Abstract
| Original language | English |
|---|---|
| Article number | 44 |
| Journal | Trials |
| Volume | 15 |
| DOIs | |
| Publication status | Published - 1 Feb 2014 |
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Keywords
- total knee replacement
- outcomes
- rehabilitation
- stratified treatment
Cite this
Targeted rehabilitation to improve outcome after total knee replacement (TRIO) : study protocol for a randomised controlled trial. / Simpson, A Hamish R W; Hamilton, David F; Beard, David J; Barker, Karen L; Wilton, Timothy; Hutchison, James D; Tuck, Chris; Stoddard, Andrew; Macfarlane, Gary J; Murray, Gordon D.
In: Trials, Vol. 15, 44, 01.02.2014.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Targeted rehabilitation to improve outcome after total knee replacement (TRIO)
T2 - study protocol for a randomised controlled trial
AU - Simpson, A Hamish R W
AU - Hamilton, David F
AU - Beard, David J
AU - Barker, Karen L
AU - Wilton, Timothy
AU - Hutchison, James D
AU - Tuck, Chris
AU - Stoddard, Andrew
AU - Macfarlane, Gary J
AU - Murray, Gordon D
N1 - Acknowledgements TRIO is funded by Arthritis Research UK. A linked cohort study (TRIO POPULAR) investigates pre-operative predictors of poor outcome. This project is led by Prof. Gary J MacFarlane and sponsored by the University of Aberdeen.
PY - 2014/2/1
Y1 - 2014/2/1
N2 - Approximately 20% of patients are not satisfied with the outcome of total knee replacement, great volumes of which are carried out yearly. Physiotherapy is often provided by the NHS to address dysfunction following knee replacement; however the efficacy of this is unknown. Although clinically it is accepted that therapy is useful, provision of physiotherapy to all patients post-operatively does not enhance outcomes at one year. No study has previously assessed the effect of targeting therapy to individuals struggling to recover in the early post-operative phase.The aim of the TRIO study is to determine whether stratifying care by targeting physiotherapy to those individuals performing poorly following knee replacement is effective in improving the one year outcomes. We are also investigating whether the structure of the physiotherapy provision itself influences outcomes.
AB - Approximately 20% of patients are not satisfied with the outcome of total knee replacement, great volumes of which are carried out yearly. Physiotherapy is often provided by the NHS to address dysfunction following knee replacement; however the efficacy of this is unknown. Although clinically it is accepted that therapy is useful, provision of physiotherapy to all patients post-operatively does not enhance outcomes at one year. No study has previously assessed the effect of targeting therapy to individuals struggling to recover in the early post-operative phase.The aim of the TRIO study is to determine whether stratifying care by targeting physiotherapy to those individuals performing poorly following knee replacement is effective in improving the one year outcomes. We are also investigating whether the structure of the physiotherapy provision itself influences outcomes.
KW - total knee replacement
KW - outcomes
KW - rehabilitation
KW - stratified treatment
U2 - 10.1186/1745-6215-15-44
DO - 10.1186/1745-6215-15-44
M3 - Article
C2 - 24484541
VL - 15
JO - Trials
JF - Trials
SN - 1745-6215
M1 - 44
ER -