RecruitingNot ApplicableNCT04924205

A Comparison Of Primary TKA Rehabilitation Using A Smart Orthotic Versus Outpatient Physical Therapy

A Prospective Comparison Of Primary Total Knee Arthroplasty Rehabilitation Using A Smart Orthotic Versus Outpatient Physical Therapy


Sponsor

Nicolas Noiseux, MD, MS, FRCSC

Enrollment

80 participants

Start Date

Sep 1, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

This will be a prospective, randomized, noninferiority clinical trial comparing rehabilitation methods post-total knee arthroplasty (TKA). Population of interest is adult hip/knee clinic patients over age 18 who are indicated for unilateral primary total knee arthroplasty. All TKA patients are prescribed physical therapy (PT) for rehabilitation post-operatively. The investigators will compare this current treatment with a new, validated, wearable smart knee brace (FM2 Knee Brace) that can be used for rehabilitation post-TKA. Following enrollment in the study, the investigators will match and randomize participants into two cohorts (outpatient PT versus FM2 Knee Brace). Outpatient PT group will be prescribed routine six-week course of outpatient PT (no pool exercises, remainder at therapist's discretion) to start as soon as possible upon discharge. The FM2 Knee Brace group will complete device set up at pre-op visit and will be prescribed 3-4 exercises to complete at their discretion over six weeks. The investigators will collect measurements of knee flexion, extension, total arc of motion at pre-op visit and at 6-week, 3-month, and 1-year post-op visits. The investigators will also plan to record additional PROs, therapy compliance, and complication rates. The investigators will compare the two groups to test whether the new FM2 Knee Brace is noninferior to regular PT when recovering from TKA, and if the new technology could be an alternative to outpatient PT.


Eligibility

Min Age: 18 YearsMax Age: 100 Years

Plain Language Summary

Simplified for easier understanding

This study compares two different rehabilitation approaches after total knee replacement (TKA) surgery. One group uses a smart knee brace connected to a smartphone app (FocusMotion) to guide home rehabilitation, while the other group goes to outpatient physical therapy. The study aims to determine whether the tech-based home approach is as effective as traditional outpatient physical therapy. You may be eligible if: - You are between 18 and 100 years old - You are scheduled to have your first total knee replacement - You own a smartphone capable of running the FocusMotion app - You will be going home (not to a rehab facility) after surgery You may NOT be eligible if: - You have had prior surgery on the same knee - You have had a manipulation under anesthesia on either knee - Your BMI is greater than 40 Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DEVICEFM2 Knee Brace

Participants in this group will use the FM2 Knee Brace for their post-TKA physical therapy.


Locations(1)

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States

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NCT04924205


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