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Knee Arthroplasty, TotalNCT06162208

Action Observation Therapy Via Telerehabilitation on Total Knee Arthroplasty Surgery

A study testing Standard exercise program based on telerehabilitation in people with Knee Arthroplasty, Total and Telerehabilitation, run by Pamukkale University at 1 site in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this clinical trial is to compare patient-reported and performance-based outcomes of patients followed with a standard exercise program based on telerehabilitation and patients followed with action observation therapy program added to a standard exercise program based on telerehabilitation after total knee… Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Knee Arthroplasty, Total, Telerehabilitation
What is being tested?
Standard exercise program based on telerehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Dec 2023to 31 Dec 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Volunteer
  • 40 years and older
  • Undergo primary unilateral total knee arthroplasty surgery after the diagnosis of osteoarthritis
  • Can understand, speak and write Turkish
  • Understand verbal and written information given
  • Internet access
  • Able to use video conferencing program

Who cannot join

  • Revision total knee arthroplasty surgery
  • Previous major surgery on the extremity to be operated on
  • Additional comorbid diseases such as rheumatoid arthritis, cancer
  • Has any engine defect that may affect performance
  • With a diagnosed psychiatric disorder
  • People with alcohol or drug addiction
Show all 12Show fewer
  • Hearing or visual impairment that cannot be corrected with hearing aids or glasses
  • Morbidly obese (BMI > 40 kg/m2)
  • Who will not be able to participate in a six-week rehabilitation program
  • Patients who did not come to follow-up after surgery for any reason,
  • Patients who want to leave the study,
  • Patients who are unable to continue the study due to an additional condition will be excluded from the study.

Trial locations and contacts

1 site in 1 country.

Nevriye Ünal Süzer, Msc, PT contact

+90 554 274 42 80

nevriyeunal@gmail.com

Nihal Büker, Prof. contact

+90 258 296 42 73

nasuk@pau.edu.tr

Turkey (Türkiye)1 site, 1 recruiting
  • Pamukkale University

    Denizli, 20000

    Nihal Büker, Prof., +90 258 296 42 73, nasuk@pau.edu.tr

    Nevriye Ünal Süzer, Msc, PT

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Examining the Effect of Action Observation Therapy Added to the Telerehabilitation-Based Standard Exercise Program on Patient-Reported and Performance-Based Outcomes in Patients Undergoing Total Knee Arthroplasty Surgery

The goal of this clinical trial is to compare patient-reported and performance-based outcomes of patients followed with a standard exercise program based on telerehabilitation and patients followed with action observation therapy program added to a standard exercise program based on telerehabilitation after total knee arthroplasty surgery.

The main questions it aims to answer are:

Read more
  • [What is the effect of action observation therapy added to a telerehabilitation-based standard exercise program on patient-reported outcomes after total knee arthroplasty surgery?]
  • [What is the effect of action observation therapy added to a telerehabilitation-based standardized exercise program on performance-based outcomes after total knee arthroplasty surgery?]

Participants will be divided into three groups by computer-assisted randomization method: Group 1: home exercise with information leaflet group, Group 2: information leaflet + telerehabilitation-based standard exercise program group, Group 3: information leaflet + telerehabilitation-based standard exercise program + action observation therapy group.

Patients in the second and third groups will be followed up with the telerehabilitation method accompanied by a physiotherapist for 30 minutes 3 days a week for 6 weeks after discharge. The third group will receive a standard exercise program 3 days a week and 15 minutes of action observation therapy via video conferencing.

Read the detailed description

The goal of this clinical trial is to compare patient-reported and performance-based outcomes of patients followed with a standard exercise program based on telerehabilitation and patients followed with action observation therapy program added to a standard exercise program based on telerehabilitation after total knee arthroplasty surgery.

The secondary aim is to investigate the effect of a telerehabilitation-based standard exercise program added to the home program (information leaflet) on patient-reported and performance-based outcomes.

The surgical operations of all patients participating in the study will be performed by the same surgical team and a standard physiotherapy program will be applied to all patients until discharge.

Participants will be divided into three groups by computer-assisted randomization method: Group 1: home exercise with information leaflet group, Group 2: information leaflet + telerehabilitation-based standard exercise program group, Group 3: information leaflet + telerehabilitation-based standard exercise program + action observation therapy group.

Patients in the second and third groups will be followed up with the telerehabilitation method accompanied by a physiotherapist for 30 minutes 3 days a week for 6 weeks after discharge. The third group will receive a standard exercise program 3 days a week and 15 minutes of action observation therapy via video conferencing.

Telerehabilitation sessions will include information about the process and exercise training. Action observation therapy will include showing videos of the exercises in the exercise program. All patients will be evaluated before surgery and at the third, sixth, and twelfth weeks after discharge.

Evaluations

Descriptive Data: Descriptive data of the patients will be recorded using an evaluation form.

Patient Reported Assessments:

  • Western Ontario McMaster University Osteoarthritis Index (WOMAC): This index questions clinically significant problems in the areas of pain, stiffness and physical function in patients with osteoarthritis of the hip and knee.
  • Pain intensity: Pain intensity will be assessed with the Visual Analog Scale (VAS).
  • Knee range of motion: Active and passive knee range of motion will be measured in the sitting position with a digital goniometer (HALO Medical Devices, Australia)
  • Quality of Life Assessment: Knee Injury and Osteoarthritis Outcome Score - Activities of Daily Livings Scale (KOOS-ADLS) and EuroQol Group (EQ-5D) scales will be used for quality of life assessment.KOOS-ADLS is a scale used to detect symptoms and limitations in daily life tasks.The EQ-5D index scale consists of a questionnaire with five dimensions (movement, self-care, usual activities, pain/discomfort and anxiety/depression).
  • Physical activity assessment: International Physical Activity Survey (IPAQ-Short Form) and smart phone pedometer application (Samsung Health®) will be used for physical activity assessment. The IPAQ-Short Form consists of 7 questions asking about various degrees of physical activity and sedentary behaviors in the past 1 week.
  • Patient Satisfaction Assessments: Patient satisfaction with telerehabilitation sessions will be assessed. Technical quality (such as reliability of technology, quality of audio/video synchronization, quality of image, quality of sound), achievement of treatment goals of the session and overall satisfaction with the session will be questioned.

Performance Based Assessments:

The tests recommended by the research groups of 30 seconds of sit and stand, 40 meters fast walking and stair climbing will be used.

  • Lower extremity muscle strength: Lower extremity muscle strength will be assessed by 30 seconds sit and stand test.
  • Walking speed: In the 40-meter walk test, the patient is asked to walk a distance of 40 meters as fast as possible and the time in seconds is recorded.
  • Locomotor performance: Locomotor performance will be assessed with the stair climbing test. The patient will be asked to ascend and descend 9 steps 16-20 centimeters long stairs as quickly but safely as possible.
Being tested
Standard exercise program based on telerehabilitation
Keywords
Telerehabilitation, Action Observation Therapy, Total Knee Arthroplasty, Patient-Reported Outcomes, Performance-Based Outcomes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard exercise program based on telerehabilitationOther

    Also called Action observation therapy added to a standard exercise program based on telerehabilitation

    Exercises included in a standard exercise program based on telerehabilitation; Week 0-3 Patellar mobilization Isometric quadriceps femoris exercise Terminal extension exercise Active assisted knee flexion Straight leg lift Active hip abduction Active assisted knee flexion in sitting SAFTE Cold pack application Week 3-6 Straight leg raises with weights Hip abduction in weighted side lying Knee flexion in the prone position Knee extension in weight-bearing sitting Sliding forward in the chair to increase the knee flexion angle Standing weighted hip abduction Standing knee flexion with weight Squat Walking Climbing stairs Action observation therapy will be practiced by watching videos of all exercises with a focus on close-up action.

Study groups in NCT06162208
Study groupRoleWhat they receive
Home exercise group with information leafletNo interventionThese patients will be asked to do the exercises in the information leaflet themselves at home.
İnformation brochure+standard exercise program group based on telerehabilitationActive comparatorPatients in this group will be followed up with telerehabilitation method accompanied by a physiotherapist for 30 minutes 3 times a week for 6 weeks after discharge.
Receives: Other: Standard exercise program based on telerehabilitation
İnformation brochure+standard exercise program+action observation therapy group.Active comparatorPatients in this group will be followed up with telerehabilitation method accompanied by a physiotherapist for 30 minutes 3 times a week for 6 weeks after discharge. In addition, 15 minutes of movement observation therapy will be applied via video conferencing 3 days a week.
Receives: Other: Standard exercise program based on telerehabilitation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain, stiffness and physical function (WOMAC)

    • Western Ontario McMaster University Osteoarthritis Index (WOMAC): This index questions clinically significant problems in the areas of pain, stiffness and physical function in patients with osteoarthritis of the hip and knee.

    Measured: 5 minutes

  2. Pain intensity

    Pain intensity will be assessed with the Visual Analog Scale (VAS).

    Measured: 2 minutes

  3. Knee range of motion

    Active and passive knee range of motion will be measured in the sitting position with a digital goniometer (HALO Medical Devices, Australia).

    Measured: 5 minutes

  4. Physical activity assessment

    IPAQ-Short Form and smartphone pedometer application (Samsung Health®) will be used for physical activity assessment. The IPAQ-Short Form consists of 7 questions asking about various degrees of physical activity and sedentary behaviors in the past 1 week.

    Measured: 5 minutes

  5. Lower extremity muscle strength

    Lower extremity muscle strength will be assessed by 30 seconds sit and stand test.

    Measured: 30 seconds

  6. Walking speed

    In the 40-meter walk test, the patient is asked to walk a distance of 40 meters as fast as possible and the time in seconds is recorded.

    Measured: Average 5 minutes

  7. Locomotor performance

    Locomotor performance will be assessed with the stair climbing test. The patient will be asked to ascend and descend 9 steps 16-20 centimeters long stairs as quickly but safely as possible.

    Measured: Average 5 minutes

Secondary outcomes (2)
  1. Quality of Life Assessment

    KOOS-ADLS and EQ-5D scales will be used for quality of life assessment.KOOS-ADLS is a scale used to detect symptoms and limitations in daily life tasks.The EQ-5D index scale consists of a questionnaire with five dimensions (movement, self-care, usual activities, pain/discomfort and anxiety/depression).

    Measured: 10 minutes

  2. Patient satisfaction assessment

    Patient satisfaction with telerehabilitation sessions will be assessed. Technical quality (such as reliability of technology, quality of audio/video synchronization, quality of image, quality of sound), achievement of treatment goals of the session and overall satisfaction with the session will be questioned.

    Measured: 2 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Dec 2023
  2. Study start1 Dec 2023
  3. Primary completion30 Sep 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06162208
Sponsor's protocol ID
E-60116787-020-39072
Status last verified
Dec 2023
First submitted
1 Dec 2023
Last updated
8 Dec 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Villafane JH, Isgro M, Borsatti M, Berjano P, Pirali C, Negrini S. Effects of action observation treatment in recovery after total knee replacement: a prospective clinical trial. Clin Rehabil. 2017 Mar;31(3):361-368. doi: 10.1177/0269215516642605. Epub 2016 Jul 10.

    PubMed 27068367
  • Windsor EN, Sharma AK, Gkiatas I, Elbuluk AM, Sculco PK, Vigdorchik JM. An Overview of Telehealth in Total Joint Arthroplasty. HSS J. 2021 Feb;17(1):51-58. doi: 10.1177/1556331620972629. Epub 2021 Feb 21.

    PubMed 33967642
  • McKeon JF, Alvarez PM, Vajapey AS, Sarac N, Spitzer AI, Vajapey SP. Expanding Role of Technology in Rehabilitation After Lower-Extremity Joint Replacement: A Systematic Review. JBJS Rev. 2021 Sep 13;9(9). doi: 10.2106/JBJS.RVW.21.00016.

    PubMed 34516463

Questions about this trial

What is this clinical trial studying?

A study testing Standard exercise program based on telerehabilitation in people with Knee Arthroplasty, Total and Telerehabilitation, run by Pamukkale University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 8 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Nevriye Ünal Süzer, Msc, PT (+90 554 274 42 80, nevriyeunal@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain, stiffness and physical function (WOMAC) (time frame: 5 minutes). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06162208, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Dec 2023.

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