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This project is about the integrated rehabilitation program for the patients receiving total knee arthroplasty. The investigators are monitoring the WOMAC(Western Ontario and Mcmaster University Arthritis Index)/ Pain scores/Anxiety scores/Knee society scores in the treatment course between the intervention group and the control group.
This is a quasi-experimental design study. The participants received total knee arthroplasty by one single surgeon in two facilities within the same medical system (Kaohsiung Medical University affiliated hospitals). The intervention groups received integrated rehabilitation program including verbal one-on-one education, personalized post-operation rehabilitation during admission and scheduled post-operation follow up by a nurse case manager. The control group received the same surgery with traditional clinical pathway by the single surgeon in another affiliated hospital.
We recorded the pain scores, state-trait anxiety inventory scores, WOMAC(Western Ontario and Mcmaster Universities Arthritis Index) scores, American Knee society scores for these participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| integrated rehabilitation program for total knee arthroplasty | Experimental | the intervention was performed in one KMUH affiliated facility |
|
| normal total knee arthroplasty clinical pathway | No Intervention | no integrated rehabilitatoin program for total knee arthroplasty patients with our conventional clinical pathway |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| integrated rehabilitation (the collaborative patient education) | Procedure | Pre-operative education and rehabilitation. During hospitalization: group rehabilitation education program. Discharge: post-operative care navigation for total knee arthroplasty |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Pain Score (VAS) | Minimum pain intensity from 0 to Maximum of 10. Higher scores mean a higher pain intensity. | From admission to 3 months after surgery |
| State-trait Anxiety Inventory (STAI) | Peri-operative anxiety scoring system. STAI varies from a minimum score of 20 to a maximum score of 80. STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80). Higher scores mean higher anxiety. | From admission to 3 months after surgery |
| American Knee Society Scores(AKS) | The AKS ranges from 100 (normal knee function score) to 0 (worst knee function score). Higher scores mean a better outcome. | From admission to 3 months after surgery |
| WOMAC (Western Ontario and Mcmaster Universities Arthritis Index) | The WOMAC evaluates 3 dimensions : pain(maximal score of 20), stiffness(maximal score of 8), and physical function(maximal score of 68). Higher scores mean worse outcomes. | From admission to 3 months after surgery |
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Inclusion Criteria
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Hospital | Kaohsiung City | Taiwan |
No sharing of the individual participant data
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A two-site, two-arm, parallel-group controlled trial of integrated rehabilitation program
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