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This study aims to investigate the effects of a structured physical therapy and rehabilitation program on gait temporospatial parameters and plantar pressure distribution in patients who have undergone total knee replacement surgery.
Patients undergoing total knee replacement often experience alterations in gait patterns and weight distribution, which may affect functional mobility and recovery outcomes. This study will evaluate whether a targeted rehabilitation program can improve walking performance and restore more symmetrical plantar pressure distribution.
Participants will be assessed before and after the intervention using objective gait analysis and plantar pressure measurement tools. The findings of this study may help improve rehabilitation strategies and enhance functional recovery following knee replacement surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Post-TKR Group | Experimental |
| |
| Non-Surgical Group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical Therapy Rehabilitation | Other | A structured physical therapy rehabilitation program including range of motion exercises, muscle strengthening, balance training, and gait training aimed at improving functional mobility and gait performance. |
| Measure | Description | Time Frame |
|---|---|---|
| Cadence (steps/minute) measured using gait analysis system | Cadence will be measured using a gait analysis system. The average number of steps per minute will be calculated for each participant. | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Peak pressure | kPa | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Postural Alignment | The REEDCO Posture Sheet | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Quadriceps Muscle Strength (MMT score 0-5) | Muscle strength will be assessed using Manual Muscle Testing (MMT) graded from 0 to 5. | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Circular measurement of quadriceps (cm) | To evaluate the degree of muscle wasting (atrophy), hypertrophy, or the degree of oedema and joint swelling | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Walking speed (velocity) | m/sec | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Step and Stride time | Seconds | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hadeel Alsirhani, PhD | Contact | +966556256464 | hsalserhany@ju.edu.sa |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jouf University and Prince Mutaib Bin Abdulaziz Hospital- Sakaka, AlJouf in Saudi Arabia | Recruiting | Sakakah | 72388 | Saudi Arabia |
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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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This study is conducted as an open-label trial. Due to the nature of the physical therapy intervention, neither participants nor care providers are blinded to group allocation.
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| Step and Stride length | cm | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Toe In/Out | Degree | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Base Of Support (BOS) | cm | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Average Pressure | kPa | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Gradient Pressure | kPa | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| Hamstring Muscle Strength (MMT score 0-5) | Muscle strength will be assessed using Manual Muscle Testing (MMT) graded from 0 to 5. | Baseline and after completion of the rehabilitation program (e.g., 6-10 weeks) |
| D012216 |
| Rheumatic Diseases |