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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental (Intervention): PreopPT Group | Experimental | This group will undergo the group preoperative education session. Following this session (intervention) this group underwent a one-time, one-on-one preoperative PT session. They also were given access to a web-based microsite which was customized to surgeon |
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| Control (standard of care): No PreopPT Group | Placebo Comparator | This group underwent the current of standard of care at our institution. This only includes the group preoperative education session. No further preoperative education was given. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of In-patient Physical Therapy visits required to meet hospital discharge criteria PT | 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 | Through Study Completion, an average of 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) | 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 |
| Patient Satisfaction Scores |
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Inclusion Criteria:
Subjects will be required to meet the following inclusion criteria in order to participate:
Exclusion Criteria:
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| Group Preoperative Education Session (per the standard of care) | Behavioral |
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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. |
| from two weeks prior to surgery until 6 weeks after surgery |
| Time to meet Physical Therapy discharge criteria | 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. | Time from Surgery to meeting PT discharge criteria, an average of 3 days |
| Hospital Length of Stay | collected from a hospital database | Time from Surgery until Hospital Discharge, an average of 2-3 days |