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The purpose of this clinical trial is to compare the effectiveness of a new interactive virtual telerehabilitation (IVT) system with the conventional program in the rehabilitation of patients after total knee arthroplasty.
Patients are distributed into two treatment groups: 1) Group I (control): standard clinical protocol of TKA rehabilitation consisting of 1-hour sessions for 10 days; and 2) Group II (IVT): 1-hour IVT sessions for 10 days (5 sessions under a therapist's supervision to verify the absence of medical complications + 5 sessions performed at home). The IVT is an interactive virtual software-hardware platform that facilitates the development of remote rehabilitation therapy for multiple diseases. Patients receive information required to perform exercise and the therapist remotely monitors the patient's performance. For the purpose of this trial, the IVT system was designed for lower limb motor recovery in patients undergoing TKA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interactive Virtual Telerehabilitation | Experimental | Rehabilitation by IVT |
|
| Standard rehabilitation care | Active Comparator | Standard care rehabilitation after total knee arthroplasty |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interactive Virtual Telerehabilitation (IVT) | Other | Rehabilitation after arthroplasty of knee using IVT |
|
| Measure | Description | Time Frame |
|---|---|---|
| Active knee extension/flexion | Active knee extension/flexion measured by investigator | Change from baseline to 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Muscle strength | Measure of muscle stregth by investigator. That include measures of strength of the quadriceps, Harmstring muscle strength and Timed Getr-UP-ang-Go test | Baseline to 2 weeks |
| Pain |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jose M Muniesa, MD, PhD | Parc de Salut Mar | Principal Investigator |
| Ferran Escalada, Md, PhD | Parc de Salut Mar | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital del Mar (PSMAR) | Barcelona | Barcelona | 08003 | Spain |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| Standard care rehabilitation | Other | Standard care rehabilitation after total knee arthroplasty |
|
|
Measure of pain by visual analog scales
| Baseline to 2 weeks |
| Functional capacity | Measure of functional capacity using questionnaires /Western Ontario and MacMaster University) | Baseline to 2 weeks |