Skip to main content

Research Repository

Advanced Search

Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: A feasibility study for a randomized controlled trial

Beswick, Andrew D.; Blom, Ashley W.; Artz, Neil; Dixon, Samantha; Wylde, Vikki; Beswick, Andrew D; Marques, Elsa; Blom, Ashley W; Lenguerrand, Erik; Gooberman-Hill, Rachael

Authors

Andrew D. Beswick

Ashley W. Blom

Samantha Dixon

Vikki Wylde

Andrew D Beswick

Elsa Marques

Ashley W Blom

Erik Lenguerrand

Rachael Gooberman-Hill



Abstract

© The Author(s) 2016. Objective: To evaluate the feasibility of conducting a randomized controlled trial comparing group-based outpatient physiotherapy with usual care in patients following total knee replacement. Design: A feasibility study for a randomized controlled trial. Setting: One secondary-care hospital orthopaedic centre, Bristol, UK. Participants: A total of 46 participants undergoing primary total knee replacement. Interventions: The intervention group were offered six group-based exercise sessions after surgery. The usual care group received standard postoperative care. Participants were not blinded to group allocation. Outcome measures: Feasibility was assessed by recruitment, reasons for non-participation, attendance, and completion rates of study questionnaires that included the Lower Extremity Functional Scale and Knee Injury and Osteoarthritis Outcome Score. Results: Recruitment rate was 37%. Five patients withdrew or were no longer eligible to participate. Intervention attendance was high (73%) and 84% of group participants reported they were ‘very satisfied’ with the exercises. Return of study questionnaires at six months was lower in the usual care (75%) than in the intervention group (100%). Mean (standard deviation) Lower Extremity Functional Scale scores at six months were 45.0 (20.8) in the usual care and 57.8 (15.2) in the intervention groups. Conclusion: Recruitment and retention of participants in this feasibility study was good. Group-based physiotherapy was acceptable to participants. Questionnaire return rates were lower in the usual care group, but might be enhanced by telephone follow-up. The Lower Extremity Functional Scale had high responsiveness and completion rates. Using this outcome measure, 256 participants would be required in a full-scale randomized controlled trial.

Journal Article Type Article
Publication Date Jan 1, 2017
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Electronic ISSN 1477-0873
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 31
Issue 4
Pages 487-499
APA6 Citation Blom, A. W., Beswick, A. D., Artz, N., Dixon, S., Wylde, V., Marques, E., …Gooberman-Hill, R. (2017). Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: A feasibility study for a randomized controlled trial. Clinical Rehabilitation, 31(4), 487-499. https://doi.org/10.1177/0269215516642503
DOI https://doi.org/10.1177/0269215516642503
Publisher URL https://doi.org/10.1177/0269215516642503

Files





You might also like



Downloadable Citations

;