The Short- and Long-term Effects of Fall Prevention Program on the Number of Falls Among Elderly Following Total Knee Replacement: a Pragmatic Single-blinded Randomized Controlled Trial.
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
the aim of the proposed research is to investigate the short and long-term effects of integrating a comprehensive fall prevention programme into conventional physiotherapy on the number of falls, balance, and functional ability among elderly following TKR. the investigator hypothesize that conventional physiotherapy integrated with a fall prevention program is more effective than conventional physiotherapy alone in improving balance and functional ability and preventing the occurrence of falls among elderly following TKR. Study type: The proposed study is a parallel group prospective (24 weeks) randomised single-blinded pragmatic controlled trial. Participants: Older adults operated for TKR at Al-Razi orthopedic hospital, who met the inclusion criteria.
Eligibility
Participation Requirements
Sex: Female
Minimum Age: 60
Healthy Volunteers: f
View:
• Female gender.
• Aged 60 years and older.
• Diagnosed with primary osteoarthritis of the knee.
• Underwent unilateral TKR.
Locations
Other Locations
Kuwait
Alrazi orthopedic hospital
RECRUITING
Kuwait City
Contact Information
Primary
Hadeel H Alsaleh, PhD
golden_land85@hotmail.com
0096565064141
Backup
Eman Y Merza, PhD
dr.eman.merza8@gmail.com
00965518881
Time Frame
Start Date:2023-01-08
Estimated Completion Date:2025-09-08
Participants
Target number of participants:90
Treatments
No_intervention: control group
Patients in the control group will receive a conventional physiotherapy treatment (guided by the post-TKR protocol followed at Al-Razi Orthopedic Hospital). The treatment will be delivered by four allocated physiotherapists,The treatment will be delivered by four allocated physiotherapists, and will consist of:~1. Blood circulation exercise (i.e., ankle pumps)~2. Quadriceps isometric exercises (i.e., quad sets).~3. Knee ROM exercises (i.e., knee flexion and extension).~4. Lower limb strengthening exercises (e.g., straight leg raising, short/ long arch exercises)~5. Stretching exercises for the hamstring and calf muscles.~6. Gait training (with and without the assistive device).~7. Parallel bars exercises (e.g., standing hip abduction/adduction, knee flexion, squatting).~8. Ascending/descending stairs.~9. Home program.
Experimental: intervention (treatment) group
Patients in the experimental group will receive a comprehensive fall prevention program (described below) integrated into the conventional physiotherapy treatment. The fall prevention program will consist of:~1. Otago balance exercise for 12 weeks integrated with conventional physiotherapy treatment (described in the control group).~2. Individualized advice on assistive device usage based on the participant's Berg Balance Score (BBS) revised at the 3 data collection timepoints.~3. Environmental hazard checklist.~4. Advice on getting their eyes checked and the use of appropriate footwear to ensure the elimination of other risk factors.~5. Home program (consists of balance and strength training exercises).~The treatment will be delivered by four allocated physiotherapists. The physiotherapists will receive an introductory/training session on the fall prevention program prior to the commencement of the trial.