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A Multidisciplinary Intervention in Total Knee Arthroplasty
Sponsor: Lovisenberg Diakonale Hospital
Summary
The purpose of this study is to investigate the effectiveness of cognitive behavioral therapy delivered as an e-therapy program, combined with physical exercise delivered by physiotherapists, for patients on waiting list for total knee arthroplasty. The patients will be randomized to either 1) a non-surgical program consisting of web-based cognitive behavioral therapy combined with physiotherapy, 2) total knee arthroplasty (TKA) surgery followed by web-based cognitive behavioral therapy combined with physiotherapy, or 3) a control group who undergo TKA followed by standard physiotherapy.
Official title: A Multidisciplinary Intervention in Total Knee Arthroplasty - a Multicenter, Randomized Controlled Trial in OA Patients (The MultiKnee Trial)
Key Details
Gender
All
Age Range
18 Years - 79 Years
Study Type
INTERVENTIONAL
Enrollment
282
Start Date
2019-08-28
Completion Date
2026-04-30
Last Updated
2026-08-11
Healthy Volunteers
No
Interventions
Osteoarthritis education, exercise and CBT
Osteoarthritis Education 1. 60-min session by AktivA trained PT) * Signs/symptoms, risk factors, weight control, treatment * Importance of physical activity * Appropriate activity \& training modalities Exercise and CBT Support 2. 60-min sessions/week for 12 weeks (a total of 24 sessions) led by AktivA and CBT trained PT) * Warm-up session * Strengthening exercises * Functional exercises * Stretching * Monitoring of CBT progress * Review of CBT lessons learned * Integration of CBT skills * Enhance motivation to continue Online CBT (iCBT) (10 modules completed at home) * Pain causes \& prevention * Pain management * Health promotion \& stress reduction at home \& work * Adapting for leisure \& work * Controlling flare-ups * Maintaining \& improving results
Total Knee Arthroplasty
Standard total knee arthroplasty will be performed.
Locations (3)
Martina Hansens Hospital
Oslo, Norway, Norway
Haukeland University Hospital - Kysthospitalet Hagevik
Bergen, Norway
Lovisenberg Diaconal Hospital
Oslo, Norway