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To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic
To investigate the clinical efficacy of community-based early stage knee replacement rehabilitation program as compared with usual care in acute hospital outpatient clinic
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Outpatient | Other | Usual care, outpatient physiotherapy |
|
| CRC | Active Comparator | Community based physiotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Community based physiotherapy | Other | Physiotherapy at community rehabilitation center |
| |
| Measure | Description | Time Frame |
|---|---|---|
| TUG | TUG score | 3 months |
| 30 sec chair stand test | 30 sec chair stand test score | 3 months |
| Pain intensity | Pain intensity score | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Knee flexion and extension | Knee flexion and extension ROM | 3 months |
| Passive range of motion | Passive range of motion ROM | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| OKS | Oxford knee score | 3 months |
Inclusion Criteria:
i) unilateral TKA; ii) age 55 years old and above; iii) able to engage in outpatient physiotherapy; iii) postoperative knee flexion ≥75° and knee extension ≤5°; iv) able to ambulate independently preoperatively.
Exclusion Criteria:
i) had revision TKA or fully constrained knee arthroplasty; ii) had knee replacement for indications other than osteoarthritis; iii) had post-operative complications during hospital stay; iv) were unable to participate due to cognitive impairment or language barriers; v) had acute spinal diseases or joint, muscle or systemic diseases affecting gait; iv) had comorbid health conditions that would prevent active participation (e.g. prior hemiplegic stroke, severe cardiorespiratory illnesses.
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| Name | Affiliation | Role |
|---|---|---|
| Eng Chuan Neoh | Tan Tock Seng Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tan Tock Seng Hospital | Singapore | Singapore |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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Data analysis blinded
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| Outpatient physiotherapy |
| Other |
Physiotherapy at hospital |
|
| Presence of lag | Presence of knee extensor lag | 3 months |
| D012216 |
| Rheumatic Diseases |