Effect of Physiotherapy After Total Knee Replacement

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00807716
Recruitment Status : Completed
First Posted : December 12, 2008
Last Update Posted : December 5, 2014
Information provided by (Responsible Party):
Vigdis Bruun-Olsen, University of Oslo

Brief Summary:

Physiotherapy plays an important part in rehabilitation after total knee arthroplasty. Even if this is a common practice, few studies have been performed on this issue.

The prime aim of this study is to examine the effects of an ambulatory individualized task-oriented exercise program compared with current ambulatory physiotherapy(usual care)on activity performance and self efficacy beliefs in the time span 6 weeks to 3 months after total knee arthroplasty with a follow-up at twelve months.

HO:Task oriented physiotherapy has better effect than usual care on activity performance and self-efficacy beliefs in the time span 6 weeks to 3 months after total knee replacement.

Condition or disease Intervention/treatment Phase
Knee Osteoarthritis Other: walking skill group Other: usual physiotherapy care Not Applicable

Detailed Description:
A randomized controlled trial was performed with an experiment group having task oriented exercises in only weight-bearing 12 times from 6 weeks to 12 weeks after the operation, while the control group had usual physiotherapy care during the same time span. The primary outcome was walking measured by the six minutes walk test. Other performed and self reported measures of physical functioning were performed, at baseline, six weeks after the operation, immediately after the intervention at 12-14 weeks and with a follow-up nine months after the intervention.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 57 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Immediate and Long Term Effects of a Walking-skill Program Compared to Usual Physiotherapy Care in Patients Who Have Undergone Total Knee Arthroplasty (TKA): A Randomized Controlled Trial
Study Start Date : October 2008
Actual Primary Completion Date : December 2010
Actual Study Completion Date : December 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Knee Replacement

Arm Intervention/treatment
Experimental: walking skill group
weight-bearing 12 times, 70 minutes
Other: walking skill group
12 Individualized group training sessions with focus on functional exercises like walking and stair climbing including balance training under physiotherapy guidance, 12 times 70 minutes.

Active Comparator: usual physiotherapy care
partial weight-bearing, 12 times, 40 minutes
Other: usual physiotherapy care
physiotherapy, mostly in non-weight bearing, 12 times 40 minutes

Primary Outcome Measures :
  1. 6 minutes walk test [ Time Frame: preoperatively, baseline at 6 weeks, after the intervention at 3 months, 12onths ]

Secondary Outcome Measures :
  1. Self reported pain and activity level(KOOS) [ Time Frame: preoperatively, 6 weeks, 3 months and 12 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   55 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Primary gonarthrosis
  • Good written and oral understanding of Norwegian
  • Good cognitive function

Exclusion Criteria:

  • Severe gonarthrosis in the other knee or coxarthrosis
  • Neurological disorders or rheumatoid arthritis

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00807716

Section of Nursing and Health Science, University of Oslo
Oslo, Norway, 0318
Sponsors and Collaborators
University of Oslo
Study Director: Anne Marit Mengshoel, PhD professor

Responsible Party: Vigdis Bruun-Olsen, PHD student, University of Oslo Identifier: NCT00807716     History of Changes
Other Study ID Numbers: 2008/2436
First Posted: December 12, 2008    Key Record Dates
Last Update Posted: December 5, 2014
Last Verified: December 2014

Keywords provided by Vigdis Bruun-Olsen, University of Oslo:
functional outcome
activity level
self efficacy
task oriented exercises

Additional relevant MeSH terms:
Osteoarthritis, Knee
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases