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Adherence to Home-Based Physiotherapy and Music-Assisted Relaxation After Total Knee Arthroplasty

NCT07705971 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50

Last updated 2026-07-15

No results posted yet for this study

Summary

This randomized controlled study evaluated adherence to two home-based programs after total knee arthroplasty. All participants received a structured home-based physiotherapy program for 6 weeks. Participants assigned to the intervention group additionally performed an audio-guided, music-assisted progressive muscle relaxation program. Adherence to the home-based programs was assessed using participant-completed activity diaries. The study also explored changes in pain at rest, during walking, and at night; osteoarthritis-related pain, stiffness, and physical function; sleep quality; depression, anxiety, and stress symptoms; operated-side knee range of motion; lower-extremity physical performance; functional mobility; and health-related quality of life from preoperative baseline to postoperative week 6.

Conditions

Interventions

BEHAVIORAL

Home-Based Physiotherapy

Participants received a structured home-based physiotherapy program after discharge following primary total knee arthroplasty. The program was prescribed for 6 weeks, 5 days per week, twice daily. Participants received individual instruction on correct exercise performance and a printed home exercise booklet. Completed sessions were recorded in an activity diary. At the end of the first postoperative week, an individual online contact was conducted to review exercise performance, correct possible errors, and answer questions related to home practice.

BEHAVIORAL

Music-Assisted Progressive Muscle Relaxation

Participants in the experimental arm received an approximately 27-minute audio-guided, music-assisted progressive muscle relaxation program in addition to home-based physiotherapy. The program was performed once before bedtime, 5 days per week, for 6 weeks. Participants received individual instruction in diaphragmatic breathing, sequential contraction and relaxation of major muscle groups, safe home practice, and use of the audio recording. The recording included verbal guidance delivered by a female voice with instrumental background music and was provided in MP3 format for use on participants' smartphones. Completed sessions were recorded in an activity diary, and an individual online contact was conducted at the end of the first postoperative week.

Sponsors & Collaborators

  • Pamukkale University

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
50 Years
Max Age
75 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2024-02-02
Primary Completion
2025-11-17
Completion
2025-11-17

Countries

  • Turkey (Türkiye)

Study Locations

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Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07705971 on ClinicalTrials.gov