Targeted rehabilitation to improve outcome after total knee replacement (TRIO)

study protocol for a randomised controlled trial

A Hamish R W Simpson, David F Hamilton, David J Beard, Karen L Barker, Timothy Wilton, James D Hutchison, Chris Tuck, Andrew Stoddard, Gary J Macfarlane, Gordon D Murray

Research output: Contribution to journalArticle

5 Citations (Scopus)
3 Downloads (Pure)

Abstract

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.
Original languageEnglish
Article number44
JournalTrials
Volume15
DOIs
Publication statusPublished - 1 Feb 2014

Fingerprint

Knee Replacement Arthroplasties
Knee
Rehabilitation
Randomized Controlled Trials
Therapeutics

Keywords

  • total knee replacement
  • outcomes
  • rehabilitation
  • stratified treatment

Cite this

Simpson, A. H. R. W., Hamilton, D. F., Beard, D. J., Barker, K. L., Wilton, T., Hutchison, J. D., ... Murray, G. D. (2014). Targeted rehabilitation to improve outcome after total knee replacement (TRIO): study protocol for a randomised controlled trial. Trials, 15, [44]. https://doi.org/10.1186/1745-6215-15-44

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 journalArticle

Simpson, AHRW, Hamilton, DF, Beard, DJ, Barker, KL, Wilton, T, Hutchison, JD, Tuck, C, Stoddard, A, Macfarlane, GJ & Murray, GD 2014, 'Targeted rehabilitation to improve outcome after total knee replacement (TRIO): study protocol for a randomised controlled trial', Trials, vol. 15, 44. https://doi.org/10.1186/1745-6215-15-44
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. / Targeted rehabilitation to improve outcome after total knee replacement (TRIO) : study protocol for a randomised controlled trial. In: Trials. 2014 ; Vol. 15.
@article{75c276edf4284e9588c5c5bd7954ddac,
title = "Targeted rehabilitation to improve outcome after total knee replacement (TRIO): study protocol for a randomised controlled trial",
abstract = "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.",
keywords = "total knee replacement, outcomes, rehabilitation, stratified treatment",
author = "Simpson, {A Hamish R W} and Hamilton, {David F} and Beard, {David J} and Barker, {Karen L} and Timothy Wilton and Hutchison, {James D} and Chris Tuck and Andrew Stoddard and Macfarlane, {Gary J} and Murray, {Gordon D}",
note = "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.",
year = "2014",
month = "2",
day = "1",
doi = "10.1186/1745-6215-15-44",
language = "English",
volume = "15",
journal = "Trials",
issn = "1745-6215",
publisher = "BioMed Central",

}

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

VL - 15

JO - Trials

JF - Trials

SN - 1745-6215

M1 - 44

ER -