To determine the additive effect of an activity coach added to a home based exercise program after a TKA on1) activity level 2) recovery of physical functioning.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
orthopedische aandoeningen
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
physical functioning TUG
Secondary outcome
physical functioning: 2 MWT
activity level: activity diary and 3D accelerometer
activity and participation level: 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
To determine the additive effect of an activity coach added to a home based
exercise program after a TKA on
1) activity level
2) recovery of physical functioning.
Study design
Randomised Controlled Trial
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.
Study burden and risks
The load for the patient is very low, 6 measures of maximum 30 minutes
There are no risks in this study.
Haaksbergerstraat 55
Enschede 7513 ER
NL
Haaksbergerstraat 55
Enschede 7513 ER
NL
Listed location countries
Age
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
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| Other | Nederlands Trialregister, nummer nog niet binnen |
| CCMO | NL52370.044.15 |
| OMON | NL-OMON26247 |