Improving Rehabilitation for Veterans After Total Knee Arthroplasty Using Individualized Recovery Trajectories
NCT05288803 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2026-03-25
Summary
This study will examine the impact of a new clinical decision support tool for rehabilitation after total knee arthroplasty (TKA). Typically, TKA rehabilitation is generic with most patients receiving the same dosage and contents of rehabilitation despite notable diversity among patients who undergo TKA. The investigators clinical support decision tool is designed to help physical therapists tailor rehabilitation treatments and dosages to the individual needs, goals, and preferences of Veterans recovering from TKA. This study has the potential to improve Veterans' functional recovery after TKA, while simultaneously reducing the average number of physical therapy visits Veterans attend after surgery by tailoring rehabilitation dosage based upon need. This will ensure the Veterans Health Administration (VHA) has the resources and capacity to provide adequate rehabilitation to every Veteran seeking TKA in the VHA system. Additionally, if successful, this clinical decision support tool could be used to improve outcomes and access for additional patient populations in the future.
Conditions
- Total Knee Arthroplasty
Interventions
- OTHER
-
Clinical decision support tool (CDS tool)
The investigators will integrate the CDS tool into clinical practice at each participating clinic after data collection for the Control cohort is complete. All physical therapists at the participating clinic locations will use the CDS tool to inform rehabilitation decision making for Veterans with total knee arthroplasty. The CDS tool will provide personalized information regarding each Veterans' recovery in addition to personalized visit utilization guidelines. Clinicians will use the CDS tool with Veterans at their initial postoperative visits and every 2weeks throughout their course of care thereafter.
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Jennifer E. Stevens-Lapsley, PhD · Rocky Mountain Regional VA Medical Center, Aurora, CO
Eligibility
- Min Age
- 40 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-04-01
- Primary Completion
- 2026-09-30
- Completion
- 2027-03-31
Countries
- United States
Study Locations
More Related Trials
-
Computer Assisted Total Knee Replacement
NCT00279838 ·Status: COMPLETED ·Phase: PHASE4
-
Collaborative-care Intervention to Promote Physical Activity After Total Knee Arthroplasty
NCT02075931 ·Status: COMPLETED ·Phase: NA
-
Effect of Fast Inpatient Rehabilitation After TKA
NCT04458480 ·Status: UNKNOWN
-
Progressive Rehabilitation Following Total Knee Arthroplasty
NCT01537328 ·Status: COMPLETED ·Phase: NA
-
Gait Retraining to Reduce Joint Loading, Inflammation, and PTOA Risk
NCT03551678 ·Status: UNKNOWN ·Phase: NA
-
Does Rehabilitation After Total Knee Arthroplasty Work? - Feasibility Trial
NCT05935020 ·Status: COMPLETED ·Phase: NA
-
Prediction of Outcomes Following Total Knee Replacement- Pilot
NCT04328701 ·Status: COMPLETED ·Phase: NA
-
Total Knee Arthroplasty Biomechanics
NCT03671954 ·Status: COMPLETED ·Phase: NA
-
Habitual Physical Activity and Sedentary Behavior Following Total Knee Arthroplasty
NCT02675062 ·Status: COMPLETED
-
Knee Arthroplasty Registry
NCT01132365 ·Status: UNKNOWN
-
Adding Value in Knee Arthroplasty Post-total Knee Replacement (TKR) Care Navigator Trial
NCT01540851 ·Status: COMPLETED ·Phase: NA
-
Leisure Expectations About Physical Activity Study
NCT01938274 ·Status: WITHDRAWN ·Phase: NA
-
Testing Implementation of Total Joint Replacement Rehabilitation Quality Indicator Toolkits
NCT06208553 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Exercises in the Post-operative Rehabilitation of THA
NCT03208829 ·Status: UNKNOWN ·Phase: NA
-
Gait Kinematics After Primary Total Knee Arthroplasty (TKA) Versus Revision TKA
NCT03898544 ·Status: COMPLETED
-
Functional Recovery After Total Knee Arthroplasty
NCT06821269 ·Status: RECRUITING
-
Knee Replacement Outcome Predicted by Physiotherapists
NCT02982785 ·Status: COMPLETED
-
Home Monitoring After Primary Total Knee Arthroplasty
NCT03032068 ·Status: COMPLETED ·Phase: NA
-
Joint Line Reconstruction in Navigated Total Knee Arthroplasty Revision
NCT01601756 ·Status: UNKNOWN ·Phase: NA
-
Physiotherapy for Arthrofibrosis Following Knee Replacement.
NCT05459259 ·Status: UNKNOWN
-
Outcomes Following Total Knee Arthroplasty
NCT02364011 ·Status: COMPLETED
-
Multimodal Biopsychosocial Teleprehabilitation for Total Knee Arthroplasty
NCT06565377 ·Status: RECRUITING ·Phase: NA
-
Predicting Outcome of Total Knee Replacement Surgery in Patients With Knee Osteoarthritis
NCT05380648 ·Status: COMPLETED
-
Preoperative Rehabilitation Training and Total Knee Arthroplasty Outcomes
NCT06983912 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Feasibility of a Comprehensive Behavioral Intervention in Patient Post TKA
NCT01799772 ·Status: COMPLETED ·Phase: PHASE1/PHASE2