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Rehabilitation is an important part of the post-operative treatment after TKA by consensus. This study intends to analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
Rehabilitation, which is an important part of the post-operative treatment after TKA, could effectively alleviate symptoms of pain and swell, as well as improve knee joint and general function. It has reached a consensus that post-TKA rehabilitation should contain muscle strengthening, ROM, proprioceptive, balance training and physical factor therapy, etc. This study intends to use observational cohort study methods with exposure factor of fast inpatient rehabilitation after TKA, establish a TKA exposure group and a control group of TKA without inpatient rehabilitation, analysis whether fast inpatient rehabilitation after TKA can improve knee joint or general function, and ultimately explore for effects and values of fast inpatient rehabilitation after TKA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exposed Group | Both exposed group and control group are undertaken TKA surgery and routine postoperative management for 2 days in orthopedics department. Exposed group patients are transferred from orthopedics department to rehabilitation department on 2nd day after TKA, and accept fast inpatient rehabilitation for 1 week before hospital discharge, while control group patients continue to accept routine peri-operative management and conventional oral instructions of exercises in orthopedics department until hospital discharge. |
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| Control Group | Both exposed group and control group are undertaken TKA surgery and routine postoperative management for 2 days in orthopedics department. Exposed group patients are transferred from orthopedics department to rehabilitation department on 2nd day after TKA, and accept fast inpatient rehabilitation for 1 week before hospital discharge, while control group patients continue to accept routine peri-operative management and conventional oral instructions of exercises in orthopedics department until hospital discharge. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fast Inpatient Rehabilitation | Combination Product | Routine inpatient rehabilitation protocol, administered by licensed Physical Therapist, duration period of 1.5h-2h each time, 2 times for weekdays and 1 time for weekends, totally lasting for 1 week, are applied to the exposed group. After the fast inpatient rehabilitation for 1 week, the patients can get discharged if reaching to the rehabilitation goals of symptoms of pain and swell reduced, knee flexion ≥ 90° and knee extension ≥ 0°, quadriceps femurs and hamstrings muscle strength enhanced, recovery to aided standing and walking, and acquiring of rehabilitation training methods. |
| Measure | Description | Time Frame |
|---|---|---|
| bilateral knee Rang Of Motion (ROM) | bilateral knee flexion and extension ROM are measured by articular protractor | 1 day after TKA |
| bilateral quadriceps femurs | measured by manual muscle test (MMT) | 1 day after TKA |
| hamstrings muscle strength | measured by manual muscle test (MMT) | 1 day after TKA |
| Hospital for Special Surgery-Knee Rating scale (HSSKR) | to measure knee function, with the minimum 0 and maximum 100, higher score means a better outcome | 1 day after TKA |
| modified Barthel Index (mBI) | to measure ADL, with the minimum 0 and maximum 100, higher score means a better outcome | 1 day after TKA |
| Numerical Rating Scale (NRS) for pain | the minimum is 0 and maximum 10, higher score means a worse outcome | 1 day after TKA |
| NRS for pain | 6 weeks after TKA | |
| NRS for pain | 3 months after TKA | |
| NRS for pain |
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Inclusion Criteria:
Exclusion Criteria:
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He/She is admitted to orthopedics department of Peking University Third Hospital and undertaken initial unilateral TKA due to osteoarthritis, rheumatoid arthritis, etc.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yanyan Yang, MD | Contact | +86 15611963453 | yyykaixin@163.com | |
| Wenjing Qi, MD | Contact | +86 15611105099 | qwj2000@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Mouwang Zhou, MM | Peking University Third Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Third Hospital | Recruiting | Beijing | Beijing Municipality | 100191 | China |
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|
| 6 months after TKA |
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | to measure knee function and global function, with the minimum 0 and maximum 100, higher score means a better outcome | 1 day after TKA |
| KOOS | 6 weeks after TKA |
| KOOS | 3 months after TKA |
| KOOS | 6 months after TKA |