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Completed

NCT Number: NCT02872337

Pre-operative One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After Total Joint Arthroplasty

The purpose of this study was to evaluate the efficacy of a one-time, preoperative physical therapy protocol on postoperative (1) discharge disposition, (2) pain, function and stiffness and (3) patient satisfaction.

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Key information

Conditions

Arthroplasty

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects will be required to meet the following inclusion criteria in order to participate:
  • Unilateral Primary Knee OA or Hip OA
  • Patients at least 18 years old up to 85.
  • Undergoing surgery with one of the following study surgeons
  • Able to independently ambulate ≥ half a block with or without assistive device
  • Able to independently perform non-reciprocal stairs with or without assistive device/rails
  • Patients that plan to D/C home post TKA / THA
  • Patients that speak English only.

Exclusion criteria

  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Juvenile rheumatoid arthritis
  • Knee or Hip revisions
  • Patients under 18 years of age
  • Patients unwilling or unable to complete PRO instrument or study questionnaires at the specified study time points pre-operatively or post-operatively
  • Bilateral TKA and THA
  • Uni-condylar knee arthroplasty or Hip resurfacing
  • Patellar reconstruction
  • Patient on disability, workman's compensation
  • Patients unwilling to participate in PEdPTWP and/or Patient education class and booklet.
  • Patients that plan to D/C to rehabilitation center post TKA and THA
  • Patients that do not speak English
  • Patients that do not have access to computer

Treatment and study plan

Preoperative Physical Therapy Session

Behavioral

This was a one-on-one preoperative physical therapy session on preoperative education. These patients were also given access to a surgery specific web-based microsite

Group Preoperative Education Session (per the standard of care)

Behavioral

Primary outcomes

  1. Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT

    Time frame: Through Study Completion, an average of 3 days

    This included a review of the hospital database for hospital discharge time. At this institution PT discharge is defined as the ability to (1) independently transfer, (2) independently ambulate approximately 150 feet and (3) independently negotiate stairs (4) independent with home exercise program and activities of daily living.

    All of this data was recorded from hospital records

Secondary outcomes

  1. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

    Time frame: This standard patient reported outcome was filled out preoperatively or at six weeks postoperatively

    This standard patient reported outcome was filled out preoperatively or at six weeks postoperatively

  2. Patient Satisfaction Scores

    Time frame: from two weeks prior to surgery until 6 weeks after surgery

    Patient satisfaction was measured by a series of patient administered questionnaires at various stages of the study. All satisfaction questions, with the exception of the utilization of the microsites [Yes/No], were asked via a visual analogue scale to disagree or agree with given statements [0-5, where 0 was strongly disagree, 3 was neutral and 5 was strongly agree]. Patients unable to complete any forms at the time of the appointment completed the form over the phone with a co-investigator.

  3. Time to meet Physical Therapy discharge criteria

    Time frame: Time from Surgery to meeting PT discharge criteria, an average of 3 days

    At this institution PT discharge is defined as the ability to (1) independently transfer, (2) independently ambulate approximately 150 feet and (3) independently negotiate stairs (4) independent with home exercise program and activities of daily living.

  4. Hospital Length of Stay

    Time frame: Time from Surgery until Hospital Discharge, an average of 2-3 days

    collected from a hospital database

Sponsors and collaborators

Lead sponsor

Hospital for Special Surgery, New York

Other

Registry information

Official study title

One-on-One Physical Therapy Education Improves Postoperative Function and Patient Satisfaction After TJA

Important dates

Study start
2015
Primary completion
2015
Study completion
2015
First posted
Aug 19, 2016
Registry last updated
Jun 22, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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