Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2017 Dec 8;18(1):518.
doi: 10.1186/s12891-017-1887-4.

In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized controlled trial

José-María Blasco  1   2   3 , Celedonia Igual-Camacho  4   5   6 , Sergio Roig-Casasús  4   5   7
Affiliations
Randomized Controlled Trial

In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized controlled trial

José-María Blasco et al. BMC Musculoskelet Disord. .

Abstract

Background: Severe knee osteoarthritis, as well as the surgical procedure of total knee replacement that aims to reduce its symptoms, cause great deterioration on the proprioceptive system. Taking this fact into account, and considering that balance abilities positively influence the capacity to perform basic functional tasks, this trial aims to find the short and mid-term effects of a preoperative balance and proprioceptive training when conducted by patients undergoing total knee replacement. Along with the effects, it is intended to determine whether in-home based training can be as effective as hospital training. The results will help to conclude whether the possible benefits may outweigh the health costs.

Methods: Seventy-five participants will take part. The trial will include in-home and supervised hospital experimental training compared to a non-active control group in order to estimate the actual effect of the proposal against the benefits due exclusively to the surgical procedure. Interventions last 4 weeks prior to surgery, and the follow-up will be at 2w, 6w, and 1y following the operation. The primary outcomes are in agreement with the goals: self-reported functionality in terms of KOOS and overall balance in terms of the Berg Balance Scale. The secondary outcomes will include the measurements of static and dynamic balance abilities, pain, function, and quality of life.

Discussion: It is expected for the results of this trial to provide relevant information in order to decide if a specific intervention is cost-effective to be implemented in clinical practice.

Trial registration: Clinicaltrials.gov identifier NCT03100890 . Registered in April 4, 2017.

Keywords: Balance; Physiotherapy; Preoperative intervention; Proprioception; Sensorimotor; Total knee arthroplasty; Total knee replacement.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

The trial was approved by the Ethical Committee for Clinical Research and by the Scientific Committee of the Hospital Politécnico y Universitario de La Fe de Valencia (2016/0499). The authors certify that they will obtain all appropriate patient consent forms. In the form the patients will give their consent to participate and for clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Participants flow chart
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Kane RL, Saleh KJ, Wilt TJ, et al. Total knee replacement. Evid Rep Technol Assess. 2003;86:1–8. - PMC - PubMed
    1. Brandt KD, Dieppe P, Radin EL. Etiopathogenesis of osteoarthritis. Rheum Dis Clin N Am. 2008;34(3):531–559. doi: 10.1016/j.rdc.2008.05.011. - DOI - PubMed
    1. Wada M, Kawahara H, Shimada S, Miyazaki T, Baba H. Joint proprioception before and after total knee arthroplasty. Clin Orthop. 2002;403:161–167. doi: 10.1097/00003086-200210000-00024. - DOI - PubMed
    1. Mandeville D, Osternig LR, Chou L. The effect of total knee replacement surgery on gait stability. Gait Posture. 2008;27(1):103–109. doi: 10.1016/j.gaitpost.2007.02.009. - DOI - PubMed
    1. Gstoettner M, Raschner C, Dirnberger E, Leimser H, Krismer M. Preoperative proprioceptive training in patients with total knee arthroplasty. Knee. 2011;18(4):265–270. doi: 10.1016/j.knee.2010.05.012. - DOI - PubMed

Publication types

MeSH terms

Associated data