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Perioperative Intervention to Improve Post-TKR Support and Function
This study is currently recruiting participants.
Study NCT00566826   Information provided by National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
First Received: November 30, 2007   Last Updated: March 31, 2009   History of Changes
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November 30, 2007
March 31, 2009
June 2008
Physical function (SF36, WOMAC) [ Time Frame: Measured at Months 6 and 12 ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00566826 on ClinicalTrials.gov Archive Site
Physical activity and exercise [ Time Frame: Measured at Months 6 and 12 ] [ Designated as safety issue: No ]
Same as current
 
Perioperative Intervention to Improve Post-TKR Support and Function
Perioperative Intervention to Improve Post-TKR Support and Function

Knee osteoarthritis is one of the most common causes of disability in older adults. Total knee replacement (TRK) surgery is often an effective solution when persistent pain does not sufficiently improve with non-surgical treatment. Although most TKR surgeries are a success, an estimated 15% to 30% of patients report no clinically significant improvement in function 12 months after a TKR. This study will evaluate the effectiveness of a patient support program in increasing physical function after a TKR surgery.

Each year, more than 350,000 adults elect to have TKR surgery to eliminate knee pain and associated disabilities that persist despite ample medical treatment. Common knee problems of people who undergo TKR surgery include osteoarthritis, rheumatic diseases, and sudden or gradual joint injury. Most people who undergo TKR surgery experience immediate and significant decrease in pain, improved joint function, and increased physical activity. However, not all people who undergo TKR surgery report improvement, and there is no one factor that contributes to this variation in functional gain. With the rapid growth in the number of people electing to have TKR surgery and in the number of candidates eligible for TKR, optimal surgical results are both a clinical and public health priority. This study will evaluate the effectiveness of a patient support program emphasizing exercise and emotional health in increasing physical function after TKR surgery.

Participants in this study will be randomly assigned to a TKR patient support program or treatment as usual. The intervention patients will receive a program designed to complement the intensive physical rehabilitation period. Sessions will aim to help participants enhance their self-management skills for behavior change.

Phase II
Interventional
Treatment, Randomized, Double Blind (Caregiver, Outcomes Assessor), Parallel Assignment, Efficacy Study
  • Osteoarthritis
  • Arthroplasty, Replacement, Knee
  • Behavioral: Patient support sessions
  • Behavioral: Treatment as usual
  • Experimental: Patient support treatment sessions
  • Active Comparator: Treatment as usual
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
180
June 2011
June 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Scheduled for TKR surgery with one of University of Massachusetts Memorial Health Center's surgeons prior to study entry

Exclusion Criteria:

  • TKR due to fracture, malignancy, infection, or failure of a previous knee replacement surgery
  • Inability to return home during the rehabilitation period
  • Co-existing conditions that would negate functional improvement with surgery and exercise
  • TKR surgery scheduled on an emergency basis
  • Scheduled for TKR surgeries of both knees at the same time
  • Terminal illness with a life expectancy of less than 1 year
  • Inability to provide informed consent due to dementia or cognitive impairment
  • Planning another TKR or THR surgery within 6 months of study entry
  • Unavailable to complete study procedures (i.e., will be out of the region during the rehabilitation period)
Both
21 Years and older
No
Contact: Janel Milner 508-856-2202 janel.milner@umassmed.edu
United States
 
 
NCT00566826
Patricia D. Franklin, MD, University of Massachusetts Medical School
 
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
 
Principal Investigator: Patricia D. Franklin, MD University of Massachusetts Medical School
Study Director: Milagros C. Rosal, PhD University of Massachusetts Medical School
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
March 2009

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.