NCT07047079

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

The Effectiveness of a Patient-navigation-based Preoperative Rehabilitation Exercise Program in Patients Undergoing Total Knee Arthroplasty: A Randomised Controlled Trial

• Status: Enrolling By Invitation
• Phase: N/A
• Study type: Interventional
• Enrollment: 84 (estimated)
• Sponsor: Anna Sun · Academic / Other
• Sex: All
• Age: 45 Years – 90 Years
• Healthy volunteers: Accepted

Summary

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

Detailed description

Participants were recruited from among patients newly admitted to the orthopaedic ward who met the selection criteria. Participants who provided written informed consent completed a survey collecting demographic and clinical information, followed by a baseline assessment (T0). Subsequently, they were randomly assigned to either the control group or the experimental group. Participants in both groups received standardised, identical inpatient rehabilitation and nursing services throughout their hospitalisation. From admission day to surgery day (preoperative), control group participants will receive an autonomous preoperative rehabilitation exercise programme, while experimental group participants will receive a patient-navigation-based preoperative rehabilitation exercise programme

Conditions

• Total Knee Arthroplasty
• Knee Osteoarthritis

Interventions

Type	Name	Description
OTHER	Autonomous preoperative rehabilitation exercises	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
OTHER	The navigator provided full-period preoperative rehabilitation exercise guidance+navigation services	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.

Timeline

• Start date: 2025-07-02
• Primary completion: 2026-01-01
• Completion: 2026-02-01
• First posted: 2025-07-02
• Last updated: 2025-11-19

Locations

1 site across 1 country: China