No registrations found.
ID
Source
Health condition
TKA
totale knie prothese
Sponsors and support
Intervention
Outcome measures
Primary outcome
physical functioning Timed Up and Go (TUG)
Secondary outcome
physical functioning: 2 Minutes Walk Test (2MWT)
activity level: activity diary and 3D accelerometer
activity and participation level: Knee Osteoarthritis Outcome Score (KOOS)
health care consumption in relation to TKA till 1 year postoperative
Background summary
Patients in which the expectancy is that they could rapidly recover after a Total Knee Arthroplasty should not always go to the physical therapist. This group of patients could benefit from a homebased exercise program. The effect of exercise training depends on adherence to the activity instructions. The activity coach is an app on a smartphone. Patients wear the smartphone the whole day with them. The activity coach measures the activity level of the patient and gives feedback on it to the patient. The hypothesis is that if patients receive an activity coach alongside a home based exercise program, they are more active in Activities of Daily Living. This results in better physical functioning and better recovery after a TKA
Study objective
Hypothesis is that patients following a homebased exercise program after a TKA recover better if they receive an additive activity coach
Study design
preoperative
postoperative start homebased exercise program (3 days after surgery)
postoperative 2 weeks
postoperative 6 weeks
postoperative 3 months
postoperative 1 year
Intervention
Control group: homebased exercise program of 2 weeks (mobility, muscle force) instructed by specialised physical therapists.
Intervention group: homebased exercise program of 2 weeks (mobility, muscle force) instructed by specialised physical therapists and use of the activity coach.
The activity coach is developed by the Roessingh Research & Development (RRD) and is researched on other patient populations, such as COPD and Total Hip Arthroplasty. It gives the patient feedback about his activity level and doing exercises.
de patiënt feedback over zijn activiteitenniveau en het uitvoeren van oefeningen.
Poli-orthopedie
Haaksbergerstraat 55
7513 ER
053-4872740
Poli-orthopedie
Haaksbergerstraat 55
7513 ER
053-4872740
Inclusion criteria
• receive a TKA
• Preoperative 2 Minutes Walk Test > 120 metre
• BMI<30
• Absence of bad habit, Gang Analyse Lijst Nijmegen the following items ‘no’
o Too little arm sway
o Too little knee extension
o Too little knee flexion
• Active coping, measured with the Patiënt Activatie Meting (PAM) >60 points
• signed informed consent
• independent in activities of daily living
• supplementary insurance for physical therapy or declare oneself ready to pay 180 euro for physical therapy
Exclusion criteria
• Comorbidities (such as heart or long diseases, orthopaedic problems, cancer, etc) so that the patient could not follow a homebased exercise program and/or could not walk dynamic
• Postoperative complications, open wounds, infections, >3 days staying in the hospital.
• known with severe mental disorders
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4864 |
| NTR-old | NTR5109 |
| CCMO | NL52370.044.15 |
| OMON | NL-OMON41807 |