. Change from baseline at week 14 in Five Times Sit-to-Stand Test performance

    Lower-extremity strength, balance, and functional level will be assessed using the Five Times Sit-to-Stand Test. The patient will be asked to stand up and sit down five times as quickly and safely as possible, and the completion time will be recorded in seconds.

    Time frame: From enrollment to the end of the 14-week period

  6. Change from baseline at week 14 in Hospital for Special Surgery Knee Score

    Knee function will be assessed using the Hospital for Special Surgery Knee Score. The Hospital for Special Surgery (HSS) Knee Score will be rated on a 0-100-point scale, with scores of ≥85 indicating excellent, 70-84 good, 60-69 moderate, and ≤59 poor knee function.

    Time frame: From enrollment to the end of the 14-week period

08

Study locations

1 of 1 sites recruiting
09

References and documents

Publications

  • Yokochi M, Nakamura M, Iwata A, Kaneko R, Yamada N, Konrad A. The acute cross-education effect of foam rolling on the thigh muscles in patients after total knee arthroplasty. Front Rehabil Sci. 2024 Oct 25;5:1433231. doi: 10.3389/fresc.2024.1433231. eCollection 2024. PubMed 39619124 ↗
  • Yokochi M, Nakamura M, Iwata A, Kaneko R, Watanabe S, Konrad A, Yamada N. The acute effect of roller massager on knee joint range of motion and muscle pain in older adults with total knee arthroplasty. J Musculoskelet Neuronal Interact. 2023 Jun 1;23(2):223-227. PubMed 37259662 ↗
  • Konrad A, Nakamura M, Tilp M, Donti O, Behm DG. Foam Rolling Training Effects on Range of Motion: A Systematic Review and Meta-Analysis. Sports Med. 2022 Oct;52(10):2523-2535. doi: 10.1007/s40279-022-01699-8. Epub 2022 May 26. PubMed 35616852 ↗
  • Konrad A, Nakamura M, Paternoster FK, Tilp M, Behm DG. A comparison of a single bout of stretching or foam rolling on range of motion in healthy adults. Eur J Appl Physiol. 2022 Jul;122(7):1545-1557. doi: 10.1007/s00421-022-04927-1. Epub 2022 Mar 17. PubMed 35298696 ↗
  • Yokochi M, Nakamura M, Iwata A, Kaneko R, Watanabe S, Konrad A, Yamada N. A 1-Week Comprehensive Foam Rolling Intervention Program Can Improve Knee Pain but Not Muscle Function and Range of Motion in Patients with Total Knee Arthroplasty. Int J Environ Res Public Health. 2023 Feb 14;20(4):3351. doi: 10.3390/ijerph20043351. PubMed 36834043 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study does not plan to make individual-level participant data available to other researchers.

10

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Dec 2027, 15 months after the start.

Of 2,096 non-industry interventional studies with no phase under Pain, Postoperative, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 23. This study's planned 15 months is above that.

Counting every sponsor, half of 2,109 studies reached it within 11 months; a quarter within 6 and three quarters within 23.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2026
First posted
Sep 29, 2026
StartActual
Sep 9, 2026
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Oct 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Sep 29, 2026
Show all 2 updates
  1. Oct 2, 2026
    Minor edits only
    + 1 other change: responsible party
  2. Sep 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT07848126
Responsible party
Öykü Bulduk (Principal Investigator, Dokuz Eylul University) — Principal investigator
First posted
Sep 29, 2026
Start date
Sep 9, 2026
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Oct 2, 2026

Study contacts

Öykü Bulduk, Physiotherapist
Contact
buldukoyku@gmail.com
+905362743035
Bayram Ünver, Prof. Dr.
Contact
unverbay@gmail.com
Bayram Ünver, Prof. Dr.
study director · Dokuz Eylul University
Vasfi Karatosun, Prof. Dr.
study chair · Dokuz Eylul University
Gonca Cura, Physiotherapist
study chair · Dokuz Eylul University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion