Patient-navigation-based Preoperative Rehabilitation Exercise Program in Patients Undergoing TKA

Sponsor
Anna Sun
Study ID
NCT07047079
Status
Enrolling By Invitation

Conditions

Eligibility Criteria

Sex
ALL
Age
45 Years - 90 Years
Healthy Volunteers
Accepted

Interventions

  • Autonomous preoperative rehabilitation exercises — OTHER
    1. Method: On the day of admission, a research assistant provided a verbal explanation of the preoperative rehabilitation exercise regimen and distributed a guidance manual. Participants are advised to perform self-directed exercises 2-3 times daily according to the manual from admission day to surgery day (preoperative). They were also advised to promptly inform ward medical staff of any unusual conditions or concerns. 2. Preoperative rehabilitation exercise regimen: * Pulmonary function exercises: including abdominal breathing exercises and effective cough learning. * Quadriceps strength exercises: including straight leg raises and lateral leg raises. * Knee range of motion exercises: including knee flexion exercises and knee extension exercises. * Lower limb thrombosis prevention exercises: ankle pump exercise
  • The navigator provided full-period preoperative rehabilitation exercise guidance+navigation services — OTHER
    1. The navigator's guidance preoperative rehabilitation exercise regimen was identical to that of the control group, but offered full-period guidance, including the following: 1. On the day of admission, in addition to the same measures as the control group, the navigators demonstrated the exercise movements and required participants to perform return demonstrations to ensure mastery of the exercises. 2. During the preoperative period, navigators conducted daily ward visits, offering two 20-minute supervised sessions and sending nightly exercise reminders between 7:00-8:00 PM. 2. Navigation services covered seven areas: establishing contact with participants or carers, providing disease-related education, assessing needs and facilitating resources, offering social and emotional support, providing interpretation services upon request, identifying and resolving exercise barriers, and promoting self-management.

Study Details

This study aimed to assess the effectiveness of a patient navigation-based preoperative rehabilitation exercise program for patients undergoing total knee arthroplasty.

Key Dates

First listed
Jul 2, 2025
Start date
Jul 2, 2025
Status verified
Nov 2025
Primary completion
Jan 31, 2026
Completion
Feb 28, 2026

Study Design

Enrollment
84 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER

Arms

  • Other: Autonomous preoperative rehabilitation exercise program
    Participants will receive an autonomous preoperative rehabilitation program from admission day to surgery day (preoperative).
  • Other: Patient-navigation-based preoperative rehabilitation exercise program
    Participants will receive a patient-navigation-based preoperative rehabilitation exercise programme from admission day to surgery day (preoperative).

Primary Outcome Measure

knee osteoarthritis severity [ Time Frame: Outcome will be measured five times: hospital admission (baseline, T0), surgery day (preoperative) (T1),1 weeks after the operation (T2),2 weeks after the operation (T3),and 4 weeks after the operation (T4) ]

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