A Multidisciplinary Intervention in Total Knee Arthroplasty

Summary

The purpose of this study is to investigate the effectiveness of cognitive behavioral therapy delivered as an e-therapy program, combined with physical exercise delivered by physiotherapists, for patients on waiting list for total knee arthroplasty. The patients will be randomized to either 1) a non-surgical program consisting of web-based cognitive behavioral therapy combined with physiotherapy, 2) total knee arthroplasty (TKA) surgery followed by web-based cognitive behavioral therapy combined with physiotherapy, or 3) a control group who undergo TKA followed by standard physiotherapy.

Conditions

• Osteoarthritis; Primary
• Degenerative Joint Disease of Knee

Interventions

BEHAVIORAL

Osteoarthritis education, exercise and CBT

Osteoarthritis Education 1. 60-min session by AktivA trained PT) * Signs/symptoms, risk factors, weight control, treatment * Importance of physical activity * Appropriate activity \& training modalities Exercise and CBT Support 2. 60-min sessions/week for 12 weeks (a total of 24 sessions) led by AktivA and CBT trained PT) * Warm-up session * Strengthening exercises * Functional exercises * Stretching * Monitoring of CBT progress * Review of CBT lessons learned * Integration of CBT skills * Enhance motivation to continue Online CBT (iCBT) (10 modules completed at home) * Pain causes \& prevention * Pain management * Health promotion \& stress reduction at home \& work * Adapting for leisure \& work * Controlling flare-ups * Maintaining \& improving results

PROCEDURE

Total Knee Arthroplasty

Standard total knee arthroplasty will be performed.

Sponsors & Collaborators

• Haukeland University Hospital

  collaborator OTHER

• Vestre Viken Hospital Trust

  collaborator OTHER

• Lovisenberg Diakonale Hospital

  lead OTHER

Principal Investigators

• Anners Lerdal, PhD · Lovisenberg Diaconal Hospital, University of Oslo

• Arild Aamodt, PhD · Lovisenberg Diakonale Hospital

• Maren F Lindberg, PhD · Lovisenberg Diakonale Hospital/University of Oslo

• Kari Indrekvam, PhD · Haukeland University Hospital - Kysthospitalet Hagevik/University of Bergen

• Stig Heir, PhD · Martina Hansens Hospital

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

79 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-08-28

Primary Completion

2025-04-30

Completion

2026-04-30

Countries

• Norway

Study Locations